Questions and Answers > BIOL 105 FISDAP Cardiology Exam

Document Content and Description Below

Citrus College BIOL 105 Cardiology. 1. A 54 year old complains of chest tightness after raking leaves for an hour. The pain subsided after rest and two nitroglycerin. He has had very similar episo... des in the past. He is most likely experiencing? Angina Pectoris/ Unstable Angina/ Myocardial Infarction/ Esophageal spasm Angina occurs when the heart's need for oxygen exceeds it's supply, usually during periods of physical or emotional stress when the heart is working hard. (Page 637) 2. At what rate should single rescuer CPR be performed for a 17 year old female? 120 per min/ 90/ 80 100-120 Beats per minute. (Page 514) 3. A 40 year old patient with a history of coronary artery disease and recent mastectomy is complaining of chest discomfort. Vitals are P 120, R 22, and BP 80/54. You should suspect? CHF/ Cardiogenic Shock/ septic shock BP 80/54 is low BP(shock may occur) 4. Nitroglycerin is a medication that is typically administered? Sublingually/ intraosseously/ subcutaneously Beneath the tongue is very vascular, so the medication can be absorbed quicker 5. A patient was struck by lightening. You should suspect? An irregular heart beat/ peripheral nerve damage 6. During CPR which of the following is most important? Minimal interruptions during compressions providing circulation supports the bodies tissue's to stay alive 7. A build up of calcium and cholesterol form plaque inside a blood vessel which would most likely be the cause? Pulmonary embolus/ CHF/ ACS/ hemorrhagic stroke Plaque, build up. (key words) (Atherosclerosis-The build-up of fats, cholesterol, and other substances in and on the artery walls.) During the Primary Assessment a 57 year old female says she has chest pain and points to her epigastric area. What should you do? Obtain vital signs/ Admin Nitro/ Assess breathing/ Admin oxygen What is the cause of heart failure? Inadequate ejection of blood from the ventricles/ fluid in lungs/ poor gas exchange in alveoli/ backup of fluid in lower extremities A cardiac arrest patient has been down for 6 minutes without care. What should you do? Start compressions/ attach AED/ Insert opa and ventilate Immediately begin CPR. An adult patient is in cardiac arrest with bystander CPR in progress. What should you do? Continue CPR while partner does AED Never interrupt CPR( 10 seconds max) If heart lacks the power to pump blood through the circulatory system, it is known as? Cardiogenic shock/ Distributive/ hypovolemic shock circulatory system( key word); Pump failure A 67 year old male has significant shortness of breath, chest pain, and nausea. He is ashen and clammy. Vitals are BP 90/60, P 148, and R 34. You should? Place supine/ place in position of comfort/ admin Nitro/ admin albuterol A child is in cardiac arrest with unknown down time. What should you do? Perform CPR while attaching AED When do coronary arteries fill with blood? Diastole/ systole/ exhalation/ inhalation A 36 year old female with history of congenital heart defects is slow to respond. She is pale, cool, and clammy. Vitals are BP 68/30, P 128, and R 26. What should you suspect? CHF/ Sycopal episode/ angina/ cardiogenic shock A 73 year old female has chest pain and shortness of breath with bilateral crackles. Vitals are 80/40, P 112, and R 22. What is the most likely cause? Pneumonia/ cardogenic shock/ hypovolemic shock/ unstable agina A 65 year old male complains of weakness and indigestion that began in the morning. Vitals are 150/90, P 116, and R 24. You should suspect? MI/ Pul edema/ CVS What is the primary action of Nitroglycerin? Dilates coronary arteries An oriented 78 year old female with pale, moist skin is complaining of indigestion. Vital signs are BP 180/90, P 116, and irregular, R 24 and regular. What should you suspect? Appendicitis/ hypoglycemic shock/ myocardial infarction/ stroke A patient presents with a sudden onset of tearing chest pain, absent radial pulse on the right arm, and a history of high blood pressure. Arterial occlusion/ pulmonary embolism/ aortic dissection/ MI A 67 year old male with a history of asthma complains of chest tightness, shortness of breath. Took 1 Nitro but no relief. He is pale and sweaty. Oxygen saturation of 76%. What should you do? Obtain vitals/ give oxygen via nonrebreather/ more nitro/ assist with prescribed inhaler Sudden severe increase of blood pressure is called? Transiet ischemia attack/ hypotensive emergency/ hypertensive crisis/ central vascular accident A 64 year old patient tells you I feel like I’m about to die. You administer Nitro and oxygen and there is no relief of chest pain. Vitals are BP 90/66, P 60, R 24. You should? Begin assisting ventilations/ more nitro/ transport immediately 69 year old male lying in bed complains of chest pain during your primary assessment he becomes unresponsive and pulseless. What should you do? Move him to a hard surface What valve controls blood flow between the left atrium and left ventricle? Mitral valve Which patient is most likely to benefit from an AED? 54 year old choking patient who becomes unresponsive with no coratid pulse What action does Aspirin have in the body that makes it beneficial for patients experiencing an AMI? Breaks up red blood cell clots/ Prevents platelets from clotting Which vessels regulate regional blood flow to the capillary bodies? Venules/ alveoli/ capillary ducts/ arterioles Which of the following is the largest artery in the body? Carotid/ femoral/ great saphgenous/ aorta Systolic blood pressure measures which of the following? Ventricular contraction The pulmonary artery carries? Oxygenated blood to the heart/ deoxygenated blood away from the heart/ oxygenated blood away from the heart/ deoxygenated blood to heart What is the muscular middle layer of the heart? Pericardium/ epicardium/ endocardium/ myocardium What best describes PEA? Organized electrical activity without a pulse Chronic hypertension in adults typically begins at a pressure of higher than? 140/90, 200/100, 120/80, 100/60 A 44 year old awakened with shortness of breath complaining