FISDAP Cardiology Test Prep
Updated for 2023/24
1. A patient has nocturnal dyspnea and states they "have to sleep sitting up".
BP 210/140, HR 88, SP02 80%, RR 26. What should you do?: Apply CPAP
2. What is the period of the cardiac cycle when stimulation will not produce and
depolarization?: Absolute Refractory period
3. What does the P-R interval represent?: Atrial depolarization and A-V delay
4. A positive deflection on the ECG tracing paper indicates that the electrical impulse is::
Moving toward the positive electrode
5. What is the best position to optimally hear heart sounds?: Sitting up, leaning forward
6. What should treatment for cardiogenic shock with associated pulmonary edema
include?: Elevating the patients head and shoulders
7. What does the S-T segment elevation greater than 0.1 in at least 2 contiguous leads
indicate?: Myocardial Infarction
8. What neurotransmitter is responsible for stimulation of the postganglionic fibers in the
parasympathetic nervous system?: Acetylcholine
9. What best describes ventricular filling?: Diastole
10. Where are the first electrical impulses stimulating the heart located?: Right Atrium
11. A patient with a history of CHF complains of severe dyspnea. During transport SPO2
drops to 76% and he starts coughing up pink sputum. What should you do?: Assist
his ventilations
12. 65 YO presents with a fever and sharp, steady pain along the upper neck and shoulder
that worsens upon inspiration. Vitals BP 144/92, P 99, R 18, SPO2
95% on room air. What should you do?: Perform a 12 lead
13. Which has the thickest muscle wall?: Ventricular myocardium
14. Which of the following substances is most likely to cause premature ventricular
contractions?: Caffeine
, .
15. A patient was ejected from an automobile. They are apneic and pulseless. ECG
reveals a regular rhythm with an R-R interval of 1.24 seconds and a QRS width of 110
milliseconds. What should you do?: Epinephrine 1 mg IV 16. In what part of the ECG
phase is a shock delivered in synchronized cardioversion?: R Wave
17. Why do you administer epinephrine in cardiac arrest?: Increase blood flow to the
heart and brain
18. A 32 year old female attempted to commit suicide by taking sleeping pills and cutting
her wrists. She has dark red blood oozing from the wrist lacerations. Vital signs are
BP 90/52, P 130 and weak, R 18. What type of bleeding should you suspect?:
Venous
19 A 64 year old female complains of weakness and nausea. A 12 Lead ECG shows
normal sinus rhythm with ST elevation in V1 and V2. Vital signs are BP
132/64, R 18, P 98. What should you do?: Administer Aspirin
19. A 87 YOF has bilateral rales. What should you suspect?: Pulmonary edema
21. When measuring the R-R interval, you note three large boxes in between.
What would the heart rate be?: 100 beats.min
22. When viewing a three channel cardiac monitor, leads I and II display artifact, and lead
III shows a clear reading. Based on Einthoven's Triangle, you should: Replace the
right arm electrode
23. In asystole, what is the first medication you would administer?: Epinephrine
24. You administer 0.4 mg nitroglycerin for chest pain prior to taking vitals. Shortly after,
the patient has a syncopal episode. The most likely cause of the episode was:: The
rescuers failed to recognize a contraindication
25. You are giving 3 mg of midazolam. Your concentration is 5 mg/5 mL. How many mL
should you give?: 3
26. What is the inherent rate for the AV node?: 40-60/min
27. A 76 year old nursing home patient needs weight based medication. The transfer
papers say the patient weighs 154 lbs. How many kilograms does the patient weigh?:
70
28. What cardiac dysrhythmia will an AEDmdefibrillate?: V-tach
Updated for 2023/24
1. A patient has nocturnal dyspnea and states they "have to sleep sitting up".
BP 210/140, HR 88, SP02 80%, RR 26. What should you do?: Apply CPAP
2. What is the period of the cardiac cycle when stimulation will not produce and
depolarization?: Absolute Refractory period
3. What does the P-R interval represent?: Atrial depolarization and A-V delay
4. A positive deflection on the ECG tracing paper indicates that the electrical impulse is::
Moving toward the positive electrode
5. What is the best position to optimally hear heart sounds?: Sitting up, leaning forward
6. What should treatment for cardiogenic shock with associated pulmonary edema
include?: Elevating the patients head and shoulders
7. What does the S-T segment elevation greater than 0.1 in at least 2 contiguous leads
indicate?: Myocardial Infarction
8. What neurotransmitter is responsible for stimulation of the postganglionic fibers in the
parasympathetic nervous system?: Acetylcholine
9. What best describes ventricular filling?: Diastole
10. Where are the first electrical impulses stimulating the heart located?: Right Atrium
11. A patient with a history of CHF complains of severe dyspnea. During transport SPO2
drops to 76% and he starts coughing up pink sputum. What should you do?: Assist
his ventilations
12. 65 YO presents with a fever and sharp, steady pain along the upper neck and shoulder
that worsens upon inspiration. Vitals BP 144/92, P 99, R 18, SPO2
95% on room air. What should you do?: Perform a 12 lead
13. Which has the thickest muscle wall?: Ventricular myocardium
14. Which of the following substances is most likely to cause premature ventricular
contractions?: Caffeine
, .
15. A patient was ejected from an automobile. They are apneic and pulseless. ECG
reveals a regular rhythm with an R-R interval of 1.24 seconds and a QRS width of 110
milliseconds. What should you do?: Epinephrine 1 mg IV 16. In what part of the ECG
phase is a shock delivered in synchronized cardioversion?: R Wave
17. Why do you administer epinephrine in cardiac arrest?: Increase blood flow to the
heart and brain
18. A 32 year old female attempted to commit suicide by taking sleeping pills and cutting
her wrists. She has dark red blood oozing from the wrist lacerations. Vital signs are
BP 90/52, P 130 and weak, R 18. What type of bleeding should you suspect?:
Venous
19 A 64 year old female complains of weakness and nausea. A 12 Lead ECG shows
normal sinus rhythm with ST elevation in V1 and V2. Vital signs are BP
132/64, R 18, P 98. What should you do?: Administer Aspirin
19. A 87 YOF has bilateral rales. What should you suspect?: Pulmonary edema
21. When measuring the R-R interval, you note three large boxes in between.
What would the heart rate be?: 100 beats.min
22. When viewing a three channel cardiac monitor, leads I and II display artifact, and lead
III shows a clear reading. Based on Einthoven's Triangle, you should: Replace the
right arm electrode
23. In asystole, what is the first medication you would administer?: Epinephrine
24. You administer 0.4 mg nitroglycerin for chest pain prior to taking vitals. Shortly after,
the patient has a syncopal episode. The most likely cause of the episode was:: The
rescuers failed to recognize a contraindication
25. You are giving 3 mg of midazolam. Your concentration is 5 mg/5 mL. How many mL
should you give?: 3
26. What is the inherent rate for the AV node?: 40-60/min
27. A 76 year old nursing home patient needs weight based medication. The transfer
papers say the patient weighs 154 lbs. How many kilograms does the patient weigh?:
70
28. What cardiac dysrhythmia will an AEDmdefibrillate?: V-tach
