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Chapter 16 Cardiovascular Emergencies

Total questions: 65

Worksheet time: 3hrs 15mins

Name
Class
Date
1.

_______________allows a cardiac muscle cell to contract spontaneously without a stimulus from a nerve source.

a)

repetition

b)

reactivity

c)

automaticity

d)

autonomy

2.

the aorta receives its blood supply from the:

a)

right atrium

b)

left atrium

c)

right ventricle

d)

left ventricle

3.

blood enters the right atrium from the body through the:

a)

vena cava

b)

aorta

c)

pulmonary artery

d)

pulmonary vein

4.

the only vein(s) in the body that carry oxygenated blood is/are the:

a)

external jugular veins

b)

pulmonary veins

c)

subclavian veins

d)

inferior vena cava

5.

normal electrical impulses originate in the sinus node, just above the:

a)

atria

b)

ventricles

c)

AV junction

d)

bundle of His

6.

dilation of the coronary arteries _______________ blood flow

a)

shuts off

b)

increases

c)

decreases

d)

regulates

7.

the _______________are tiny blood vessels that are approximately one cell thick

a)

arterioles

b)

venules

c)

capillaries

d)

ventricles

8.

_______________carry oxygen to the body's tissues and then remove carbon dioxide

a)

red blood cells

b)

white blood cells

c)

platelets

d)

veins

9.

_______________is the maximum pressure exerted by the left ventricle as it contracts

a)

cardiac output

b)

diastolic blood pressure

c)

systolic blood pressure

d)

stroke volume

10.

atherosclerosis can lead to a complete _______________of a coronary artery

a)

occlusion

b)

disintegration

c)

dilation

d)

contraction

11.

the lumen of an artery may be partially or completely blocked by the blood-clotting system due to a _______________that exposes the inside of the atherosclerotic wall

a)

tear

b)

crack

c)

clot

d)

rupture

12.

tissues downstream from a blood clot will suffer from lack of oxygen. if blood flow is resumed in a short time, the _______________tissues will recover

a)

dead

b)

ischemic

c)

necrosed

d)

dry

13.

risk factors for myocardial infarction include all of the following EXCEPT:

a)

male gender

b)

high blood pressure

c)

stress

d)

increased activity level

14.

when, for a brief period of time, heart tissues do not get enough oxygen, the pain is called:

a)

AMI

b)

angina

c)

ischemical

d)

CAD

15.

angina pain may be felt in the:

a)

epigastrium

b)

legs

c)

lower back

d)

lower abdomen

16.

the underlying cause of a dissecting aortic aneurysm is:

a)

controlled hypertension

b)

uncontrolled hypertension

c)

malignant hypertension

d)

benign hypertension

17.

because the oxygen supply to the heart is diminished with angina, the _______________can become compromised, putting the person at risk for significant cardiac rhythm problems

a)

circulation

b)

cardiac output

c)

electrical system

d)

vasculature

18.

about _______________minutes after blood flow is cut off, some heart muscle cells begin to die

a)

10

b)

20

c)

30

d)

40

19.

an acute myocardial infarction is more likely to occur in the larger, thick-walled left ventricle, which needs more _______________than the right ventrical

a)

oxygen and glucose

b)

force to pump

c)

blood and oxygen

d)

electrical activity

20.

which of the following statements regarding congestive heart failure is FALSE?

a)

stridor is a common lung sound heard on exam

b)

it can be caused by diseased heart valves

c)

it can be treated with nitroglycerin

d)

ankle edema is a common finding

21.

cardiogenic shock can occur within 24 hours of a(n):

a)

hypertensive emergency

b)

acute myocardial infarction

c)

aortic aneurysm

d)

unstable angina attack

22.

sudden death is usually the result of _______________, in which the heart falls to generate an effective blood flow

a)

AMI

b)

atherosclerosis

c)

PVCs

d)

cardiac arrest

23.

disorganized, ineffective quivering of the ventricles is known as:

a)

ventricular fibrillation

b)

asystole

c)

ventricular stand still

d)

ventricular tachycardia

24.

which of the following is NOT a cause of congestive heart failure?

