Block 2 Cardiology(Complete solutions)
An 80-year-old male is in severe respiratory distress and sitting upright he coughs up blood
tinged sputum. His skin is warm and diaphoretic. Vital signs are blood pressure 170/70 pulse of
72 and irregular, respirations 40 with crackles. What is the most likely cause? correct
answersCHF / Pulmonary Edema
A 53-year-old diabetic female complains of chest pain and nausea. The three lead ECG shows a
sinus tachycardia with no ectopy. Vital signs are BP 94/40 pulse of 124 respirations of 22. What
should you initially administer? correct answersaspirin
A submersion patient complains of chest pain and palpitations. You note gastric distention and
aspiration. Based on the assessment findings which system has been affected? correct
answersCentral nervous system
Which of the following refers to the volume of blood pumped by the heart in each minute?
correct answersCardiac output (stroke volume x HR)
A 59-year-old male says he has gradually become more tired and unable to walk around in his
apartment. His lungs are clear, you note pedal edema and JVD. Vital signs are blood pressure of
180/104 pulse of 80 and regular respirations of 24 and non-labored. His symptoms are likely a
result of? correct answersRight sided heart failure
A 74-year-old female complaints of shortness of breath. She has a history of coronary artery
disease but is otherwise healthy. She takes 325 mg of aspirin daily and Nitrostat as needed. Vital
signs are BP 109/50 pulse of 132 and weak, respirations 36 with course rales in the base of her
lungs. What should you suspect? correct answersCHF
Which condition is associated with tall peaked T waves? correct answersHyper kalemia
Which of the following conditions presents with a significant risk for embolic cerebrovascular
accident (CVA) correct answersAfib
Which blood vessels are primarily responsible for the regulation of blood pressure? correct
answersArterioles
An 80-year-old male is sitting up right and gasping for each breath. Vital signs are blood
pressure of 170/70, P 70 and irregular, respirations 40 and extremely labored, skin warm and
diaphoretic. Upon auscultation you hear diffuse bilateral crackles and wheezing. He coughs up
blood tinged sputum. You should suspect? correct answersPulmonary edema / CHF
A patient presents with confused verbal responses. A radial pulse is not palpable. ECG shows a
wide complex tachycardia rhythm. You should correct answersSync cardiovert immediately at
100 J
, You are preparing to cardiovert a patient who is a perfusing ventricular tachyarrhythmia and
hypotension. Why is it important to turn on the synchronizing circuit of the defibrillator? correct
answersThe vulnerable period of action potential will be avoided
What is the intrinsic pacemaker rate of the Purkinje fibers correct answers20 to 40 times per
minute
A 67-year-old male is experiencing chest pain, shortness of breath, and nausea. Management for
this patient should include correct answersAspirin, NTG, ECG
A patient's ECG shows ventricular tachycardia. You feel a radial pulse, blood pressure 90 over P,
cool clammy skin and note an altered level of consciousness. What is the treatment of choice for
this patient correct answersImmediate synchronize cardioversion at 100 J
Stimulation of a beta-1 receptors in the heart will correct answersSpeed up the heart rate and
increase contraction strength
You have been running a cardiac arrest for about 30 minutes. Medical control orders sodium
bicarbonate. What is the appropriate dose and route for this medication? correct answers1
mEq/kg IV
Perfusion to the coronary arteries occurs during correct answersDiastole / Aortic Valve Closure
What is an early effects of a tension pneumothorax on the heart correct answersDecreased
contractility
A 74-year-old female complains of excruciating chest pain. 12 lead ECG shows an inferior wall
injury with right sided involvement. Vital signs are blood pressure 118/92, P 60, R 24. You
should administer correct answersMorphine sulfate
Which is the most effective way to terminate V fib correct answersElectrical defibrillation
A QRS complex is greater than 0.12 seconds. What does this indicate? correct
answersAbnormality in the AV node
A 62-year-old female complains of calf pain when she flexes her foot. She is recovering from a
knee surgery and has a history of cardiac bypass surgery. Her calf is swollen and warm. What
should you suspect? correct answersArterial occlusion
And adult cardiac arrest patient remains in V fib after two minutes of CPR, one shock and 1 mg
of epi-1:10,000 IV. You should administer correct answersAmiodarone, 300 mg
During the relative refractory period of the action potential, correct answersThe cell can be
depolarized from a strong impulse, causing R on T waves.
