9076237
Descripción
Test por Laura Steichen, actualizado hace más de 1 año
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Creado por Laura Steichen
hace casi 7 años
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Pregunta 1
Pregunta
Stop exercise immediately with all of the following except:
Respuesta
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Ventricular tachycardia
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Second degree AV block Type 2
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Atrial fibrillation
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Ventricular fibrillation
Pregunta 2
Pregunta
Primary blood supply to the AV node and SA node:
Respuesta
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Right coronary artery
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Left coronary artery
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Circumflex artery
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Left anterior descending artery
Pregunta 3
Pregunta
All the following are correct inherent beats except:
Respuesta
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SA node at 100-110 bpm
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SA node at 60-80 bpm
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AV node at 40-60 bpm
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Bundle of His at 20-40 bpm
Pregunta 4
Pregunta
What is the correct order in which heart sounds are heard?
Respuesta
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S1, S2, S3, S4
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S4, S1, S2, S3
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S1, S4, S2, S3
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S3, S1, S2, S4
Pregunta 5
Pregunta
Which heart sound may disappear when a patient sits up or stands and is considered abnormal in adults over 40 y/o?
Respuesta
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S1
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S4
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S3
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S2
Pregunta 6
Pregunta
All of the following cause splits except:
Respuesta
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Bundle branch block
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Ventral septal defect
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Irritable foci
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Valve dysfunction or blood flow alterations
Pregunta 7
Pregunta
You are listening to a 6 y/o female heart beat and notice the rate increases with inspiration and decreases with expiration. She has no other s/s. What do you do?
Respuesta
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Nothing, this can be a normal finding for this age
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Administer nitroglycerin tablets to the patient
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Immediately transport the patient to the ER
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Stop treatment and reschedule for another day
Pregunta 8
Pregunta
A patient’s ECG shows a PR interval < 0.12 and a regular QRS rate > 100. The patient presents with a rapid and regular pulse and decreased cardiac output. This patient has what type of arrhythmia?
Respuesta
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Wandering atrial pacemaker
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Atrial premature beat
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Atrial tachycardia
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Atrial flutter
Pregunta 9
Pregunta
Individuals with atrial fibrillation are at increased risk of stroke because:
Respuesta
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There is less blood supply to the brain
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The heart is weaker
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The vibrations inhibit vitamin K binding for the coagulation cascade
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There is less atrial kick leading to blood being left behind in the atria to form a clot
Pregunta 10
Pregunta
Find the true statement:
Respuesta
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Multifocal premature ventricular contractions look the same as bigeminy and come from the same spot
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Ventricular premature contractions always require treatment
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Patients with a ventricular premature contraction may have a pause in pulse followed by a strong beat or may complain of palpitations or skipped beats
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Ventricular premature contractions more than 6 per minute or more than 3 in a row are no cause for concern
Pregunta 11
Pregunta
A patient in the hospital complains of heart palpitations, dyspnea, dizziness, and appears anxious and is sweating. This patient is experiencing:
Respuesta
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Ventricular premature contraction
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Ventricular tachycardia
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Ventricular fibrillation
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asystole
Pregunta 12
Pregunta
What is the correct order of progression?
Respuesta
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Ventricular premature contraction (> 3 in a row), ventricular fibrillation, asystole, ventricular tachycardia
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Ventricular tachycardia, quadrigeminy, ventricular fibrillation, asystole
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Bigeminy, ventricular fibrillation, ventricular tachycardia, asystole
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Ventricular premature contraction (> 3 in a row), ventricular tachycardia, ventricular fibrillation, asystole
Pregunta 13
Pregunta
Fixed P-R interval with a dropped QRS every third beat, may drop several QRS waves in a row, typically fixed with a pacemaker. Identify the arrhythmia:
Respuesta
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1st degree AV block
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2nd degree AV block type 2
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2nd degree AV block type 1
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Sinus block (aka “skipped beat”)
Pregunta 14
Pregunta
ECG presents as regular P and QRS waves that appear out of sync with each other. s/s include slow HR (< 60 bpm), drop in CO, and possible ventricular fibrillation. What arrhythmia may proceed this type of block?
Respuesta
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2nd degree AV block type 2
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2nd degree AV block type 1
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1st degree AV block
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Left bundle branch block
Pregunta 15
Pregunta
You are seeing a 65 y/o male. Upon reading the ECG you notice he has a widened Q wave and an elevated ST wave on leads V1 and V2. What do you do?
Respuesta
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Ask the patient if he has had any ischemic heart attacks recently
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Do not perform treatment and reschedule for another day
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Do nothing and treat him like any other patient
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Verify with nursing or the doctor to see if they are aware that this patient has had an MI
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