FISDAP CARDIOLOGY PRACTICE QUIZ 100
COMPREHENSIVE EMS CARDIAC CARE STUDY
GUIDE 2026
◉ 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.
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.
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..
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..
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.
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
COMPREHENSIVE EMS CARDIAC CARE STUDY
GUIDE 2026
◉ 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.
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.
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..
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..
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.
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
