Cardiology and Emergency Response Quiz
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Questions and Answers

Based on the patient's history, and signs and symptoms, which of the following should you suspect?

  • Unstable angina pectoris
  • Pericarditis (correct)
  • Cardiomyopathy
  • Myocardial infarction
  • What should be your next course of action upon arriving at the scene of a single-car accident with multiple patients?

  • Call medical control, and advise them of the situation
  • Begin immediate triage and treatment of the two patients ejected first while awaiting fire department response
  • Notify the local trauma center so they can prepare for the patients
  • Request additional resources, such as fire rescue, and additional ambulances to respond to the scene (correct)
  • Which of the following cranial nerves should you suspect may be involved in a patient with abnormal pupillary reactions and inability to follow finger movements?

  • Cranial nerves II, III, and IV (correct)
  • Cranial nerves I, V, and VI
  • Cranial nerves IX and X
  • Cranial nerves V and VII
  • Which one of the following types of shock would be considered distributive shock?

    <p>Anaphylactic shock</p> Signup and view all the answers

    Which of the following is responsible for initiating the sympathetic response to shock during a traumatic event?

    <p>Decreased perfusion and increased acidosis</p> Signup and view all the answers

    During which segment of an electrocardiogram tracing does the absolute refractory period take place?

    <p>Q-T interval</p> Signup and view all the answers

    Which of the following initial energy settings would be recommended for synchronized electrical cardioversion in an unstable adult patient with supraventricular tachycardia?

    <p>Synchronized cardioversion at 50-100 joules</p> Signup and view all the answers

    What is a common cause of one-sided facial droop and paralysis in an adult patient who exhibits no other neurological findings?

    <p>Bell's palsy</p> Signup and view all the answers

    Which of the following situations would validate a sixteen-year-old's statement about not needing parental consent for treatment?

    <p>She is an emancipated minor granted by the court</p> Signup and view all the answers

    Why is high-dose nebulized albuterol recommended for a patient who is severely hyperkalemic?

    <p>To help lower dangerous potassium levels</p> Signup and view all the answers

    Study Notes

    Cardiology and Emergency Response

    • Adult patient with a history of myocardial infarctions presents with chest pain, difficulty breathing, and pale, hot skin; symptoms may suggest pericarditis.
    • First responders to a multi-casualty vehicle accident should request additional resources, including fire rescue and more ambulances, for appropriate care.
    • A blunt force head injury may impair cranial nerves II, III, and IV, evident in the patient's abnormal pupillary reaction and inability to follow objects.

    Shock and Physiological Responses

    • Shock is characterized by hypoperfusion with distributive shock including anaphylactic reactions.
    • Sympathetic response during traumatic shock is initiated by decreased perfusion and increased acidosis.
    • The absolute refractory period on an ECG occurs during the Q-T interval, crucial for preventing arrhythmias.

    Cardiovascular Interventions

    • For unstable adult patients with supraventricular tachycardia, synchronized cardioversion should start at 50-100 joules if the rhythm is narrow complex and regular.

    Neurological Considerations

    • One-sided facial droop in adults may indicate Bell's palsy, signifying facial nerve involvement.
    • Emancipated minors can consent to treatment; a 16-year-old claiming independence under court laws can be treated without parental consent.

    Hyperkalemia Management

    • In cases of severe hyperkalemia, high-dose nebulized albuterol and calcium chloride may be administered to manage the condition and stabilize cardiac function.

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    Description

    Test your knowledge on cardiology and emergency responses through a series of scenarios, including myocardial infarctions and multi-casualty incidents. This quiz covers essential physiological responses, shock, and cardiovascular interventions. Perfect for medical students and emergency responders seeking to enhance their understanding.

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