Cadiac/Respiratory Emergencies
This quiz will test your knowledge on Cardiac and Respiratory Emergencies
- 1.Patients with cardiac compromise MOST commonly experience syncope as a result of:
- A.
A cardiac arrhythima.
- B.
Acute pulmonary edema.
- C.
Increased cardiac output.
- D.
The associated severe pain.
- 2.You are assisting an asthma patient with his prescribed inhaler.After the patient takes a deep breath and depresses the hand held inhaler you should:
- A.
Instruct him to hold his breath for as long as he comfortably can.
- B.
Immediately reapply the oxygen mask and reassess his condition.
- C.
Advise him to exhale forcefully to ensure medication absorption.
- D.
Allow him to breath room air and assess his oxygen saturation.
- 3.When auscultating the lungs of a patient with respiratory distress you hear adventitious sounds. This means that the patient has:
- A.
Normal breath sounds.
- B.
Abnormal breath sounds.
- C.
Disminished breath sounds.
- D.
An absense of breath sounds.
- 4.Nitroglycerin should NOT be administered to a patient who:
- A.
Has chest discomfort that is unrelieved by rest.
- B.
Took a maximum of two doses prior to EMS arrival
- C.
Has a systolic blood pressure of less than 100 mm Hg.
- D.
Has a history of medication-controlled hypertension.
- 5.Angina pectoris occurs when:
- A.
A coronary artery is totally occluded by plaque.
- B.
One or more coronary arteries suddenly spasm.
- C.
Myocardial oxygen supply exceeds the demand
- D.
Myocardial oxygen demand exceeds the supply.
- 6.The main legal risk in using the AED is:
- A.
Not assessing for a pulse after a shock is delivered.
- B.
Negligence of the part of the manufacturer.
- C.
Failing to deliver a shock when one was needed.
- D.
Failure of the AED's internal computer chip
- 7.Which of the following conditions would be the LEAST likely to result in hypoxia?
- A.
Pleural effusion.
- B.
Abdominal pain.
- C.
Pulmonary edema
- D.
Lower airway infection
- 8.A conscious and alert 29-year old female with a history of asthuma complains of difficulty breathing that began after her morning jog.The temperature outside is 40 degrees.On exam you hear bilateral wheezing.After providing 100% oxygen you should.
- A.
Place her in a recumbent position to facilitate breathing.
- B.
Contact medical control and administer an antihistamine.
- C.
Determine if she has been prescribed a beta-agonist inhaler.
- D.
Call medical control and ask how to proceed with treatment.
- 9.At the onset of an acute asthma attack patient's commonly experience difficulty breathing and:
- A.
Audible strider.
- B.
Rales and rhonchi.
- C.
Profound cyanosis
- D.
Expiratory wheezing
- 10.
- A.
Improve the chance of CPR being successful in resuscitation.
- B.
Cause a rapid decrease in the heart rate of an unstable patient.
- C.
Stop the chaotic disorganized contraction of the cardiac cells.
- D.
Prevent asystole from deteriorating into ventricular fibrillation.
- 11.
- A.
Angina usually occurs after a myocardial infarction.
- B.
Most patients with chest pain are experiencing an AM.
- C.
The cause of the pain cannot be diagnosed in the field.
- D.
Angina and a myocardial infarction presents identically.
- 12.A 60 year old male presents with acute respiratory distress.He is conscious and alert,has pink ans dry skin and respiratory of 24 breaths/min with adequate depth.Which of tha following treatment modalities is MOST appropiate for this patient?
- A.
Assisted ventilations with a BVM device and a rapid medical assessment.
- B.
Oxygen via a nonrebreathing mask and a focused history and physical exam.
- C.
Positive pressure ventilations and immediate transport to the closest hospital
- D.
Oxygen via a nasal cannula, vital signs, and prompt transport to the hospital
- 13.The two processes that occur during respiration are:
- A.
Inspiration and expiration
- B.
Ventilation and diffusion
- C.
Diffusion and oxygen oxygenation
- D.
Oxygenation and ventilation
- 14.Harsh high pitched inspiratory sounds are MOST characteristic of:
- A.
Wheezing
- B.
Rhonchi
- C.
Rales
- D.
Stridor
- 15.You are dispatched to a convenience store for a possible cardiac arrest.Upon arriving at the scene you find two bystanders performing CPR on the patient a 48 year old male.Your initial action should be to:
- A.
Assess the effectiveness of the bystander's CPR
- B.
Quickly attach the AED and push the analyze button
- C.
Have the bystander's stop CPR and assess the patient
- D.
Request a ASL unit and quickly attach the AED
- 16.How many nitroglycerin doses is a patient told to take before calling EMS?
- A.
1
- B.
2
- C.
3
- D.
4
- 17.After the AED has delivered a shock the EMT-B Should:
- A.
Assess for a carotid pulse
- B.
Immediately resume CPR
- C.
Reanalyze the cardiac rhythm
- D.
Transport the patient at once
- 18.Your EMS team is performing CPR on a 60 year old man in cardiac arrest.You connect the AED push the analyze button and receive a No Shock advised message. Your MOST appropriate action should be:
- A.
Reanalyze the patient's cardiac rhythm
- B.
Perform CPR and transport immediately
- C.
Immediately assess the patient's airway
- D.
Determine if a palpable pause is present
- 19.Albuterol is a generic name for:
- A.
Alupent
- B.
Proventil
- C.
Atrovent
- D.
Singulair
- 20.Which of the following represents the MOST appropriate method of assisting a patient with his or her prescribed nitroglycerin tablet or spray?
- A.
Encourage to the patient to chew the tablet to increase it's effectivness
- B.
Wait 15 minutes and reassess the BP prior to administering another dose
- C.
Administer the medication sublingually and allow it to dissolve or absorb
- D.
Place the medication under the tongue and have the patient swallow it
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