An 80-year-old male is in severe respiratory distress and sitting upright he coughs up blood
tinged sputum. His skin is warm and diaphoretic. Vital signs are blood pressure 170/70 pulse of
72 and irregular, respirations 40 with crackles. What is the most likely cause? correct
answersCHF / Pulmonary Edema
A 53-year-old diabetic female complains of chest pain and nausea. The three lead ECG shows a
sinus tachycardia with no ectopy. Vital signs are BP 94/40 pulse of 124 respirations of 22. What
should you initially administer? correct answersaspirin
A submersion patient complains of chest pain and palpitations. You note gastric distention and
aspiration. Based on the assessment findings which system has been affected? correct
answersCentral nervous system
Which of the following refers to the volume of blood pumped by the heart in each minute?
correct answersCardiac output (stroke volume x HR)
A 59-year-old male says he has gradually become more tired and unable to walk around in his
apartment. His lungs are clear, you note pedal edema and JVD. Vital signs are blood pressure of
180/104 pulse of 80 and regular respirations of 24 and non-labored. His symptoms are likely a
result of? correct answersRight sided heart failure
A 74-year-old female complaints of shortness of breath. She has a history of coronary artery
disease but is otherwise healthy. She takes 325 mg of aspirin daily and Nitrostat as needed. Vital
signs are BP 109/50 pulse of 132 and weak, respirations 36 with course rales in the base of her
lungs. What should you suspect? correct answersCHF
Which condition is associated with tall peaked T waves? correct answersHyper kalemia
Which of the following conditions presents with a significant risk for embolic cerebrovascular
accident (CVA) correct answersAfib
Which blood vessels are primarily responsible for the regulation of blood pressure? correct
answersArterioles
An 80-year-old male is sitting up right and gasping for each breath. Vital signs are blood
pressure of 170/70, P 70 and irregular, respirations 40 and extremely labored, skin warm and
diaphoretic. Upon auscultation you hear diffuse bilateral crackles and wheezing. He coughs up
blood tinged sputum. You should suspect? correct answersPulmonary edema / CHF
A patient presents with confused verbal responses. A radial pulse is not palpable. ECG shows a
wide complex tachycardia rhythm. You should correct answersSync cardiovert immediately at
100 J
, You are preparing to cardiovert a patient who is a perfusing ventricular tachyarrhythmia and
hypotension. Why is it important to turn on the synchronizing circuit of the defibrillator? correct
answersThe vulnerable period of action potential will be avoided
What is the intrinsic pacemaker rate of the Purkinje fibers correct answers20 to 40 times per
minute
A 67-year-old male is experiencing chest pain, shortness of breath, and nausea. Management for
this patient should include correct answersAspirin, NTG, ECG
A patient's ECG shows ventricular tachycardia. You feel a radial pulse, blood pressure 90 over P,
cool clammy skin and note an altered level of consciousness. What is the treatment of choice for
this patient correct answersImmediate synchronize cardioversion at 100 J
Stimulation of a beta-1 receptors in the heart will correct answersSpeed up the heart rate and
increase contraction strength
You have been running a cardiac arrest for about 30 minutes. Medical control orders sodium
bicarbonate. What is the appropriate dose and route for this medication? correct answers1
mEq/kg IV
Perfusion to the coronary arteries occurs during correct answersDiastole / Aortic Valve Closure
What is an early effects of a tension pneumothorax on the heart correct answersDecreased
contractility
A 74-year-old female complains of excruciating chest pain. 12 lead ECG shows an inferior wall
injury with right sided involvement. Vital signs are blood pressure 118/92, P 60, R 24. You
should administer correct answersMorphine sulfate
Which is the most effective way to terminate V fib correct answersElectrical defibrillation
A QRS complex is greater than 0.12 seconds. What does this indicate? correct
answersAbnormality in the AV node
A 62-year-old female complains of calf pain when she flexes her foot. She is recovering from a
knee surgery and has a history of cardiac bypass surgery. Her calf is swollen and warm. What
should you suspect? correct answersArterial occlusion
And adult cardiac arrest patient remains in V fib after two minutes of CPR, one shock and 1 mg
of epi-1:10,000 IV. You should administer correct answersAmiodarone, 300 mg
During the relative refractory period of the action potential, correct answersThe cell can be
depolarized from a strong impulse, causing R on T waves.
