CARDIOLOGY FISDAP EXAM QUESTIONS
AND ANSWERS 100% VERIFIED.
when obtaining a 12 - lead ECG, lead V1 should be placed:
A) upper right shoulder just above the clavicle
B) approximately 1 inch to the right of the angle of Louis
C) In the sec intercostal space just inferior to the sec rib.
D) in the fourth intercostal space just to the right of the
sternum - correct answer
D) in the fourth intercostal space just to the right of the
sternum
A patient experiencing a right ventricular infarction would be
expected to present with:
A) hypertension and tachycardia
B) ST elevation in lead II, III and aVF.
C) greater than 2-mm ST depression in lead V1
D) sever pulmonary edema and hemoptysis - correct answer
B) ST elevation in lead II, III and aVF.
You are assessing a middle-aged female who complains of chest
discomfort. She is conscious, alert, and oriented. Her skin is
diaphoretic. Her blood pressure is 122/72 mm Hg, her pulse
rate is 120 beats/min, and her respirations are 20 breaths/min.
On the basis of her chief complaint, which of your assessment
findings is the MOST significant?
A) Diaphoresis
B) Mental status
C) Elevated Respiratory Rate
,D) Pulse rate of 120 beats/min - correct answer
D) pulse rate of 120 beats/min
In contrast to unstable angina, stable angina occurs when a
patient:
A) complains of chest pain at the same time of the day for more
than 2 weeks.
B) needs more than two nitroglycerin treatments to relieve his
or her chest pain.
C) experiences chest discomfort after a certain, predictable
amount of exertion.
D) presents with chest pain or discomfort during periods of low
oxygen demand. - correct answer
C) experiences chest discomfort after a certain, predictable
amount of exertion.
A 71-year-old male presents with chest pain and shortness of
breath. He is conscious, but confused, and is profusely
diaphoretic. He has weakly palpable radial pulses, a BP of 70/40
mm Hg, and diffuse crackles in all lung fields. You administer
high-flow oxygen and apply the cardiac monitor, which reveals
sinus tachycardia. The closest appropriate hospital is 40 miles
away. Which of the following is the MOST appropriate next
action?
A) Obtain a 12-lead ECG tracing.
B) Begin an infusion of dopamine.
C) Perform a head-to-toe exam.
D) Give 20 mL/kg fluid boluses. - correct answer
B) Begin an infusion of dopamine.
, Which of the following is an absolute contraindication for
fibrinolytic therapy?
A) Subdural hematoma 3 years ago
B) BP of 170/100 mm Hg on presentation
C) Current use of anticoagulant medication
D) Ischemic stroke within the last 12 months - correct answer
A) Subdural hematoma 2 years ago
You are treating a 68-year-old woman with chest pressure and
shortness of breath that started 2 days ago. Her BP is 76/52
mm Hg and her pulse is 130 beats/min and weak. The cardiac
monitor reveals sinus tachycardia with occasional PVCs and
auscultation of her lungs reveals diffuse coarse crackles. Which
of the following treatment interventions is MOST appropriate
for this patient?
A) Dopamine, 2 to 20 mcg/kg/min
B) Normal saline, 20 mL/kg rapid bolus
C) Amiodarone, 150 mg over 10 min
D) Nitroglycerin, 10 to 20 mcg/min - correct answer
A) Dopamine, 2 to 20 mcg/kg/min
Which of the following findings would lead the paramedic to
suspect pericarditis when assessing a 40-year-old male with
chest pain and no cardiac history?
A) The patient's age and absence of a cardiac history
B) The pain decreases when the patient sits forward
C) Widespread ST depression of greater than 2 mm
D) Greater than 3-mm ST elevation in leads V2 and V3 - correct
answer
B) The pain decreases when the patient sits forward
AND ANSWERS 100% VERIFIED.
when obtaining a 12 - lead ECG, lead V1 should be placed:
A) upper right shoulder just above the clavicle
B) approximately 1 inch to the right of the angle of Louis
C) In the sec intercostal space just inferior to the sec rib.
D) in the fourth intercostal space just to the right of the
sternum - correct answer
D) in the fourth intercostal space just to the right of the
sternum
A patient experiencing a right ventricular infarction would be
expected to present with:
A) hypertension and tachycardia
B) ST elevation in lead II, III and aVF.
C) greater than 2-mm ST depression in lead V1
D) sever pulmonary edema and hemoptysis - correct answer
B) ST elevation in lead II, III and aVF.
You are assessing a middle-aged female who complains of chest
discomfort. She is conscious, alert, and oriented. Her skin is
diaphoretic. Her blood pressure is 122/72 mm Hg, her pulse
rate is 120 beats/min, and her respirations are 20 breaths/min.
On the basis of her chief complaint, which of your assessment
findings is the MOST significant?
A) Diaphoresis
B) Mental status
C) Elevated Respiratory Rate
,D) Pulse rate of 120 beats/min - correct answer
D) pulse rate of 120 beats/min
In contrast to unstable angina, stable angina occurs when a
patient:
A) complains of chest pain at the same time of the day for more
than 2 weeks.
B) needs more than two nitroglycerin treatments to relieve his
or her chest pain.
C) experiences chest discomfort after a certain, predictable
amount of exertion.
D) presents with chest pain or discomfort during periods of low
oxygen demand. - correct answer
C) experiences chest discomfort after a certain, predictable
amount of exertion.
A 71-year-old male presents with chest pain and shortness of
breath. He is conscious, but confused, and is profusely
diaphoretic. He has weakly palpable radial pulses, a BP of 70/40
mm Hg, and diffuse crackles in all lung fields. You administer
high-flow oxygen and apply the cardiac monitor, which reveals
sinus tachycardia. The closest appropriate hospital is 40 miles
away. Which of the following is the MOST appropriate next
action?
A) Obtain a 12-lead ECG tracing.
B) Begin an infusion of dopamine.
C) Perform a head-to-toe exam.
D) Give 20 mL/kg fluid boluses. - correct answer
B) Begin an infusion of dopamine.
, Which of the following is an absolute contraindication for
fibrinolytic therapy?
A) Subdural hematoma 3 years ago
B) BP of 170/100 mm Hg on presentation
C) Current use of anticoagulant medication
D) Ischemic stroke within the last 12 months - correct answer
A) Subdural hematoma 2 years ago
You are treating a 68-year-old woman with chest pressure and
shortness of breath that started 2 days ago. Her BP is 76/52
mm Hg and her pulse is 130 beats/min and weak. The cardiac
monitor reveals sinus tachycardia with occasional PVCs and
auscultation of her lungs reveals diffuse coarse crackles. Which
of the following treatment interventions is MOST appropriate
for this patient?
A) Dopamine, 2 to 20 mcg/kg/min
B) Normal saline, 20 mL/kg rapid bolus
C) Amiodarone, 150 mg over 10 min
D) Nitroglycerin, 10 to 20 mcg/min - correct answer
A) Dopamine, 2 to 20 mcg/kg/min
Which of the following findings would lead the paramedic to
suspect pericarditis when assessing a 40-year-old male with
chest pain and no cardiac history?
A) The patient's age and absence of a cardiac history
B) The pain decreases when the patient sits forward
C) Widespread ST depression of greater than 2 mm
D) Greater than 3-mm ST elevation in leads V2 and V3 - correct
answer
B) The pain decreases when the patient sits forward
