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CARDIOLOGY FISDAP 2025 COMPLETE QUESTIONS AND VERIFIED SOLUTIONS
ALREADY GRADED A+
You have acquired the following 12 lead on a patient complaining of chest pain and shortness of breath. You should Suspect A. Inferior myocardial injury. B. Septal myocardial injury. C. Lateral myocardial injury. D. Anterior myocardial injury C. Inferior myocardial injury - ANSWERS - A 55 year old male is pulseless and apneic. Bystander CPR has been in progress for 5 minutes. His ECG is below. What is your initial treatment?
A. Perform immediate defibrillation. B. Perform synchronized Cardioversion. C. Administer 1 gm of magnesium IV. D. Administer 300 mg amiodarone. C. Administer 1gm of magnesium IV. - ANSWERS - In the prehospital setting, which vasopressor is most commonly used in adult cardiogenic shock? A. Dopamine B. Norepinephrine C. Dobutamine D. Epinephrine A. Dopamine - ANSWERS -A. Dopamine. A 53 year old patient had a sudden onset of a tearing abdominal pain at the area of the umbilicus that radiates to his back. He is pale, ashen, and diaphoretic. He has a history of hypertension, for which he takes hydrochlorothiazide. Vital signs are BP 110/70, P 100, R 20. His ECG is below. How should you interpret this rhythm? A. Sinus tachycardia.
orders sodium bicarbonate. What is the appropriate dose and route for this medication? Select one: A. 50 mEq ETT B. 1 mg/kg IV only C. 1 mEq/kg IV D. 50 mg IV or 1 amp - ANSWERS -C. 1 mE/kg IV Which of the following is the most important aspect of stroke care? Select one: A. Monitoring the Cincinnati stroke scale B. Assessing blood pressure values on both arms C. Obtaining a blood glucose level D. Noting the time of symptom onset - ANSWERS -D. Noting the time of symptom onset What is an early effect of a tension pneumothorax on the heart? Select one: a. increased preload b. increased contractility c. Decreased contractility d. Decreased preload - ANSWERS -c. Decreased contractility A 12 lead ECG has ST segment elevation in leads II, IlI, and aVF. Which vessel is most likely occluded? Select one:
a. Left main b. Circumflex c. Left anterior descending d. Right coronary - ANSWERS -d. Right coronary A patient's chest discomfort has decreased from 8/10 to 2/10 after taking nitroglycerin. Which action of nitroglycerin best explains this change? Select one: a. Decreased ventricular afterload b. Vasodilation of coronary arteries c. its analgesic properties d. The increase in ventricular preload - ANSWERS -b. Vasodilation of coronary arteries A 54 year old female is acting anxious and using odd words to describe common things. She answers yes/no questions appropriately. You should suspect Select one: a. paranoid schizophrenia. b. Bell's Palsy. c. delirium tremens. d. cerebral vascular accident. - ANSWERS -c. delirium tremens. A 45 year old male complains of weakness. Vital signs are BP 90/60, P 40 and irregular. The monitor shows a narrow complex rhythm with a constant PRi for
a. Chest pain b. Alert and oriented c. Diaphoresis d. BP 220/140 - ANSWERS -d. BP 220/ What type of medication is propranolol (Inderal)? Select one: a. Beta-agonist b. Alpha-blocker c. Beta-blocker d. Alpha-agonist - ANSWERS -c. Beta-blocker Which post-cardiac arrest patient meets the criteria for therapeutic hypothermia? Select one: a. An alert 88 year old male with traumatic injuries b. A semi-conscious 48 year old female with hypotension c. An unresponsive 55 year old male with adequate perfusion d. A conscious 61 year old female with adequate perfusion - ANSWERS -c. An unresponsive 55 year old male with adequate perfusion A patient presents with confused verbal responses. A radial pulse is not palpable. ECG shows a wide complex tachycardic rhythm. You should Select one:
- a. administer amiodarone 150 mg rapid IV. b. consider sedation and cardioversion at 50 joules. c. defibrillate immediately at 200 joules. d. perform synchronized cardioversion at 100 joules. - ANSWERS -d. perform synchronized cardioversion at 100 joules. A cardiac rhythm reveals an irregular, bradycardic rhythm where the PR interval progressively increases followed by a p wave without a QRS complex. You should suspect Select one: a. third degree AV block. b. second degree type I AV block. c. second degree type II AV block. d. first degree AV block. - ANSWERS -b. second degree type I AV block. During a cardiac arrest resuscitation you note a sudden and dramatic rise in the ETCO2. What should you do? Select one: a. Check the ET tube placement b. Decrease the rate of ventilation c. Continue CPR for 2 minutes d. increase the rate of ventilation - ANSWERS -d. increase the rate of ventilation You respond to a call for a "person down." Upon arrival, you find a 59 year old
Which of the following refers to the volume of blood pumped by the heart in each minute? Select one: a. Frank-Starling law b. Hering-Breuer reflex c. Cardiac output d. Stroke volume - ANSWERS -c. Cardiac output An adult cardiac arrest patient remains in ventricular fibrillation after two minutes of CPR, one shock and 1 mg epinephrine 1:10,000 IV. You should administer Select one: a. amiodarone, 300 mg IV. b. adenosine, 6 mg IV. c. sodium bicarbonate, 1 mEq/kg IV. d. magnesium sulfate, 1-2 grams IV. - ANSWERS -a. amiodarone, 300 mg IV. A 60 year old female complains of palpitations and she is slightly short of breath. Vital signs are BP 110/76, pulse matches the ECG below, R 18 and shallow. What should you do? Select one: a. Administer amiodarone infusion.