a)

chronic hypotension

b)

heart valve damage

c)

myocardial infarction

d)

long-standing high blood pressure

25.

signs and symptoms of shock include all of the following EXCEPT:

a)

elevated heart rate

b)

pale, clammy skin

c)

air hunger

d)

elevated blood pressure

26.

which of the following changes in heart function occur in patients with congestive heart failure?

a)

a decrease in heart rate

b)

enlargement of the left ventricle

c)

enlargement of the right ventricle

d)

a decrease in blood pressure

27.

physical findings of AMI include skin that is _______________because of poor cardiac output and the loss of perfusion

a)

pink

b)

white

c)

gray

d)

red

28.

all patient assessments begin by determining whether the patient:

a)

is breathing

b)

can talk

c)

is responsive

d)

has a pulse

29.

to assess chest pain, use the mnemonic:

a)

AVPU

b)

OPQRST

c)

SAMPLE

d)

CHART

30.

when using the mnemonic OPQRST, the "P" stands for:

a)

parasthesia

b)

pain

c)

provocation

d)

predisposing factors

31.

in addition to angina and myocardial infarction, nitroglycerin can be used to treat:

a)

congestive heart failure

b)

cardiogenic shock

c)

aortic aneurysm

d)

hypertensive emergency

32.

when administering nitroglycerin to a patient, you should make sure the patient has not taken any medications for _______________in the last 24 hours

a)

angina

b)

erectile dysfunction

c)

migraine headaches

d)

gallbladder dysfunction

33.

in general, a maximum of _______________dose(s) of nitroglycerin is/are given for any one episode of chest pain

a)

one

b)

two

c)

three

d)

four

34.

_______________are inserted when the electrical control system of the heart is so damaged that it cannot function properly

a)

stents

b)

pacemakers

c)

balloon angioplasties

d)

defibrillations

35.

when the battery wears out in a pacemaker, the patient may experience:

a)

syncope

b)

chest pain

c)

nausea

d)

tachycardia

36.

the computer inside the AED is specifically programmed to recognize rhythms that require defibrillation to correct, most commonly:

a)

asystole

b)

ventricular tachycardia

c)

ventricular fibrillation

d)

supraventricular tachycardia

37.

the AED should be applied only to unresponsive patients with no:

a)

significant medical problems

b)

cardiac history

c)

pulse

d)

brain activity

38.

_______________usually refers to a state of cardiac arrest despite an organized electrical complex

a)

asystole

b)

pulseless electrical activity

c)

ventricular fibrillation

d)

ventricular tachycardia

39.

the links in the chain of survival include all of the following EXCEPT:

a)

immediate high-quality CPR

b)

ALS and postarrest care

c)

administration of nitroglycerin

d)

rapid defibrillation

40.

defibrillation works best if it takes place within _______________minutes of the onset of cardiac arrest

a)

2

b)

4

c)

6

d)

10

41.

at 0500, you respond to the home of a 76-year-old man complaining of chest pain. on arrival, the patient states that he had been sleeping in the recliner all night due to indigestion. he also tells you he has taken two nitroglycerin tablets. he continues to have pain and reports trouble breathing.


your first priority is to:

a)

apply an AED

b)

provide high-flow oxygen

c)

evaluate the need to administer a third nitroglycerin tablet

d)

size up the scene

42.

at 0500, you respond to the home of a 76-year-old man complaining of chest pain. on arrival, the patient states that he had been sleeping in the recliner all night due to indigestion. he also tells you he has taken two nitroglycerin tablets. he continues to have pain and reports trouble breathing.


his vital signs are as follows: respirations, 16 breaths/min; pulse 98 beats/min; blood pressure, 92/76 mm Hg. he is still complaining of chest pain. who actions should you take to intervene?

a)

provide high-flow oxygen

b)

administer a third nitroglycerin tablet

c)

apply an AED

d)

begin chest compressions

43.

at 0500, you respond to the home of a 76-year-old man complaining of chest pain. on arrival, the patient states that he had been sleeping in the recliner all night due to indigestion. he also tells you he has taken two nitroglycerin tablets. he continues to have pain and reports trouble breathing.