of indigestion, nausea, and epigastric pressure. Antacids didn’t help. You should suspect? Acute cholecystitis/ gastroesophogeal reflux disease/ peptic ulcer disease/ MI An adult with a heart rate of 50 is considered? Irregular/ normal/ bradycardia/ tachycardia A 36 year old with chest pain is conscious and alert Sp02 93%, you should? Non rebreather at 15/ nasal cannula 4lpm Blood enters the right atrium from? Vena Cava A year old diabetic patient with syncopal episode has anxiety, shortness of breath and back pain. You should suspect? ACS/ hypotensive crisis 2 minutes after assisting with 3rd nitro. Complains of dizziness and sweaty. Radial pulse is present but rapid and weak. You should suspect? Allergy to nitro/ caused vasoconstriction impared cardiac output/ nitro lost potency/ caused vasodilation increased sweating A 60 year old with short of breath, cyanotic, lung sounds crackles and accessory muscle use. You should suspect? Left heart failure/ right heart failure/ pneumonia/ chronic bronchitis Which electrical cardiac disturbance will an AED shock? V-Fib During CPR why is the upstroke of the compression critical? Allows blood to fill the heart chamber After blood has been oxygenated it returns to the heart by entering the Left atrium During adult CPR you should compress the chest At least 2 inches You just arrived at scene of a 75 year old male with weakness and chest pain. He has not taken his prescribed medications of Nitro, aspirin, and atenolol. You should? *Contact medical control to assist the patient with Nitro A 62 year old patient complains of chest pain and light headedness. Vitals are 88/56, 126, and 18. What is the best position for this patient? Supine EMRs have been performing effective CPR on a patient in cardiac arrest. Upon arrival the AED indicates “shock advised.” What should you do? Defibrillate the patient Asthmatic 50 year old female patient is sitting at her desk. She is anxious and complaining of tightness in her chest. You should? Contact medical control/ obtain BP administer Nitro/ assist with prescribed inhaler/ perform focused history and physical exam Which of the following is a sign of cardiogenic shock? Systemic vasodilation/ jugular vein Distention / progressive hypotension/ deep vein thrombosis Progressive hypotension You observe an older male slumped on the floor. He is pulseless. What should you do? Start compressions CAB -- Circulation, Airway, Breathing After delivering one shock with an AED your patient now has a pulse and effective respirations. Which position should you put them in? Recovery Once patient has ROSC, place patient on left lateral. Chest pain prior to calling, she took 3 doses of her prescribed sublingual nitro with no relief. What should you do? Assess her vital signs/ admin O2/ consider placing AED pads/ admin your nitro What causes heart failure? Poor gas exchange in alveoli/ inadequate ejection of blood from ventricles/ backup of excess fluid in lower extremities/ fluid accumulation in lungs Aspirin is administered to patients with chest pain because it? Decreases ability of platelets to form clots/ breaks up blood clots occluding the vessel/ relieves the patients chest pain/ eliminates side effects of nitro CPR has been on going for 10 minutes on a patient in cardiac arrest. An AED has just been applied and is ready to analyze. You should? Stop compressions but continue ventilation/ stop CPR and clear the patient/ Stop CPR and check for a pulse/ Continue CPR until a shock is advised A 48 year old male complains of an 8/10 crushing chest pain that radiates to his neck. Vital signs are 112/78, 60, and 18. Patients daily medications include metoprolol, Cialis, and aspirin. What should you do? Assist the patient in admin nitro/ transport rapidly in a position of comfort to closest facility/ admin 405mg of aspirin and reassess vitals/ preform a focused exam of the chest and reassess vital signs While performing chest compressions, you should? Make sure your knees are together/ keep your elbows slightly bent/ position your shoulders over your hands/ maintain positive pressure on the chest A Patient who collapsed has been revived following one shock with an AED. She is now moaning and breathing on her own. What should you do? Remove the AED and transport to the nearest facility/ insert opa and do the jaw thrust maneuver/ put the patient on their side and monitor their airway/ keep her supine and jaw thrust Patient complains of chest pain radiating to both sides of his shoulders after dinner. He is pale, diapheretic, and slightly short of breath. Pain worsens with a deep breath. Vitals are 150/90, 120 and irregular, and 20. You should suspect? Costochondritic/ MI/ Angina/ Indigestion A 78 year old diabetic patient with a syncopal episode now complains of anxiety, shortness of breath, and back pain. You should suspect? Acute asthma attack/ Acute coronary syndrome/ Hypotensive crisis/ transient ischemic attack An 84 year old male with a history of “heart problems” complains of chest pain. The chest pain started 30 minutes ago while at rest. Vital signs are 110/70, 92, 20, Sp02 95%. What should you do? Assist patient with prescribed nitro/ apply oxygen at 10 lpm via non rebreather/ apply AED pads for an impending heart cardiac arrest/ obtain a detailed medical history A patient complains of substernal chest pain with radiating pain to his back and jaw, the pain is not relieved with rest, you should? A 49 year old man with a history of heart problems complains of chest pressure and shortness of breath. You should assist him in taking his nitroglycerin if he? A 48 year old patient complains of difficulty breathing, patients history reveals an acute myocardial infarction 8 months ago, vital signs are 144/86, 110, and 24, auscultation reveals crackles in the lung bases. You should suspect? After an AED has analyzed a patient, the machine states “shock advised.” The most likely cause is: Ventricular tachycardia/ atrial fibrillation/ PEA/ asystole The vessels that supply the myocardium are called the: Coronary arteries [Show More]

Last updated: 1 year ago

Preview 1 out of 14 pages