FISDAP CARDIOLOGY EMT ACTUAL EXAM NEWEST 2025/2026
ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
In which of the following patients is nitroglycerin contraindicated?
A) 41-year-old male with crushing substernal chest pressure, a blood
pressure of 160/90 mm Hg, and severe nausea
B) 53-year-old male with chest discomfort, diaphoresis, a blood pressure of
146/66 mm Hg, and regular use of Levitra
C) 58-year-old male with chest pain radiating to the left arm, a blood pressure
of 130/64 mm Hg, and prescribed Tegretol
D) 66-year-old female with chest pressure of 6 hours' duration,
lightheadedness, and a blood pressure of 110/58 mm Hg - ANSWER-B
Nitroglycerin is contraindicated in patients who do not have a
prescription for nitroglycerin, in those with a systolic BP less than 100
mm Hg, and in patients who have taken medications for erectile
dysfunction (ED) within the previous 24 to 48 hours. Such medications
include sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis).
Because bothED drugs and nitroglycerin cause vasodilation,
concomitant use of these drugs may result in significant hypotension.
Carbamazepine (Tegretol) is an anticonvulsant medication; there are
no known interactions between Tegretol and nitroglycerin.
The myocardium receives its blood supply from the coronary arteries that
branch directly from the:
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A) aorta.
B) vena cavae.
C) left atrium.
D) right ventricle. - ANSWER-A
The aorta, which is the largest artery in the human body, originates
immediately from the left ventricle. The coronary arteries branch
directly off of the ascending aorta, thus allowing the myocardium to
receive blood that has the highest concentration of oxygen. The vena
cavae (superior and inferior) return oxygen-poor blood from the body
back to the right atrium, where it is pumped to the right ventricle and
then to the lungs. The left atrium receives freshly oxygenated blood
from the lungs and then pumps it to the left ventricle, through the aorta,
and to the body.
Which of the following is an abnormal finding when using the Cincinnati
Stroke Scale to assess a patient who presents with signs of a stroke?
A) One arm drifts down compared with the other side.
B) One of the pupils is dilated and does not react to light.
C) The patient's face is symmetrical when he or she smiles.
D) Both arms drift slowly and equally down to the patient's side. - ANSWER-
A
The Cincinnati Stroke Scale is used to assess patients suspected of
experiencing a stroke. It consists of three tests: speech, facial droop,
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and arm drift. Abnormality in any one of these areas indicates a high
probability of stroke. To test arm drift, ask the patient to hold both arms
in front of his or her body, palms facing upward, with eyes closed and
without moving. Over the next 10 seconds, observe the patient's arms.
If one arm drifts down toward the ground, you know that side is weak;
this is an abnormal finding. To test for facial droop, have the patient
smile, showing his or her teeth. The face should be symmetrical (both
sides of the face should move equally). If only one side of the face
moves well, you know that something is wrong with the part of the brain
that controls the facial muscles. You should assess the pupils of a
patient with a suspected stroke; however, this is not a component of
the Cincinnati Stroke Scale.
The coronary arteries fill with blood when the:
A) aortic valve closes.
B) left ventricle contracts.
C) aortic valve opens.
D) right ventricle contracts. - ANSWER-A
During systole (cardiac contraction), the aortic valve opens and covers
the openings to the coronary arteries. During diastole (cardiac
relaxation), the aortic valve closes; this causes blood to flow back
down the aorta and fill the coronary arteries. Therefore, coronary
perfusion occurs when the heart relaxes.
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When an electrical impulse reaches the atrioventricular node, it is briefly
delayed so that:
A) the aortic valve can open.
B) both of the atria can relax.
C) the ventricles can contract.
D) ventricular filling can occur. - ANSWER-D
The heart functions as a double pump; when the atria are contracting,
the ventricles are filling, and when the ventricles are contracting, the
atria are filling. In order to maintain the double pump effect, the
electrical impulse coming from the sinoatrial node must undergo a brief
delay at the atrioventricular node; this delay allows the ventricles to fill
with blood. Most of the blood that fills the ventricles does so passively,
with final filling occurring during atrial contraction; this is called the
atrial kick. The brief delay at the AV node does not affect when the
aortic valve opens, when the ventricles contract, or when the atria
relax.
A 65-year-old woman complains of severe chest pain that radiates to her
back, in between her shoulder blades. She tells you that this is the most
severe pain that she has ever experienced, and that it has been intense since
it began. Her past medical history includes hypertension. When you palpate
her radial pulses, you note that they are unequal in strength. What should
you suspect?
A) Acute aortic dissection