your patient suddenly becomes unresponsive. assessment reveals no breathing and no pulse. your partner begins chest compressions while you apply the AED, what is the first step in the defibrillation sequence?

a)

plug the pads connector to the AED

b)

apply the AED pads to the patient's chest

c)

remove clothing from the patient's chest

d)

turn on the AED

44.

at 0500, you respond to the home of a 76-year-old man complaining of chest pain. on arrival, the patient states that he had been sleeping in the recliner all night due to indigestion. he also tells you he has taken two nitroglycerin tablets. he continues to have pain and reports trouble breathing.


after applying an AED to this patient, the AED states, "No shock advised." what is your next step of action?

a)

load and transport the patient

b)

push to reanalyze

c)

perform CPR for 2 minutes starting with chest compressions, then have the AED reanalyze

d)

consider termination

45.

at 0500, you respond to the home of a 76-year-old man complaining of chest pain. on arrival, the patient states that he had been sleeping in the recliner all night due to indigestion. he also tells you he has taken two nitroglycerin tablets. he continues to have pain and reports trouble breathing.


your patient is not conscious, and you are en route to the hospital. you are six blocks away when the patient stops breathing again and no longer has a pulse. you should:

a)

continue to the hospital

b)

continue to the hospital and analyze the rhythm

c)

stop the vehicle and analyze the rhythm

d)

only perform chest compressions

46.

the right side of the heart pumps oxygen-rich blood to the body

a)

true

b)

false

47.

in the normal heart, the need for increased blood flow to the myocardium is easily met by an increase in heart rate

a)

true

b)

false

48.

atherosclerosis results in narrowing of the lumen of coronary arteries

a)

true

b)

false

49.

infarction is a temporary interruption of the blood supply to the tissues

a)

true

b)

false

50.

angina can result from a spasm of the artery

a)

true

b)

false

51.

the pain of angina and the pain of AMI are easily distinguishable

a)

true

b)

false

52.

nitroglycerin works in most patients within 5 minutes to relieve the pain of AMI

a)

true

b)

false

53.

if an AED malfunctions during use, you must report that problem to the manufacturer and to Human Resources

a)

true

b)

false

54.

angina occurs when the heart's need for oxygen exceeds its supply

a)

true

b)

false

55.

white blood cells are the most numerous cells in the blood and help the blood to clot

a)

true

b)

false

56.

cardiac arrest in younger children is less common than in older children and is usually caused by a breathing problem

a)

true

b)

false

57.

an AED with special pediatric pads may be used pediatric medical patients between the ages of 1 month and 8 years who have been assumed to be unresponsive, not breathing, and pulseless

a)

true

b)

false

58.

dissecting aortic aneurysms are rarely considered life threatening

a)

true

b)

false

59.

heart disease is the number one killer of women in the United States

a)

true

b)

false

60.

if a patient complaining of chest pain has a history of a previous AMI, you should ask if this pain feels similar to the previous AMI

a)

true

b)

false

61.

what type of additional resource is typically required for someone with chest pain?

a)

life assistance

b)

advanced life support

c)

police

d)

rescue team

62.

when taking a SAMPLE history of a conscious person with chest pain, what specific questions should the EMT ask of the patient?

a)

has he or she had a heart attack before?

b)

how long does he or she want to stay in the hospital?

c)

did the patient's physician inform him or her of risk factors associated with heart disease?

d)

does he or she exercise on a regular basis?

63.

which step should NOT be taken to complete a history and physical exam on an unconscious patient with a suspected cardiac problem?

a)

perform a full-body scan

b)

obtain vital signs

c)

obtain history from family or bystanders

d)

look through the patient's wallet for medical information

64.

a patient taking medications such as lasix or digoxin is likely to have which of the following underlying medical conditions?

a)

hypertension

b)

hyperglycemia

c)

congestive heart failure

d)

cerebral vascular accident

65.

when assessing a cardiac arrest patient, you notice what appears to be a pacemaker implanted in the upper left chest. care for this patient should include:

a)

attempting to deactivate the device by placing a magnet over it

b)

making sure the AED patches are not directly over the pacemaker device

c)

waiting for ALS to arrive before applying the AED

d)

not using the AED in this situation