Cardiac 1
A patient with chest pain has an SpO₂ of 97%. Should oxygen be given?
A. Yes, always
B. No, not routinely needed
C. Only if unconscious
D. Only after aspirin
B. No, not routinely needed
A patient becomes unresponsive and pulseless. What is your next action?
A. Check blood pressure
B. Begin CPR
C. Administer aspirin
D. Give oxygen
B. Begin CPR
A patient is anxious, tachycardic, and has chest pain. What should you NOT assume?
A. Cardiac cause
B. Panic attack
C. Need for oxygen
D. Need for evaluation
B. Panic attack
A patient with suspected MI is not allergic. What medication should you administer?
A. Nitroglycerin only
B. Aspirin
C. Morphine
D. Insulin
B. Aspirin
A patient complains of chest pain and has taken erectile dysfunction medication. What should you avoid?
A. Oxygen
B. Aspirin
C. Nitroglycerin
D. Positioning
C. Nitroglycerin
A patient took three nitroglycerin tablets with no relief. What does this suggest?
A. Stable angina
B. Heartburn
C. Myocardial infarction
D. Anxiety
C. Myocardial infarction
A patient with CHF presents with swelling in legs and shortness of breath. This is?
A. Left-sided failure only
B. Right-sided failure signs
C. Stroke
D. MI
B. Right-sided failure signs
A patient is short of breath with pink frothy sputum. What condition is likely?
A. Asthma
B. Pulmonary edema
C. Pneumonia
D. COPD
B. Pulmonary edema
A patient with chest pain has a BP of 88/60 mmHg. Nitroglycerin is prescribed. What should you do?
A. Administer immediately
B. Withhold nitroglycerin
C. Give half dose
D. Elevate legs and give nitro
B. Withhold nitroglycerin
A patient has jugular vein distention and hypotension. This may indicate?
A. Hypovolemia
B. Cardiogenic shock
C. Stroke
D. Asthma
B. Cardiogenic shock
A patient with chest pain refuses aspirin. What should you do?
A. Force administration
B. Document refusal
C. Ignore
D. Hide medication
B. Document refusal
A 58-year-old male complains of crushing chest pain radiating to his left arm. He is diaphoretic and nauseated. What is your first priority?
A. Administer nitroglycerin
B. Obtain SAMPLE history
C. Ensure airway, breathing, circulation
D. Give aspirin
C. Ensure airway, breathing, circulation
A patient has irregular, rapid pulse and dizziness. This may indicate?
A. Arrhythmia
B. Hypertension
C. Stroke
D. Shock
A. Arrhythmia
A patient reports chest pain after heavy lifting. Pain is reproducible. Likely cause?
A. Cardiac
B. Musculoskeletal
C. Pulmonary embolism
D. MI
B. Musculoskeletal
A patient is in cardiac arrest. AED advises shock. What should you do?
A. Check pulse again
B. Deliver shock
C. Continue CPR
D. Administer oxygen
B. Deliver shock
A patient has sharp chest pain that worsens with breathing. Likely cause?
A. Myocardial infarction
B. Pericarditis or pulmonary issue
C. Angina
D. Heart failure
B. Pericarditis or pulmonary issue
A patient is pale, cool, and clammy with chest pain. This suggests?
A. Good perfusion
B. Shock
C. Hypertension
D. Recovery
B. Shock
A 65-year-old female presents with fatigue, nausea, and mild chest discomfort. What should you suspect?
A. Stroke
B. Atypical myocardial infarction
C. Panic attack
D. Pulmonary embolism
B. Atypical myocardial infarction
A patient has sudden tearing chest pain radiating to the back. What should you suspect?
A. Angina
B. Aortic dissection
C. MI
D. Pneumonia
B. Aortic dissection
A patient with cardiac history suddenly develops difficulty breathing while lying down. This is?
A. Orthopnea
B. Cyanosis
C. Syncope
D. Angina
A. Orthopnea
A patient’s chest pain improves after nitroglycerin. This suggests?
A. Cardiac origin likely
B. Not cardiac
C. Stroke
D. Pulmonary embolism
A. Cardiac origin likely
A patient becomes dizzy with a slow pulse of 40 bpm. What is this?
A. Tachycardia
B. Bradycardia
C. Ventricular fibrillation
D. Asystole
B. Bradycardia
A patient collapses; AED shows no shock advised. What next?
A. Turn off AED
B. Begin CPR
C. Check BP
D. Give nitroglycerin
B. Begin CPR
You arrive to a patient with chest pain relieved by rest. What is the most likely condition?
A. Myocardial infarction
B. Unstable angina
C. Stable angina
D. Cardiac tamponade
C. Stable angina
A patient in cardiac arrest regains pulse after CPR. What is your next priority?
A. Stop care
B. Transport immediately
C. Support airway and breathing
D. Give aspirin
C. Support airway and breathing