EMT Chapter 20 Test

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

A. Pedal edema

B. Dyspnea

C. Pulmonary edema

D. Congestive heart failure

Pulmonary edema

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

A. Liver

B. Coronary arteries

C. Lungs

D. Heart

Heart

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

A. Pulseless electrical activity of the heart

B. Tachycardia

C. Palpitations

D. Dysrhythmia

Palpitations

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?

A. 1

B. 2

C. 4

D. 3

3

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?

A. Make an interpretation of the​ patient's cardiac rhythm.

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

C. Provide automatic external defibrillation.

D. Determine the cause of the​ patient's chest pain.

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

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?

A. Apply the AED.

B. Administer​ high-concentration oxygen at 15 lpm by​ bag-valve mask.

C. Insert an oral airway.

D. Package the patient for rapid transport.

Package the patient for rapid transport.

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

A. Cardiac arrest

B. Myocardial infarction

C. Angina pectoris

D. Heart failure

Myocardial infarction

Question Help

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

A. It can be brought on by exertion or stress.

B. It is generally relieved by​ over-the-counter medications.

C. It generally lasts 30 to 60 minutes.

D. It results in death of a smaller portion of myocardium than does a heart attack.

It can be brought on by exertion or stress.

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

A. The patient has a gastrointestinal ulcer.

B. The patient does not currently take aspirin.

C. The patient feels dizzy.

D. The patient has a diastolic blood pressure greater than 90 mmHg.

The patient has a gastrointestinal ulcer.

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

A. Coronary artery disease

B. Coronary thrombosis

C. Aneurysm

D. Arteriosclerosis

Coronary artery disease

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?

A. Acute myocardial infarction

B. Congestive heart failure

C. Aortic aneurysm

D. Dysrhythmia

Congestive heart failure

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

A. Cardiac dysrhythmia

B. Congestive heart failure

C. Myocardial infarction

D. Cardiac compromise

Cardiac compromise

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

A. Cardiac arrest

B. Dysrhythmia

C. Pulmonary edema

D. Cardiogenic shock

Dysrhythmia

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

A. Congestive heart failure

B. Crackles

C. Presacral swelling

D. Pedal edema

Pedal edema

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

A. An increase in blood pressure should be expected.

B. It takes 20 to 30 minutes for nitroglycerin to have an effect.

C. The patient may complain of a headache following administration.

D. If a​ patient's pulse rate changes following nitroglycerin​ administration, it indicates an allergic reaction

The patient may complain of a headache following administration.

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

A. Productive cough

B. Increased heart rate

C. Jugular venous distension

D. Weight loss

Weight loss

Which of the following is the beneficial action of nitroglycerin in some cardiac​ emergencies?

A. It slows down the heart.

B. It relaxes blood vessels throughout the body.

C. It increases the strength with which the ventricles contract.

D. It dilates only the coronary arteries.

It relaxes blood vessels throughout the body.

Which of the following may be a sign or symptom of a problem with the​ heart?

A. Chest discomfort

B. Nausea, with or without vomiting

C. Fainting or near fainting

D. All of the above

All of the above

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

A. Right ventricle

B. Electrical energy

C. Left and right atria

D. Left ventricle

Electrical energy

Which of the following is typical of angina​ pectoris?

A. Does not present following stress

B. Does not respond to nitroglycerin

C. Lasts 10 to 30 seconds

D. May subside with rest

May subside with rest

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

A. angioplasty.

B. asystole.

C. an aneurysm.

D. angina.

an aneurysm.

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

A. Increases the amount of oxygen needed by the myocardium

B. Increases the strength of myocardial contraction

C. Causes​ vasoconstriction, increasing the blood pressure

D. Slows the heart rate

Slows the heart rate

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?

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

B. His pain will be reduced with aspirin.

C. His pain will go away with oxygen.

D. His pain will be alleviated with nitroglycerin.

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

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

A. Chest pain that is relieved with nitroglycerin

B. Chest pain that is not relieved with rest

C. Chest pain that is not relieved with nitroglycerin

D. Chest pain that radiates to the leg

Chest pain that is relieved with nitroglycerin