Cardiology FISDAP practice quiz questions with
correct answers
when obtaining a 12 - lead ECG, lead V1 should be placed:
A) upper right shoulder just above the clavicle
B) approximately 1 inch to the right of the angle of Louis
C) In the sec intercostal space just inferior to the sec rib.
D) in the fourth intercostal space just to the right of the sternum Correct
Answer-D) in the fourth intercostal space just to the right of the sternum
A patient experiencing a right ventricular infarction would be expected
to present with:
A) hypertension and tachycardia
B) ST elevation in lead II, III and aVF.
C) greater than 2-mm ST depression in lead V1
D) sever pulmonary edema and hemoptysis Correct Answer-B) ST
elevation in lead II, III and aVF.
You are assessing a middle-aged female who complains of chest
discomfort. She is conscious, alert, and oriented. Her skin is diaphoretic.
Her blood pressure is 122/72 mm Hg, her pulse rate is 120 beats/min,
and her respirations are 20 breaths/min. On the basis of her chief
complaint, which of your assessment findings is the MOST significant?
,A) Diaphoresis
B) Mental status
C) Elevated Respiratory Rate
D) Pulse rate of 120 beats/min Correct Answer-D) pulse rate of 120
beats/min
In contrast to unstable angina, stable angina occurs when a patient:
A) complains of chest pain at the same time of the day for more than 2
weeks.
B) needs more than two nitroglycerin treatments to relieve his or her
chest pain.
C) experiences chest discomfort after a certain, predictable amount of
exertion.
D) presents with chest pain or discomfort during periods of low oxygen
demand. Correct Answer-C) experiences chest discomfort after a certain,
predictable amount of exertion.
A 71-year-old male presents with chest pain and shortness of breath. He
is conscious, but confused, and is profusely diaphoretic. He has weakly
palpable radial pulses, a BP of 70/40 mm Hg, and diffuse crackles in all
lung fields. You administer high-flow oxygen and apply the cardiac
monitor, which reveals sinus tachycardia. The closest appropriate
hospital is 40 miles away. Which of the following is the MOST
appropriate next action?
A) Obtain a 12-lead ECG tracing.
, B) Begin an infusion of dopamine.
C) Perform a head-to-toe exam.
D) Give 20 mL/kg fluid boluses. Correct Answer-B) Begin an infusion
of dopamine.
Which of the following is an absolute contraindication for fibrinolytic
therapy?
A) Subdural hematoma 3 years ago
B) BP of 170/100 mm Hg on presentation
C) Current use of anticoagulant medication
D) Ischemic stroke within the last 12 months Correct Answer-A)
Subdural hematoma 2 years ago
You are treating a 68-year-old woman with chest pressure and shortness
of breath that started 2 days ago. Her BP is 76/52 mm Hg and her pulse
is 130 beats/min and weak. The cardiac monitor reveals sinus
tachycardia with occasional PVCs and auscultation of her lungs reveals
diffuse coarse crackles. Which of the following treatment interventions
is MOST appropriate for this patient?
A) Dopamine, 2 to 20 mcg/kg/min
B) Normal saline, 20 mL/kg rapid bolus
C) Amiodarone, 150 mg over 10 min
D) Nitroglycerin, 10 to 20 mcg/min Correct Answer-A) Dopamine, 2 to
20 mcg/kg/min
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