EMT Chapter 17: Cardiovascular Emergencies

A dissecting aortic aneurysm occurs when:

Angina pectoris occurs when:

Cardiogenic shock following AMI is caused by:

Deoxygenated blood from the body returns to the:

In contrast to the sympathetic nervous system, the parasympathetic nervous system:

Most patients are instructed by their physician to take up to_____ doses of nitroglycerin before calling EMS.

Narrowing of the coronary arteries caused by a buildup of fatty deposits is called:

Prior to attaching the AED to a cardiac arrest patient, the EMT should:

The AED is most advantageous to the EMT because:

The electrical impulse generated by the heart originates in the:

The iliac arteries immediately subdivide into the:

The most common reason that many people experiencing AMI do not seek immediate medical attention is because they:

The right coronary artery supplies blood to the:

Upon arriving at the residence of a patient with a possible cardiac problem, it is most important to:

When documenting a patient's description of his or her chest pain or discomfort, the EMT should:

When preparing to obtain a 12-lead ECG, the LL and RL electrodes should be placed:

Which of the following blood vessels transports oxygenated blood?

Which of the following medications is commonly given to patients with chest pain to prevent blood clots from forming or getting bigger?

Which of the following signs is commonly observed in patients with right-sided heart failure?

Which of the following statements regarding nitroglycerin is correct?

The AED has delivered a shock to an elderly male in cardiac arrest. Following 2 minutes of CPR, you re-analyze the patient's cardiac rhythm and receive a 'no shock advised' message. After further resuscitation, you restore a palpable carotid pulse. Your next action should be to:

The main legal risk in using the AED is:

Ischemic heart disease is defined as:

A 66-year-old woman presents with a stabbing pain in the middle of her chest that radiates to her back. She tells you that the pain suddenly began about 30 minutes ago and has been severe since the onset. She has a history of hypertension, but admits to being noncompliant with her antihypertensive medications. When you assess her, you find that her blood pressure is significantly higher in her right arm. What do these signs and symptoms most likely indicate?

Your EMS team is performing CPR on a 60-year-old male in cardiac arrest. You connect the AED, push the analyze button, and receive a 'no shock advised' message. You should:

The inferior vena cava returns deoxygenated blood to the right side of the heart from all of the following areas, except the:

It would be most appropriate for a patient to take his or her prescribed nitroglycerin when experiencing:

The ability of cardiac muscle cells to contract spontaneously without a stimulus from a nerve source is called:

The posterior tibial pulse can be palpated:

When an electrical impulse reaches the AV node, it is slowed for a brief period of time so that:

Which of the following cardiac dysrhythmias has the greatest chance of deteriorating into a pulseless rhythm?

You and your EMT partner are the first to arrive at the scene of an unresponsive 70-year-old man. Your assessment reveals that he is apneic and pulseless. A paramedic unit is en route to the scene and will arrive in approximately 5 minutes. You should:

Which of the following represents the most appropriate method of assisting a patient with his or her prescribed nitroglycerin tablet or spray?

A patient tells you that he has a left ventricular assist device (LVAD). Which of the following conditions should you suspect that he has experienced?

Prompt transport of a patient with a suspected AMI is important because:

Which of the following is least important when obtaining a medical history from a patient complaining of chest discomfort?

A percutaneous transluminal coronary angioplasty (PTCA) restores blood flow to the ischemic myocardium by:

Prior to assisting a patient with his or her prescribed nitroglycerin, the EMT must:

Common signs and symptoms of AMI include all of the following, except:

Sudden death following AMI is most often caused by:

Rapid, labored breathing in a patient with signs and symptoms of AMI should make you suspicious for:

During your treatment of a woman in cardiac arrest, you apply the AED, analyze her cardiac rhythm, and receive a 'no shock advised' message. This indicates that:

Which of the following statements regarding the pain associated with AMI is correct?

Which of the following statements regarding the AED and defibrillation is correct?

Nitroglycerin is contraindicated in patients:

The electrical stimulus that originates in the heart's primary pacemaker is controlled by impulses from the brain that arrive by way of the:

A patient with a left ventricular assist device (LVAD) tells you that the device's pump flow is continuous. Which of the following should you expect to encounter during your assessment?

Acute coronary syndrome (ACS) is a term used to describe:

A 66-year-old female with a history of hypertension and diabetes presents with substernal chest pressure of 2 hours' duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and irregular, her respirations are 22 breaths/min, and her oxygen saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband does. You should:

The descending aorta divides into the two iliac arteries at the level of the: