Cardiology Practice Questions

You are treating a 67 year old male complaining of chest pain. He rates the pain at a 10/10 and describes the pain as a tearing sensation that he also feels in his back and shoulders. Your assessment reveals that the patients blood pressure is 30mmHg lower in his left arm than his right arm. You should suspect:

• Left ventricular heart failure

• Acute pulmonary embolism

• Acute myocardial infarction

• Acute aortic dissection

Using the 12 lead ECG, identify the location of the STEMI:

• Anterior

• Inferior

• Septal

• Lateral

Your patient is complaining of chest pain and presents with the ECG shown. BP 128/74, P 90, RR 24 non-labored, SpO2 92% on room air. What is the appropriate treatment?

• Administer supplemental oxygen, aspirin, and perform a right sided ECG

• Administer supplemental oxyen, aspirin, nitroglycerin and perform a right sided ECG

• Administer aspirin, nitro and perform right sided ECG

• Administer supplemental oxygen and perform right sided ECG

You are currently treating a patient who is unresponsive and apneic. While managing the patient's ventilations you notice the patient converts to ventricular fibrillation. You should:

• Adminiter epi 1:10,000

• Start CPR

• Defibrillate the patient

• Administer amiodarone

You are assessing a 64 year old male complaining of chest pain. He is having some mild respiratory distress and his skin is pale, cool and clammy. After obtaining the ECG shown, what is the most appropriate treatment?

• Administer adenosine 6 mg

• Attempt vagal maneuvers

• Perform cardioversion

• Administer amiodarone

A 32 year old male presents with sudden onset chest pain and shortness of breath. The patient had knee surgery 4 days ago. What should you suspect?

• Myocardial infarction

• Pulmonary embolism

• Spontaneous pneumothorax

• Pericarditis

When the R-R interval on an ECG monitor is measuring at 0.8 seconds. What is the heart rate

• 100

• 75

• 125

• 40

Select the ECG abnormality that is present on this ECG strip:

• Lateral ischemia

• Wolff-Parkinson-White syndrome

• Anterior ST elevation

• Right axis deviation

You are assessing a 68 year old male patient complaining of dizziness. The patient has pink, warm, and dry skin. BP 116/76, R 24 non-labored, P 184 and SpO2 96% on room air. Your ECG reveals a tachycardic rhythm with a QRS duration of 0.18 seconds. Which treatment would be appropriate?

• Administer Amiodarone

• Attempt vagal maneuvers

• Perform cardioversion

• Administer diltiazem

Which of the following medications is a class III antiarrhythmic?

• Diltiazem

• Adenosine

• Amiodarone

• Procainamide