FISDAP Cardiology Study Questions With Verified Answers

1. What does the OPQRST mnemonic stand for - Answer Onset, Provocation/palliation, Quality, Region/Radiation, Severity, and Time 2. When administering nitroglycerin to a patient with angina (ischemic chest pain), to which structures are you hoping to alleviate ischemia (dec blood flow) - Answer Coronary arteries 3. A 57 year old female complains of difficulty breathing. She has jugular vein distension (inc P of SVC causes jugular vein bulge), pedal edema (foot edema) and fatigue. What chamber of the heart should you suspect is weakened - Answer Right ventricle 4. A 45 year old female had a return of spontaneous circulation (ROSC) after 10 minutes in cardiac arrest. She is unresponsive. Vital signs are BP 96/40, P88, R 18, SpO2 74%. What should you do - Answer Position her in a recovery position and apply high-flow oxygen. 5. A 56 year old male complains of chest pain after shoveling the driveway. He states that his pain was a 9/10, but it is now a 5/10 after rest and taking 2 of his nitroglycerin. Vital signs are BP 100/66, P 87, R 16. What should you do - Answer Administer aspirin. 6. What are the names of the four valves in the heart - Answer Mitral, Tricuspid, Pulmonic, Aortic 7. An unrestrained 47 year old female is in cardiac arrest after car crash on the freeway. She has been pulseless for 20 minutes and CPR was withheld. What should you do - Answer Start CPR and contact medical control to terminate efforts. 8. Where are the first electrical impulses stimulating the heart located - Answer Right atrium 9. An anxious 55 year old male is severely short of breath and is coughing up pink frothy sputum. He is sitting upright and tells you that his "feet are more swollen than normal." Vital signs are BP 202/112, P 110, R 36 with crackles. What should you do - Answer Assist his ventilations with a BVM. 10. What should you determine before administering a dose of nitroglycerin - Answer Blood pressure 11. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Vital signs are BP 80/56, P 118, R 24 with crackles, SpO2 87%. What is the most likely cause - Answer Cardiogenic shock 12. You are transporting a 44 year old male complaining of chest pain when he becomes unconscious, pulseless, and stops breathing. What should you do - Answer Begin CPR and attach the AED. 13. A 64 year old male is unresponsive. Bystanders tell you he has been down for 10-15 minutes and resuscitation efforts have not been attempted. What should you do - Answer Assess a carotid pulse. 14. How should you treat asystole in a patient - Answer Provide chest compressions. 15. A patient presents with fluid accumulation in the lower extremities (pedal edema) and liver and abdominal distention. What chamber of the heart is failing - Answer Right Ventricle