"While your patient is hooked up to a monitor, you notice that","leads II and III are bad, but lead I is okay. Which lead has ",come off?,a. all of them,b. lead III,c. leg lead,d. right arm lead,e. the cable plug is bad,C
"Enroute to the hospital, the EKG monitor goes asystole or shows",V-fib. Your course of action is to:,,a. start CPR,b. defibrillate at 200 w.s.,c. look at the patient,d. give one amp of sodium bicarbinate,"e. in addition to selection d, give one amp of epinephrine",C
"In a post inferior myocardial infarction, what EKG changes",would one expect?,,a. prolonged PR intervals,b. S-T segment depression below the baseline,"c. S-T segment elevation in lead II, III, and AVF changes",d. multifocal PVC's,e. AVF rotation,C
Your patient has a dissecting aorta anuerysm. What changes,would you notice first?,,a. EKG changes,b. blood pressure changes,c. left heart failure,d. all of the above,e. none of the above,B
Intracardiac injections can cause:,,,a. cardiac tamonade,b. pneumothorax,c. P-R interval changes,d. all of the above,e. none of the above,A
There is a distinct difference in the apical pulse and the ,radial pulse. This is caused by:,,a. vascular disease,b. shock,c. slow SA conduction,d. all of the above,e. none of the above,A
Atrial fibrillation has what effect?,,,a. decreased myocardial contractility,b. decreased cardiac output,c. enhances respiration,d. has no real effect under normal circumstances,e. none of the above,D
"Before dibrillating atrial fib. in the abnormal situation,",you should know if:,,a. the patient is a diabetic,b. the patient is prone to seizures,c. the patient is taking digoxin,d. the patient has CHF,e. the patient has a pneumothorax,C
"In left heart failure, the first thing you might notice is:",,,a. cyanosis,b. distented neck veins,c. rales,d. cardiac irregularities,e. wheezing,B
The first thing to do with a person who is unconscious and,in V-tach is? ( treatment of choice ),,a. defibrillate once,b. give a precordial thump,c. start CPR,d. give lidocaine,e. let the patient sleep,B
Your patient is talking to you and in V-tach. The treatment,of choice is?,,a. give atropine,b. give 50-150 mg. of lidocaine,c. change the IV to normal saline,d. start a second IV of lactated ringers,e. intubate the patient,B
