You are assessing a patient with a chief complaint of chest pain. Which of the following history questions must the paramedic ask regarding the onset of symptoms?

You are caring for a 50 year-old male diabetic complaining of chest pain. Which of the following medications would you specifically question him about prior to nitroglycerin administration?

You are caring for a 50 year-old female complaining of chest pain. According to the 2020 American Heart Association guidelines, supplemental oxygen should be provided if the SpO2 is:

Which of the following is the correct dose of aspirin for the patient experiencing chest pain?

You are resuscitating a 50 year-old male in VF cardiac arrest. The patient has just been defibrillated. What is your next step?

A type of angina that most often occurs at rest or without a precipitating cause is:

A type of myocardial infarction in which the entire thickness of the myocardium is destroyed is:

The effects of the drug digitalis (Lanoxin) can often be seen on the ECG as:

Which of the following ECG changes are caused by hypothermia?

You are caring for a 50 year-old male complaining of chest pain. His 12-lead ECG reveals ST elevation in leads II, III, and a VF. The patient is experiencing:

You are caring for a 58 year-old male complaining of chest pain. His 12-lead ECG reveals ST elevation in leads V3 and V4. The patient is experiencing:

You are caring for a 62 year-old female complaining of chest pain. Her 12-lead ECG reveals ST elevation in leads V1 and V2. The patient is experiencing:

You are caring for a 65 year-old female complaining of chest pain. Her 12-lead ECG reveals ST elevation in leads V5 and V6. The patient is experiencing:

You are caring for a 55 year-old female complaining of chest pain. Her 12-lead ECG reveals a large R wave in leads V1 and V2. Leads V8 and V9 are placed and reveal ST elevation. The patient is experiencing:

A right ventricular infarction should always be suspected in any patient who:

The 15-lead and 18-lead ECG is effective in identifying the:

The left and right coronary arteries branch off the ____ portion of the aorta.

The coronary vessels receive their blood supply from the aorta during ventricular:

The left coronary artery divides into the left anterior descending artery and the:

The right coronary artery extends from the aorta and branches into the posterior interventricular artery or the:

An alternate path of blood flow in the event of vascular occlusion is termed:

Communication between two or more vessels is termed:

If Q wave pattern has been significantly altered within 24 hours of the onset of infarction, what type of infarction has most likely occurred?

Reciprocal changes that are seen in an inferior myocardial infarction are most often:

ST segment elevation of 1 mm or more in these leads is indicative of a posterior myocardial infarction.

The leads that are the reciprocal leads for a posterior myocardial infarction are:

To detect a posterior myocardial infarction on the standard 12-lead, look for:

ST segment elevation of 1 mm or more in these leads is indicative of a lateral wall myocardial infarction.

ST segment elevation of 1 mm or more in these leads is indicative of an anterolateral myocardial infarction.

ST segment elevation of 1 mm or more in these leads is indicative of an inferolateral myocardial infarction.

The artery that supplies blood to most of the left side of the interventricular septum is the:

Septal myocardial infarctions primarily involve the:

The indicative or facing leads that are indicative of a septal myocardial infarction are:

Anterior myocardial infarctions most often involve which artery?

The circumflex branch of the left coronary artery supplies blood to much of the _____ wall of the heart.

The anterior descending artery is the major branch of the left coronary artery and supplies blood to most of the _____ wall of the left ventricle.

Indicative or facing leads for the anterior myocardial infarction are:

ST segment elevation of 1 mm or more in these leads is indicative of an anterolateral myocardial infarction.

ST segment elevation in the face of an anteroseptal myocardial infarction would involve elevation of 1 mm or more in these leads.

You are caring for a patient with a right ventricular MI who is hypotensive. Supplemental oxygen and aspirin have been given. Which of the following is the next most appropriate treatment?

You are caring for a 75 year-old male who is pulseless and apneic. An off duty EMT has been performing CPR for 2 minutes prior to your arrival. The monitor reveals a regular rhythm with a rate of 250, QRS >0.12, and no P waves. What is your next step?

You are caring for a 75 year-old male presenting with acute onset of dysarthria, left-sided facial droop, and left arm drift. He is alert, cooperative, and responds to questions. His blood glucose is 90 mg/dL. Which of the following is the most likely cause of his signs and symptoms?

You are caring for a 70 year-old female presenting with acute onset of dysarthria, right sided facial droop, and right arm drift. She is alert, cooperative, and responds to questions. Her blood glucose is 102 mg/dL. The patient should be transported to the:

You are caring for a 70 year-old female presenting with acute stroke-like symptoms. Stroke patients may be candidates for treatment with tissue plasminogen activator (tPA) and other fibrinolytic agents if they receive treatment within:

Which of the following is part of the assessment of every patient presenting with stroke-like symptoms?

You are assessing an adult patient with stroke-like symptoms who has aphasia. The patient's family member is also present. Considering the treatment for certain types of stroke, the paramedic will be sure to ask:

A blood pressure difference of less than 5--10mmHg between the right and left arm is considered normal. The right arm blood pressure is normally higher than the left. A consistent difference of more than 20 mmHg in blood pressure readings between arms may be indicative of a vascular disease process. Which of the following best explains this rationale for the difference in blood pressure between the two arms?

You are at the home of a 65 year-old female c/o sudden onset of pain in her left calf. VS are WNL, Lung sounds are clear bilaterally. Dorsalis pedis pulse is diminished on the left lower extremity; left foot is pale and cold; sensation is altered on the left lower extremity. What do you suspect?

You are called to the scene of a 65 year-old male c/o severe pain that originates in the back (between the scapulae) and radiates down into the legs. Pain began about 15 minutes prior to arrival and patient states "this is the worst pain I've ever had." Patient states that the severity of the pain was maximal from time of onset; a "10" on "0--10" scale. Skin: pale, warm, diaphoretic. Peripheral pulses are unequal. VS: Left B/P 160/102, Right B/P 198/132, Pulse 132, Respirations 24. Which of the following best explains the patient's signs and symptoms?

You are called to the home of a 33 year-old obese female c/o lower right leg pain. Patient states she has been in bed for about two weeks recuperating from abdominal surgery. Patient also states she takes birth control pills and smokes 2 packs of cigarettes a day. Lung sounds are clear. The right lower extremity is warm to the touch, edematous, and shows diffuse redness. VS: B/P 130/78, pulse 110, respirations 20. What is the best explanation for the patient's signs and symptoms?

Which of the following terms is described as Right Ventricular dysfunction due to an increase in resistance to right ventricular emptying?

A patient walks up the stairs and has leg pain that is relieved by rest due to peripheral atherosclerosis. This pain is reproducible (i.e.: always occurs when walking up the stairs). What is this called?

You are caring for a 45 year-old male who presents with chest pain, dyspnea, altered mental status, hypotension, and pale, cool, clammy skin. The monitor reveals a regular rhythm with a rate of 30, QRS >0.12, more P waves than QRS complexes, and a variable PR interval. The patient's rhythm is refractory to Atropine 1.0 mg IVP. What is your next step?

List the 3 medications (dose, routes, etc.) as described in the Symptomatic Bradycardia algorithm.