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WorksheetsChapter 16 Cardiovascular Emergencies
Total questions: 65
Worksheet time: 3hrs 15mins
_______________allows a cardiac muscle cell to contract spontaneously without a stimulus from a nerve source.
repetition
reactivity
automaticity
autonomy
the aorta receives its blood supply from the:
right atrium
left atrium
right ventricle
left ventricle
blood enters the right atrium from the body through the:
vena cava
aorta
pulmonary artery
pulmonary vein
the only vein(s) in the body that carry oxygenated blood is/are the:
external jugular veins
pulmonary veins
subclavian veins
inferior vena cava
normal electrical impulses originate in the sinus node, just above the:
atria
ventricles
AV junction
bundle of His
dilation of the coronary arteries _______________ blood flow
shuts off
increases
decreases
regulates
the _______________are tiny blood vessels that are approximately one cell thick
arterioles
venules
capillaries
ventricles
_______________carry oxygen to the body's tissues and then remove carbon dioxide
red blood cells
white blood cells
platelets
veins
_______________is the maximum pressure exerted by the left ventricle as it contracts
cardiac output
diastolic blood pressure
systolic blood pressure
stroke volume
atherosclerosis can lead to a complete _______________of a coronary artery
occlusion
disintegration
dilation
contraction
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
tear
crack
clot
rupture
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
dead
ischemic
necrosed
dry
risk factors for myocardial infarction include all of the following EXCEPT:
male gender
high blood pressure
stress
increased activity level
when, for a brief period of time, heart tissues do not get enough oxygen, the pain is called:
AMI
angina
ischemical
CAD
angina pain may be felt in the:
epigastrium
legs
lower back
lower abdomen
the underlying cause of a dissecting aortic aneurysm is:
controlled hypertension
uncontrolled hypertension
malignant hypertension
benign hypertension
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
circulation
cardiac output
electrical system
vasculature
about _______________minutes after blood flow is cut off, some heart muscle cells begin to die
10
20
30
40
an acute myocardial infarction is more likely to occur in the larger, thick-walled left ventricle, which needs more _______________than the right ventrical
oxygen and glucose
force to pump
blood and oxygen
electrical activity
which of the following statements regarding congestive heart failure is FALSE?
stridor is a common lung sound heard on exam
it can be caused by diseased heart valves
it can be treated with nitroglycerin
ankle edema is a common finding
cardiogenic shock can occur within 24 hours of a(n):
hypertensive emergency
acute myocardial infarction
aortic aneurysm
unstable angina attack
sudden death is usually the result of _______________, in which the heart falls to generate an effective blood flow
AMI
atherosclerosis
PVCs
cardiac arrest
disorganized, ineffective quivering of the ventricles is known as:
ventricular fibrillation
asystole
ventricular stand still
ventricular tachycardia
which of the following is NOT a cause of congestive heart failure?
chronic hypotension
heart valve damage
myocardial infarction
long-standing high blood pressure
signs and symptoms of shock include all of the following EXCEPT:
elevated heart rate
pale, clammy skin
air hunger
elevated blood pressure
which of the following changes in heart function occur in patients with congestive heart failure?
a decrease in heart rate
enlargement of the left ventricle
enlargement of the right ventricle
a decrease in blood pressure
physical findings of AMI include skin that is _______________because of poor cardiac output and the loss of perfusion
pink
white
gray
red
all patient assessments begin by determining whether the patient:
is breathing
can talk
is responsive
has a pulse
to assess chest pain, use the mnemonic:
AVPU
OPQRST
SAMPLE
CHART
when using the mnemonic OPQRST, the "P" stands for:
parasthesia
pain
provocation
predisposing factors
in addition to angina and myocardial infarction, nitroglycerin can be used to treat:
congestive heart failure
cardiogenic shock
aortic aneurysm
hypertensive emergency
when administering nitroglycerin to a patient, you should make sure the patient has not taken any medications for _______________in the last 24 hours
angina
erectile dysfunction
migraine headaches
gallbladder dysfunction
in general, a maximum of _______________dose(s) of nitroglycerin is/are given for any one episode of chest pain
one
two
three
four
_______________are inserted when the electrical control system of the heart is so damaged that it cannot function properly
stents
pacemakers
balloon angioplasties
defibrillations
when the battery wears out in a pacemaker, the patient may experience:
syncope
chest pain
nausea
tachycardia
the computer inside the AED is specifically programmed to recognize rhythms that require defibrillation to correct, most commonly:
asystole
ventricular tachycardia
ventricular fibrillation
supraventricular tachycardia
the AED should be applied only to unresponsive patients with no:
significant medical problems
cardiac history
pulse
brain activity
_______________usually refers to a state of cardiac arrest despite an organized electrical complex
asystole
pulseless electrical activity
ventricular fibrillation
ventricular tachycardia
the links in the chain of survival include all of the following EXCEPT:
immediate high-quality CPR
ALS and postarrest care
administration of nitroglycerin
rapid defibrillation
defibrillation works best if it takes place within _______________minutes of the onset of cardiac arrest
2
4
6
10
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:
apply an AED
provide high-flow oxygen
evaluate the need to administer a third nitroglycerin tablet
size up the scene
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?
provide high-flow oxygen
administer a third nitroglycerin tablet
apply an AED
begin chest compressions
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?
plug the pads connector to the AED
apply the AED pads to the patient's chest
remove clothing from the patient's chest
turn on the AED
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?
load and transport the patient
push to reanalyze
perform CPR for 2 minutes starting with chest compressions, then have the AED reanalyze
consider termination
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:
continue to the hospital
continue to the hospital and analyze the rhythm
stop the vehicle and analyze the rhythm
only perform chest compressions
the right side of the heart pumps oxygen-rich blood to the body
true
false
in the normal heart, the need for increased blood flow to the myocardium is easily met by an increase in heart rate
true
false
atherosclerosis results in narrowing of the lumen of coronary arteries
true
false
infarction is a temporary interruption of the blood supply to the tissues
true
false
angina can result from a spasm of the artery
true
false
the pain of angina and the pain of AMI are easily distinguishable
true
false
nitroglycerin works in most patients within 5 minutes to relieve the pain of AMI
true
false
if an AED malfunctions during use, you must report that problem to the manufacturer and to Human Resources
true
false
angina occurs when the heart's need for oxygen exceeds its supply
true
false
white blood cells are the most numerous cells in the blood and help the blood to clot
true
false
cardiac arrest in younger children is less common than in older children and is usually caused by a breathing problem
true
false
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
true
false
dissecting aortic aneurysms are rarely considered life threatening
true
false
heart disease is the number one killer of women in the United States
true
false
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
true
false
what type of additional resource is typically required for someone with chest pain?
life assistance
advanced life support
police
rescue team
when taking a SAMPLE history of a conscious person with chest pain, what specific questions should the EMT ask of the patient?
has he or she had a heart attack before?
how long does he or she want to stay in the hospital?
did the patient's physician inform him or her of risk factors associated with heart disease?
does he or she exercise on a regular basis?
which step should NOT be taken to complete a history and physical exam on an unconscious patient with a suspected cardiac problem?
perform a full-body scan
obtain vital signs
obtain history from family or bystanders
look through the patient's wallet for medical information
a patient taking medications such as lasix or digoxin is likely to have which of the following underlying medical conditions?
hypertension
hyperglycemia
congestive heart failure
cerebral vascular accident
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:
attempting to deactivate the device by placing a magnet over it
making sure the AED patches are not directly over the pacemaker device
waiting for ALS to arrive before applying the AED
not using the AED in this situation
