CH 20: Cardiac Emergencies

Question 1

Which of the following is the​ EMT’s role in caring for a patient presenting with symptoms of​ anxiety, irritability, a short​ temper, and chest pain with shortness of​ breath?

Answer 1

Treat the patient as though he were having a heart problem.

Question 2

Which of the following is a condition that can result from fatty deposits forming in the inner lining of the​ arteries?

Answer 2

Coronary artery disease

Question 3

Which of the following is the beneficial action of a beta blocker​ medication?

Answer 3

Slows the heart rate

Question 4

Which of the following is the name given to the condition in which fluid accumulates in the​ lungs?

Answer 4

Pulmonary edema

Question 5

Which of the following is the result of a portion of the heart muscle dying due to a lack of​ oxygen?

Answer 5

Myocardial infarction

Question 6

In which of the following situations would the administration of aspirin to a cardiac patient be​ prohibited?

Answer 6

The patient has a gastrointestinal ulcer.

Question 7

Which of the following is typical of angina​ pectoris?

Answer 7

May subside with rest

Question 8

You suspect that your patient is suffering from angina pectoris. What signs or symptoms would you expect to see with this​ condition?

Answer 8

Chest pain that is relieved with nitroglycerin

Question 9

What stimulates a mechanical contraction of the cells of the​ heart, creating a mechanical squeeze used to push​ blood?

Answer 9

Electrical energy

Question 10

What is​ (are) the first​ organ(s) perfused by blood leaving the​ heart?

Answer 10

Heart

Question 11

Which of the following is a general term used to refer to a problem with the​ heart?

Answer 11

Cardiac compromise

Question 12

Which of the following terms refers to swelling of the lower extremities seen in many cardiac​ patients?

Answer 12

Pedal edema

Question 13

Which of the following statements regarding angina pectoris is true​?

Answer 13

It can be brought on by exertion or stress.

Question 14

You are treating a male patient with chest pain caused by the complete occlusion of one of the coronary arteries. What would you most likely expect with this​ patient?

Answer 14

His pain will not be alleviated with any of the above medications.

Question 15

You are​ on-scene with a​ 48-year-old unresponsive male patient. Bystanders state he complained of chest pain and then suddenly collapsed. Vital signs are blood pressure​ 68/42, pulse​ 36, and respiratory rate 3. He is unresponsive to painful stimuli. After performing the primary assessment and treating all life​ threats, what is your next​ intervention?

Answer 15

Package the patient for rapid transport.

Question 16

Question content area top
Part 1
Which of the following is the beneficial action of nitroglycerin in some cardiac​ emergencies?

Answer 16

It relaxes blood vessels throughout the body.

Question 17

Which of the following best describes a fluttering sensation in the​ chest?

Answer 17

Palpitations

Question 18

A weakened area of an artery that balloons out and may​ rupture, causing catastrophic​ bleeding, is​ called:

Answer 18

an aneurysm.

Question 19

Which of the following is not a typical indication of congestive heart failure​ (CHF)?

Answer 19

Weight loss

Question 20

You respond to the scene of a​ 56-year-old obese female complaining of respiratory distress. She states that she has been feeling weak and a​ “little sick” for the past two​ days, but the respiratory distress has been getting progressively worse for the past several hours. She states she has​ “heart problems,” suffers from high blood​ pressure, and takes a​ “water pill.” She is afebrile and has coarse crackles bilaterally. What is most likely the cause of her respiratory​ distress?

Answer 20

Congestive heart failure

Question 21

Assuming your protocol allows the administration of nitroglycerin when certain conditions​ exist, what is the maximum number of tablets to be administered in the prehospital​ setting?

Answer 21

3
-To minimize the risk of a drop in blood pressure, the protocol usually allows for 3 doses of nitroglycerin to be administered in the prehospital setting. Each dose is given 5 minutes apart. If the chest pain does not improve after 3 doses, the patient should be transported to the hospital.

Question 22

What is not a result of a mechanical malfunction of the​ heart?

Answer 22

Dysrhythmia

Question 23

Which of the following statements regarding the administration of nitroglycerin tablets is true​?

Answer 23

The patient may complain of a headache following administration.