AEMT Cardiology Review

A specific problem that atherosclerosis can cause is:

• Arterial rupture.

• Ventricular rupture.

• Coronary blood vessel rupture.

• Interference with dilation/constriction of arteries.

Which of the following would be a LATE sign of left-sided heart failure?

• Acute onset of dyspnea

• The presence of pink, frothy sputum.

• The presence of jugular venous distension.

• A heart rate of 120.

Which of the following vascular disorders has the greatest likelihood of becoming life threatening?

• Vasculitis

• Aortic aneurysm.

• Deep vein thrombosis

• Peripheral artery occlusion

You have an 81-year-old patient with rales in both lower lobes and you have ruled out pneumonia as a cause. Acute pulmonary edema would BEST be described by which of the following?

• Plasma in the alveoli, usually caused by left heart failure

• Blood in the alveoli, usually caused by right heart failure

• Plasma in the alveoli, usually caused by right heart failure.

• Phlegm in the alveoli, usually caused by an immune response.

Why do we administer nitroglycerin to a patient with chest pain?

• To relieve chest pain.

• To reduce the blood pressure.

• To thin the blood clot from the coronary artery.

• To increase circulation to the affected area of the heart.

Why would the history be important of a patient that takes a beta-blocker, a calcium channel blocker, and an ACE inhibitor?

• It indicates the patient has a history of asthma.

• It indicates the patient has a history of depression.

• It indicates the patient has a history of hypertension.

• It indicates the patient has a history of over-medication.

You are assessing a patient who is exhibiting signs of angina. Which of the following is your MOST important consideration?

• Ruling out unstable angina or infarct

• Determining whether the pain radiates.

• Ascertaining whether the pain started at rest.

• :Identifying whether the patient has taken his nitro.

When evaluating a patient you suspect may be having a myocardial infarction, which of the following would provide you the LEAST useful information?

• A medical history of diabetes

• A history of recent cocaine usage

• When and what the patient last had to eat.

• Multiple, multifocal PVCs on the cardiac monitor

Why do EMS providers administer nitroglycerine to patients experiencing difficulty in breathing secondary to congestive heart failure?

• To cause coronary vasodilatation.

• To increase preload.

• To decrease venous return.

• To promote diuresis.

While caring for a patient with a cardiac emergency you view the presentation of a patient with cardiogenic shock, which is best described as?

• A pump failure issue that is usually a result of a myocardial contusion.

• A type of shock that usually occurs as a result of a cardiac tamponade.

• A shock that remains after dysrhythmias, hypovolemia, or poor vascular tone have been addressed.

• A shock that occurs after a patient has had a myocardial infarction involving the right ventricle.