FISDAP CARDIOLOGY COMPREHENSIVE UPDATED EXAM
QUESTIONS AND ANSWERS GRADED A+
✔✔If uncorrected, unstable VT or VF will lead to: - ✔✔Asystole
✔✔A disorder in which the heart loses part of its ability to effectively pump blood,
usually as a result of damage to the heart muscle and usually resulting in a backup of
fluid in the lungs/body. - ✔✔Congestive heart failure
✔✔Signs and symptoms of CHF: - ✔✔-JVD (right side)
-Dependent edema (right side)
-Use of accessory muscles (left side)
High BP, rapid HR, rapid RR
-Fluid in the lungs (crackles) (left side)
✔✔One of the most common signs of a hypertensive emergency: - ✔✔Sudden, severe
headache
✔✔Signs and symptoms of a hypertensive emergency: - ✔✔-strong, bounding pulse
-ringing in the ears
-nausea/vomiting
-dizziness
✔✔Untreated hypertensive emergencies can lead to: - ✔✔stroke or dissecting aortic
aneurysm
✔✔A weakness in the wall of the aorta: - ✔✔Aortic aneurysm
✔✔Occurs when the inner layers of the aorta become separated, allowing blood to flow
between the layers. - ✔✔Dissecting aortic aneurysm
✔✔What is the primary cause of dissecting aortic aneurysms? - ✔✔Uncontrolled
hypertension
✔✔Signs and symptoms of a dissecting aortic aneurysm: - ✔✔Very sudden chest pain
located in the anterior part of the chest or in the back between the shoulder blades
✔✔Nitroglycerin action: - ✔✔Activates the sympathetic NS, relaxes the muscles of
blood vessel walls, dilating coronary arteries, increasing blood flow and the supply of
oxygen to the heart
✔✔Contraindications of NTG: - ✔✔Use of ED drugs within the past 24-48 hours,
maximum dose has already been given, BP is below 100
, ✔✔Non-shockable rhythms: - ✔✔Asystole, pulseless electrical activity
✔✔Only apply the AED to: - ✔✔Pulseless, unresponsive patients
✔✔After the shock is delivered to a cardiac arrest patient, you should: - ✔✔Continue
CPR for 5 cycles (2 minutes) and analyze rhythm again.
✔✔If ALS is not responding to the scene and your local protocols agree, you should
begin transport when: - ✔✔1. The patient regains a pulse
2. 6-9 shocks have been delivered
3. the machine gives 3 separate messages that no shock is advised
✔✔If you are traveling to the hospital and a pulse is not present: - ✔✔1. Stop the
vehicle
2. If the AED is not available, perform CPR
3. Call ALS
4. Analyze rhythm
5. Deliver one shock (if indicated) and resume CPR
6. Continue resuscitation according to protocol.
✔✔If you are en route with a conscious adult patient who is having chest pain and
becomes unconscious: - ✔✔1. Check for a pulse
2. Stop the vehicle
3. Perform CPR until the AED is ready
4. Analyze the rhythm
5. Deliver one shock (if indicated) and resume CPR
6. Begin compressions and continue resuscitation according to protocol
✔✔You are dispatched to a 60YOM with chest pain and SOB. The patient has angina
and is taking NTG, furosemide, and atorvastatin. You hear crackles when listening to
his breath sounds. The patient's difficulty breathing and crackles are due to blood
backing up in which part of the body? - ✔✔The lungs
✔✔What is the most effective way to assist a person with CHF to breathe effectively
and avoid the use of an invasive airway management technique? - ✔✔CPAP
✔✔You are treating a 50 YOF who has just finished a 10K run. She is complaining of
crushing pain in the chest radiating down her left arm and nausea, which came on
suddenly. She is sweating profusely. What condition should you suspect? - ✔✔Angina
pectoris
✔✔Which dysrhythmia is the most common cause of sudden death? - ✔✔Vfib
QUESTIONS AND ANSWERS GRADED A+
✔✔If uncorrected, unstable VT or VF will lead to: - ✔✔Asystole
✔✔A disorder in which the heart loses part of its ability to effectively pump blood,
usually as a result of damage to the heart muscle and usually resulting in a backup of
fluid in the lungs/body. - ✔✔Congestive heart failure
✔✔Signs and symptoms of CHF: - ✔✔-JVD (right side)
-Dependent edema (right side)
-Use of accessory muscles (left side)
High BP, rapid HR, rapid RR
-Fluid in the lungs (crackles) (left side)
✔✔One of the most common signs of a hypertensive emergency: - ✔✔Sudden, severe
headache
✔✔Signs and symptoms of a hypertensive emergency: - ✔✔-strong, bounding pulse
-ringing in the ears
-nausea/vomiting
-dizziness
✔✔Untreated hypertensive emergencies can lead to: - ✔✔stroke or dissecting aortic
aneurysm
✔✔A weakness in the wall of the aorta: - ✔✔Aortic aneurysm
✔✔Occurs when the inner layers of the aorta become separated, allowing blood to flow
between the layers. - ✔✔Dissecting aortic aneurysm
✔✔What is the primary cause of dissecting aortic aneurysms? - ✔✔Uncontrolled
hypertension
✔✔Signs and symptoms of a dissecting aortic aneurysm: - ✔✔Very sudden chest pain
located in the anterior part of the chest or in the back between the shoulder blades
✔✔Nitroglycerin action: - ✔✔Activates the sympathetic NS, relaxes the muscles of
blood vessel walls, dilating coronary arteries, increasing blood flow and the supply of
oxygen to the heart
✔✔Contraindications of NTG: - ✔✔Use of ED drugs within the past 24-48 hours,
maximum dose has already been given, BP is below 100
, ✔✔Non-shockable rhythms: - ✔✔Asystole, pulseless electrical activity
✔✔Only apply the AED to: - ✔✔Pulseless, unresponsive patients
✔✔After the shock is delivered to a cardiac arrest patient, you should: - ✔✔Continue
CPR for 5 cycles (2 minutes) and analyze rhythm again.
✔✔If ALS is not responding to the scene and your local protocols agree, you should
begin transport when: - ✔✔1. The patient regains a pulse
2. 6-9 shocks have been delivered
3. the machine gives 3 separate messages that no shock is advised
✔✔If you are traveling to the hospital and a pulse is not present: - ✔✔1. Stop the
vehicle
2. If the AED is not available, perform CPR
3. Call ALS
4. Analyze rhythm
5. Deliver one shock (if indicated) and resume CPR
6. Continue resuscitation according to protocol.
✔✔If you are en route with a conscious adult patient who is having chest pain and
becomes unconscious: - ✔✔1. Check for a pulse
2. Stop the vehicle
3. Perform CPR until the AED is ready
4. Analyze the rhythm
5. Deliver one shock (if indicated) and resume CPR
6. Begin compressions and continue resuscitation according to protocol
✔✔You are dispatched to a 60YOM with chest pain and SOB. The patient has angina
and is taking NTG, furosemide, and atorvastatin. You hear crackles when listening to
his breath sounds. The patient's difficulty breathing and crackles are due to blood
backing up in which part of the body? - ✔✔The lungs
✔✔What is the most effective way to assist a person with CHF to breathe effectively
and avoid the use of an invasive airway management technique? - ✔✔CPAP
✔✔You are treating a 50 YOF who has just finished a 10K run. She is complaining of
crushing pain in the chest radiating down her left arm and nausea, which came on
suddenly. She is sweating profusely. What condition should you suspect? - ✔✔Angina
pectoris
✔✔Which dysrhythmia is the most common cause of sudden death? - ✔✔Vfib
