AIR METHODS PRE-HIRE EXAM 350
QUESTIONS AND CORRECT
DETAILED ANSWERS | NEWLY
UPDATED VERSION FOR 2025-2026 |
RATED A+
Lateral MI: elevation leads? reciprocal leads? - ANSWER- elevation: I,
aVL, V5, V5. reciprocal: II, III, aVF
Posterior MI: elevation leads? reciprocal leads? - ANSWER- elevation:
V6. reciprocal: V1-V4
Junction (J) Point - ANSWER- end of QRS & beginning of ST segment
where QRS stops and makes a sudden SHARP change of direction
Delta wave is associated with - ANSWER- Wolff-Parkinson White
Syndrome
where is the delta wave on EKG - ANSWER- Bump in the beginning of
the QRS wave
Osborne wave is associated with - ANSWER- Hypothermia
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Peaked/tented T waves indicate - ANSWER- hyperkalemia
Peaked P waves/ flattened T waves/ U waves indicate - ANSWER-
hypokalemia
Wide QRS could indicate x2 - ANSWER- BBB present, TCA overdose
Prolonged QT interval could indicate - ANSWER- TCA overdose
history of tricyclic antidepressant overdose can exhibit what ECG
tracing - ANSWER- prolonged QT interval
what is the amount of blood in the ventricles at end-diastole -
ANSWER- Preload (right= CVP, left= PAOP)
what is the resistance the ventricles must overcome to eject blood into
the pulmonary and systemic circulation - ANSWER- afterload (SVR)
Stroke volume is dependent on - ANSWER- contractility, preload,
afterload
sequence blood flows throughout the heart valves - ANSWER-
Tricuspid, Pulmonic, Mitral, Aortic
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common site affected for balloon dislodgment when treating your IABP
patient - ANSWER- left radial
contraindication for IABP - ANSWER- aortic aneurysm, aortic
insufficiency, aortic stents, AAA
"rust-colored flakes" in IABP tubing indicated - ANSWER- balloon
rupture
how to determine early or late inflation in IABP - ANSWER- draw line
from dicrotic notch to inflation point
if the inflation point (IP) is 2mm+ from the dicrotic notch (DN), it
indicates - ANSWER- early inflation
primary trigger used from most IABP operations is the - ANSWER-
EKG
IABP balloon inflation on EKG starts at - ANSWER- middle of T wave
IABP balloon deflation on EKG prior to - ANSWER- end of QRS
complex
IABP inflation mechanism occurs at - ANSWER- onset of ventricular
diastole
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IABP deflation mechanism occurs at - ANSWER- prior onset of
ventricular systole
which patients are not affected with altitude temperature changes -
ANSWER- cardiac patients
therapy focus for left ventricular heart failure patients - ANSWER-
diuretics and relief of anxiety
characteristics of systolic failure - ANSWER- <65 y/o , frequent/prior
MI, S3 heart tone, cardiomegaly present
characteristics of diastolic failure - ANSWER- >70 y/o, common in
women, frequent hx of HTN, S4 heart tone, no cardiomegaly
BP MAP formula - ANSWER- -(2xDBP) + SBP / 3
coumadin overdose antidote - ANSWER- vitamin K, FFP
Medication NOT to give cardiogenic shock and CHF patients -
ANSWER- Beta-blockers
medications for cardiogenic shock - ANSWER- vasodilator and positive
inotropes