Fisdap Cardiology Exam 2024-2025 Version Questions & Verified Correct Answers. Graded A+, Exams of Nursing

Download Fisdap Cardiology Exam 2024-2025 Version Questions & Verified Correct Answers. Graded A+ and more Exams Nursing in PDF only on Docsity! Fisdap Cardiology Exam 2024-2025 Version Questions & Verified Correct Answers. Already Graded A+ A heart experiencing an extended refractory period would reflect what on an ECG? - ANSProlonged QT A run of VTach is classified by how many sequential PVCs? - ANS3+ A sudden nervous system reaction that causes temporary generalized vasodilation leading to syncope describes what type of shock? - ANSPsychogenic A tachycardic pacemaker rhythm is called? - ANSrunaway pacemaker Accumulation of lactic acid and other waste products in the blood inhibits what interaction? - ANShemoglobin from binding with and carrying oxygen Adequately perfused kidneys produce how many mLs of urine per hour? - ANS30-50mL Affects of RCA occlusion in terms of the SA node ischemia? - ANSSA node becomes ischemic = slower firing rate (<60-100) or cease fire completely causing another automaticity foci to take over such as AV (40-60) or Purkinje (20-40). AHA Guidlines for Terminating CPR efforts in field(4) - ANSArrest was not witnessed No bystander CPR was administered ROSC was not achieved after complete ALS care in the field No shocks were administered Allowing full recoil of the chest in CPR enhances blood return to the heart by what mechanism? - ANSNegative intrathoracic pressure An S3 heart sound in older adults signifies? - ANSHeart Failure Atrial depolarization characterized by smooth, round, upright deflection less than 0.11 secs long and less than 2.5mm tall is referred to as what on the ECG? - ANSP wave Carvedilol (Coreg) Metropolol (Lopressor) Atenolol (Tenormin) Propranolol (Inderal) Bisoprolol (Zebeta) Acebutolol (Sectral) Comolol (Brevibloc) - ANSBeta Blockers - used for blood pressure and cardiac problems Chest pain that occurs at rest and is caused by coronary artery vasospasm? Risk for Dysrhythmia, MI, Heart Block and Death - ANSPrinzmetal Angina (PA) Contraindications for CPAP (8) - ANSRespiratory Arrest Hypoventilation ALOC Chest Trauma/Pneumo Tracheostomy GI bleed or Vomiting Inability to fit CPAP Excessive Facial Hair/Dysmorphic features Coronary circulation begins from aorta at the? - ANSRight and Left Coronary Arteries Criteria for Unstable Dysrhythmia - ANSIschemic Chest Pain ALOC Hypotension/Hypovolemia Signs of Shock Acute Heart Failure Crushing chest pain with ST-Elevation in V1-V4 would indicate an infarct in which artery? - ANSLeft Anterior Descending Decreased cardiac output with a HR >150 is caused by decreases in? - ANSStroke volume and ventricular filling During what phase of circulation do coronary arteries receive blood? - ANSDiastolic Epinephrine Norepinephrine Vasopressin Dopamine Phenylephrine Dobutamine - ANSVasopressors Epinephrine MOA (4) and Dose - ANSBeta 1 = Inotropy, Chronotropy, Dromotropy Alpha 1 = Vasoconstriction = Increased aortic diastolic pressure Kidneys: Renin-Angiotensin-Aldosterone System = Vasoconstriction = Increase blood pressure Swelling of affected limb, pain and tenderness, inflammation/redness, warm to touch on affected limb, pain on dorsiflexion (Homan Sign) are all signs of? - ANSDVT Tachycardia with irregular pulse, labored breathing with diffuse crackles/rales in all lung fields, pale/cool/diaphoretic skins, and low blood pressure are signs of what type of shock? - ANSCardiogenic Tachycardia, Difficulty Breathing, Diminished Lung Sound, Pulse Quality Changes, and unequal chest rise are early signs and symptoms of? - ANSTension Pneumothorax Air is entering the pleural space but cannot escape. Positive pressure ventilation can make it worse. Tendency to gather or rely on information that confirms your existing views and downplays/avoids info that does not confirm your hypothesis or field differential is what kind of bias? - ANSConfirmation Bias The middle of phase 3 to beginning of phase 4 in the cardiac cycle where cardiac cells are partially refractory and partially repolarized and certain cells can be depolarized in