b. Administer adenosine rapid IV push. c. Perform synchronized cardioversion at 50 J. d. Have the patient perform a vagal maneuver. - ANSWERS -d. Have the patient perform a vagal maneuver. A 25 year old female is in cardiac arrest. Her husband is performing CPR and informs you that she is 30 weeks pregnant. Her ECG is below. What medication should you administer? Select one: a. Magnesium sulfate b. Norepinephrine c. Atropine sulfate d. Hypertonic saline - ANSWERS -a. Magnesium sulfate
- Identify the anatomical location of the infarction using the following ECG. Select one: a. Lateral b. Septal c. Anterior d. inferior - ANSWERS -d. inferior A 68 year old male with ventricular tachycardia is pale and diaphoretic. What is the initial dose of lidocaine? Select one:
A 28 year old male is found pulseless and apneic. CPR has been initiated by Emergency Medical Responders whose AED indicates "no shock advised." The cardiac monitor shows the rhythm below. You should administer? Select one: a. 10 mL of epinephrine 1:1,000. b. 10 mL of epinephrine 1:10,000. c. 10 mL of atropine. d. 0.5 mL of atropine. - ANSWERS -b. 10 mL of epinephrine 1:10,000. A 62 year old female complains of calf pain when she flexes her foot. She is recovering from a knee replacement surgery one week ago. Her calf is swollen and warm. What should you consider? Select one: a. Compartment syndrome b. Plantars fasciitis c. Deep vein thrombosis d. Pulmonary embolism - ANSWERS -a. Compartment syndrome What is the rate for ventricular tachycardia? Select one: a. 251- b. 40-
с. 110- d. Greater than 350 - ANSWERS -с. 110- A patient just received an accidental overdose of atenolol. Which of the following should be used to reverse the effects of this drug? Select one: a. Narcan b. Sodium bicarbonate c. Glucagon d. Benadryl - ANSWERS -c. Glucagon a 45 year old female with a long cardiac history complains of severe dyspnea. She takes 40mg of Lasix daily and has frothy sputum. You hear bilateral rales and rhonci. what is causing your patients condition? a. pulmonary embolus b. CHF exacerbation c. Acute asthma attack d. COPD - ANSWERS -CHF exacerbation A submersion patient complains of chest pains and palpitations. you note gastric distention and aspiration. Based on the assessment findings, which system has been affected? a. cardiovascular
A. obtain vascular access b. administer nitroglycerin c. administer albuterol d. Obtain a 12 lead ECG - ANSWERS -administer albuterol a patient presents in the following rythm and complains of feeling "different." Vital signs are BP 112/68 P 180 R 22. you should a. deliver unsychnorized shock at 200J b administer lidocaine infusion at 2mg/minute c. prepare for immediate synchronized cardioversion d. administer amiodarone 150mg over 10 minutes. - ANSWERS - What is the intrinsic pacemake rate of the atrioventricular (AV) node a. 60- b. 20- c. 40- d. 100-149 - ANSWERS -40- what is the intrinsic pacemaker rate of the purkinje fibers? a. Fewer than 20 times per minute b. 60-80 times per minute
c. 41-59 times per minute d. 20-40 times per minute - ANSWERS -20- you are treating a unconscious 65 year old male. he recently had bypass surgery and called 911 complaining of chest pain. He is taking digitalis, potassium, and plavix. Vital signs are BP 70/40 and R 22. pulse matches the ECG shown below. what should you administer? a. atropine IV b. Dopamine IV infusion c. Epinephrine IV infusion d. Amiodarone IV - ANSWERS - What does this rythm show? a. sinus tachycardia b. SVT c. Ventricular tachycardia d. Atrial flutter - ANSWERS - identify this rythm a. normal sinus b. atrial fibriliation c. sinus bradycardia d. junctional - ANSWERS -
circuit of the defibrillator? a. the vulnerable period of the action potential can be avoided. b. the energy will be delivered more evenly c. this rhythm will not be affected by synchronization d. it decreases the pain of cardioversion. - ANSWERS -A. the vulnerable period of the action potential can be avoided. a 74 year old female complains of excruciating chest pain. the 12 lead ECG shows a inferior wall injury with right sided involvement. Vital signs are BP 118/92 P and R24. you should administer a. morphine sulfate b. acetylsalicytic acid c.midazolam hydrochloride d. sublingual nitroglycerin - ANSWERS -sublingual nitroglycerine during the relative refractory period of the action potential. a. the ecg shows a flat or negative deflection b. potassium is still being pumped out of the cell c. the cell is unable to depolarize d. the cell is venerable to partial depolarization - ANSWERS -C. unable to depolarize in lead II you notice inverted P waves with shortened P-R intervals. The QRS
complex is normal. what type of dysrythmia should you suspect? a. atrial b. ventricular c. sinus d. junctional - ANSWERS -atrial The development of Q waves on a 12 lead ECG racing suggests a. myocardial ischemia b. right bundle branch block c. myocardial infarct d. malignant hypothermia - ANSWERS -Myocardinal infarct you are called for a man with a facial laceration. his wife says he was shaving when he suddenly started talking incorrectly and lost his balance. By the time you arrive, his symptoms have resolved. His wife says he has no past medical history. you suspect a a. cerebrovascular accident b. near syncopal episode c. transiant ischemic attack d. hypersensitive carotid body - ANSWERS - what is a common complaint of a patient experiencing a thracic aortic dissection? a. stabbing groin pain with slow onset
