AIRMETHODS PRE-HIRE Exam Test with Verified Answers

AIRMETHODS PRE-HIRE Exam Test with Verified Answers
ST elevation is associated with -
ANSWER -myocardial injury Coronary Artery Occlusion: Septal -
ANSWER -LAD


ST depressions is associated with -
ANSWER -Ischemia, old infarction, digitalis Inferior MI: Elevation leads? Reciprocal leads? -
toxicity ANSWER -Elevation: II, III, aVF
Reciprocal: I, aVL, V1-V4


Q wave with ST elevation - ANSWER -
Acute injury Anterior-septal MI: Elevation leads? Reciprocal
leads? - ANSWER -Elevation: V1-v4
Reciprocal: II, III, aVF, aVL

Q wave with ST depression - ANSWER -
Indeterminate
Lateral MI: Elevation leads? Reciprocal leads? -
ANSWER -Elevation: I, aVL, V5, V5
Reciprocal: II, III, aVF
Q wave without ST changes - ANSWER -
Old infarction

Posterior MI: Elevation leads? Reciprocal leads?
- ANSWER -Elevation: V6
Coronary Artery Occlusion: Anterior - Reciprocal: V1-V4
ANSWER -LAD


Junction (J) Point - ANSWER -end of QRS
Coronary Artery Occlusion: Inferior - & beginning of ST segment where QRS stops
ANSWER -RCA and makes a sudden SHARP change of direction



Coronary Artery Occlusion: Posterior - Delta wave is associated with - ANSWER -
ANSWER -LCX or RCA Wolff-Parkinson White Syndrome



Coronary Artery Occlusion: Lateral - Where is the Delta wave on EKG -
ANSWER -LCX ANSWER -Bump in the beginning of the
QRS wave



, AIRMETHODS PRE-HIRE Exam Test with Verified Answers

Stroke volume is dependent on -
Osborne wave is associated with - ANSWER -contractility, preload, afterload
ANSWER -Hypothermia


Sequence blood flows throughout the heart
Peaked/tented T waves indicate - valves (Think toilet paper) - ANSWER -
ANSWER -Hyperkalemia Tricuspid
Pulmonic
Mitral
Aortic
Peaked P waves/ Flattened T waves/U waves
indicate - ANSWER -Hypokalemia

Common site affected for balloon dislodgment
when treating your IABP patient -
Wide QRS could indicate x2 - ANSWER - ANSWER -Left radial
BBB present, TCA overdose


CONTRAINDICATION for IABP -
Prolonged QT interval could indicate - ANSWER -Aortic aneurysm
ANSWER -TCA overdose Aortic insufficiency
Aortic stents
AAA

history of tricyclic antidepressant overdose can
exhibit what ECG tracing - ANSWER -
Prolonged QT interval "rust-colored flakes" in IABP tubing indicates -
ANSWER -Balloon rupture


What is the amount of blood in the ventricles at
end-diastole - ANSWER -Preload (Right = How to determine early or late inflation in IABP -
CVP , Left = PAOP) ANSWER -Draw line from dicrotic notch to
inflation point


What is the resistance the ventricles must
overcome to eject blood into the pulmonary and If the Inflation point (IP) is 2mm+ from the Dicrotic
systemic circulation - ANSWER -Afterload Notch (DN), it indicates - ANSWER -Early
(SVR) inflation





, AIRMETHODS PRE-HIRE Exam Test with Verified Answers

Primary trigger used from most IABP operations Characteristics of Diastolic failure (5) -
is the - ANSWER -EKG ANSWER ->70 y/o
common in women
frequent hx of HTN
S4 heart tone
IABP balloon inflation on EKG starts at - NO cardiomegaly
ANSWER -middle of T wave


BP MAP formula - ANSWER -(2xDBP) +
IABP balloon deflation on EKG prior to - SBP / 3
ANSWER -End of QRS complex


Coumadin overdose antidote - ANSWER -
IABP inflation mechanism occurs at - Vitamin K, FFP
ANSWER -onset of ventricular diastole


Medication NOT to give cardiogenic shock and
IABP deflation mechanism occurs at - CHF patients - ANSWER -Beta-blockers
ANSWER -prior onset of ventricular systole


Medications for cardiogenic shock -
Which patients are not affected with altitude ANSWER -Vasodilator and Positive
temperature changes - ANSWER -Cardiac inotropes
patients


Treatment of decompensating
Therapy focus for left ventricular heart failure Bradydysrhythmias (FAEDE) - ANSWER -
patients - ANSWER -Diuretics and relief of Fluids
anxiety Atropine
External pacing
Dopamine
Epinephrine
Characteristics of Systolic failure (4) -
ANSWER -<65 y/o
Frequent/prior MI
S3 heart tone S/S decompensating Bradydysrhythmias -
Cardiomegaly present ANSWER -SBP <90
AMS