response to electrical stimulus. - ANSRelative Refractory Period (Partial flush of the toilet) The pressure gradient that drives coronary blood pressure. The difference between aortic diastolic pressure and left ventricular end diastolic pressure that perfuses the coronary arteries. - ANSCoronary Perfusion The primary focus of running a megacode should be on? - ANSteamwork and minimal interruptions of CPR The recommended fluid resuscitation for a patient in shock with no suspected TBI is? - ANS250mL up to 4x, maintain systolic of 80-90mmHg The right atrium, right ventricle and part of the left ventricle are supplied by that artery? - ANSRight Coronary Artery The right coronary artery has how many branches and supplies blood to where? - ANS9 Right Atrium, SA/AV node, and Right Ventricle Inferior Left Ventricle The volume of the blood that enters the ventricles by atrial contraction is called? - ANSAtrial Kick Time frame for door-to-balloon - ANS<90mins Time frame for door-to-needle - ANS<30mins Time frame that starts at the patient contact by EMS and ends with definitive therapy of catheter passing through lesion of coronary vessel. - ANSEMS-to-Balloon-Time Time from patient entering ED to catheter passing through lesion of coronary vessel. - ANSDoor-to-balloon-time Time from patient entering ED to fibrinolytic therapy administration. - ANSDoor-to- needle-time Treatment for Beta Blocker Overdose - ANSGlucagon: 1-5mg IV/IO (1st Line Drug) Calcium Chloride: 500mg - 1g IV/IO Treatment for neurogenic shock includes IV fluids, temperature management, and possibly? - ANSAtropine 0.5mg up to 3mg Suppress vagus nerve to increase cardiac output. Treatment of DVT - ANSSupportive Care, Position of Comfort, Establish IV, Cardiac Monitor, Pulse Ox, O2, Monitor vitals for embolism. Do not massage affected limb. What causes hypovolemia in septic shock patients? - ANSFluid leaks out of vascular space What causes increased afterload following Alpha-1 stimulation? - ANSArteriolar constriction What intervention is indicated for a ROSC patient who remains comatose besides vitals, 12-lead, and temperature regulation? - ANSET Intubation What is a procedure that would require a sterile cockpit approach? - ANSRSI What is one of the most helpful steps to formulating a field diagnosis? - ANSConsidering and ruling out various conditions What is our dose for nitro, and what are the contraindications? - ANS0.4mg sublingual 15mg/1inch paste 1g patch Systolic <90mmHg PDE5 inhibitors x 48hrs Head Trauma/Hemorrhage signs Poor Systemic Perfusion What is the most important criteria for bystander CPR to meet prior to EMS arrival? - ANSCompressions What senses decrease in blood flow and activates the vasomotor center in response? - ANSBaroreceptors What should you do if you are working a cardiac arrest patient and the capnography spikes from <20mmHg to >40mmHg? - ANSAssess pulse for up to 10 seconds What type of angina is characterized by awaking a person at rest/sleep? - ANSUnstable (Prinzmetal) What type of metabolism takes over when inefficient cellular metabolism produces lactic acid? - ANSAnaerobic When cardiac cell wall permeability changes and sodium rushes into the cell, it initiates? - ANSDepolarization Where are Beta 1 receptors found? - ANSHeart and Kidneys Which electrolyte flows into cardiac cells to initiate depolarization? - ANSSodium (Na+) Which electrolyte flows out of cardiac cells to to initiate repolarization? - ANSPotassium (K+) Which electrolyte is responsible for repolarization? - ANSPotassium outflow Which electrolyte plays a major role in depolarization of pacemaker cells to maintain depolarization and myocardial contractility? - ANSCalcium (Ca++) Which electrolyte stabilizes cell membrane and acts in concert with K+ and opposes actions of Ca++? - ANSMagnesium (Mg++) Which electrolytes are responsible for depolarization? - ANSSodium and Calcium influx Which node is located at the junction of the superior vena cava and the right atrium, is typically supplied by the Right Coronary artery, and fires at a rate of 60-100 bpm. - ANSSA Node Which system is primarily responsible for tissue perfusion? - ANSCardiovascular