QUESTIONS AND ANSWERS GRADED A+
✔✔You place your 34 year old patient on the monitor and find a rhythm with these
characteristics. QRS width 0.10secs, slurred up-stroke of the PR interval, Rate-168/reg.
What type of rhythm do you suspect? - ✔✔Supraventricular tachycardia with WPW
✔✔Stroke volume is a function of all of the following EXEPT: - ✔✔Heart Rate
✔✔A 57 year old male complains of chest pain, shortness of breath and nausea. A 12
lead ECG shows ST elevation in Ieads V2, V3 and V4. What should you administer? -
✔✔Aspirin and oxygen.
✔✔What does digoxin increase in the heart? - ✔✔Contractility
✔✔Why is the electrical impulse slightly delayed at the AV node? - ✔✔So the atria can
empty into the ventricles.
✔✔You are dispatched to a residence for a 67 year old female complaining of chest
pain. The patient is pale, diaphoretic and describes are pain as crushing. Vital signs are
BP 120/80, Pulse 100, Respirations are 22 and oxygen saturation is 90 percent. Select
the correct medications in order: - ✔✔Oxygen, Aspirin, Nitroglycerine
✔✔What does the P-R interval represent? - ✔✔Atrial depolarization and A-V delay
✔✔During the action potential of a cardiac cell, what causes the initial conformational
change in the sodium-potassium pump? - ✔✔Adenosine triphosphate
✔✔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.
✔✔What is the amount of blood ejected by the heart during one cardiac contraction
known as? - ✔✔Stroke volume
✔✔What complicates coronary perfusion during in CPR? - ✔✔Gastric distention
✔✔The spread of an electrical impulse through the ventricles that normally measures
0.08-0.12 seconds in length is represented on an ECG as the - ✔✔QRS complex.
✔✔In asystole, what is the first medication you would administer? - ✔✔Epinephrine
, ✔✔Your 65 year old male patient presents with a fever and sharp, steady pain along the
upper neck and shoulder that worsens when he takes a breath. Vital signs are BP
144/92, P 99 and regular, R 18 and regular, SpO2 of 95% on room air. What should you
do? - ✔✔Perform a 12-lead ECG
✔✔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
✔✔Which of the following has the thickest muscle wall? - ✔✔Ventricular myocardium
✔✔What is the period of the cardiac cycle when stimulation will not produce any
depolarization? - ✔✔Absolute refractory period
✔✔A 55 year old male remains in ventricular fibrillation after three shocks and an IV
epinephrine. What should you do? - ✔✔Epinephrine (1:10,000) every three to five
minutes.
✔✔What does chronotropy refer to? - ✔✔Heart rate
✔✔You are treating a hypotensive woman who weighs 212 lbs. You have been ordered
to give her a Dopamine drip at 9 mcg/kg/min. Your ambulance service carries 250cc
bags. How much dopamine would you mix in the bag to reach a dilution of 1600
mcg/mL? - ✔✔400mg
✔✔One way to increase preload is fluid administration. This affects - ✔✔Frank
Starling's Law.
✔✔Which part of the nervous system is responsible for basic reflexes like chewing and
swallowing? - ✔✔Cranial nerves
✔✔A positive deflection on the ECG tracing paper indicates that the electrical impulse is
- ✔✔moving toward the positive electrode.
✔✔A 44 year old male complains of a headache. He states that there are too many
people talking to him and asking him questions. He is agitated and confused. He states
that "his friend," Martin is going to hurt you. You and your partner are alone. What
should you do? - ✔✔Determine if he wants to hurt himself or you.
✔✔What type of drug has inhibitory effects on aldosterone, decreasing reabsorption of
sodium and water? - ✔✔Diuretic