1. A 56-year-old man has suffered from an acute myocardial infarction. Which of the following blood vessels became blocked and lead to his condition?
A.Coronary veins
B.Pulmonary arteries
C.Coronary arteries
D.Pulmonary veins


2. Which of the following conditions is considered the most serious?
A.Asystole
B.Atrial fibrillation
C.Ventricular fibrillation
D.Ventricular tachycardia


3. You respond to a residence, where an elderly woman is complaining of severe chest pain. She states that she took three nitroglycerin tablets prior to your arrival, but the pain has not subsided. You assess her vital signs and find that her blood pressure is 70/40 mm Hg. What is MOST significant about her blood pressure?
A.It is a side effect of the nitroglycerin.
B.It indicates a decreased cardiac output.
C.It is a common finding in the elderly.
D.It is a response to her fear and anxiety.


4. While palpating the radial pulse of a 56-year-old man with chest pain that radiates to his jaw, you note that the pulse rate is 86 beats/min and irregular. What does this indicate?
A.Fear
B.Pain
C.Anxiety
D.Arrhythmia


5. Which of the following veins carry oxygen-rich blood?
A.Jugular veins
B.Pulmonary veins
C.Inferior vena cava
D.Superior vena cava


6. What part of the heart pumps blood to the lungs?
A.Right atrium
B.Left atrium
C.Right ventricle
D.Left ventricle


7. The smallest branches of veins are called:
A.alveoli.
B.venules.
C.arterioles.
D.capillaries.


8. The chance to save a patient who is experiencing cardiac arrest from ventricular fibrillation is greater if:
A.CPR is initiated within 10 minutes.
B.oxygen and rapid transport are provided.
C.rapid transport to the hospital is provided.
D.defibrillation or CPR is initiated within 4 minutes.


9. All of the following are signs of ischemia except:
A.leg pain.
B.chest pain.
C.shortness of breath.
D.nausea and vomiting.


10. A man calls EMS because when he was walking in the park, as he usually does every day, he began to have chest pains. He sat down to rest and took one of his prescribed nitroglycerin tablets, which alleviated the pain after approximately 20 minutes. Treatment for this patient should include all of the following, EXCEPT:
A.administering 100% oxygen via a nonrebreathing mask.
B.having the patient take another nitroglycerin tablet.
C.reassuring the patient and allowing him to assume a comfortable position.
D.promptly transporting the patient to the hospital for evaluation and treatment.


11. Initial treatment of a patient with a cardiac condition should include:
A.starting CPR.
B.starting an IV.
C.performing defibrillation.
D.giving supplemental oxygen.


12. After establishing that a 66-year-old woman is pulseless and apneic, the EMT-B's priority should be to:
A.initiate immediate CPR and call ALS backup.
B.provide assisted ventilations with a BVM device.
C.evaluate the patient for the need for defibrillation.
D.load the patient and transport immediately.


13. Most patients who are having a heart attack will experience:
A.unconsciousness.
B.a feeling of impending doom.
C.no ill feelings once EMS arrives.
D.intermittent periods of unconsciousness.


14. Management for a patient in acute congestive heart failure with labored breathing includes all of the following, EXCEPT:
A.placing the patient in the supine position to raise the systolic blood pressure.
B.administering nitroglycerin to the patient if it is prescribed and medical control advises you to.
C.gathering any of the patient's medications and transporting them to the hospital with the patient.
D.providing oxygen, utilizing the most appropriate device for the patient's condition.


15. When you use a semiautomated defibrillator, it is important that you do all of the following except:
A.be en route in the ambulance during analysis of the rhythm.
B.avoid touching the patient during analysis of the rhythm.
C.clear the patient during the shock.
D.deliver three stacked shocks.


16. If you use an AED, you should do all of the following EXCEPT:
A.change the batteries every 3 months.
B.undergo refresher training every 3 months.
C.check the AED's function at least once daily.
D.review with the medical director every instance in which you use the AED.


17. Which of the following statements about early defibrillation is true?
A.It is an ACLS skill.
B.It can be performed only in hospitals.
C.Only one EMT-B is needed to provided defibrillation.
D.It is recommended as a standard for BLS ambulance services by the American Heart Association.


18. When using a semiautomated defibrillator, you must:
A.analyze and execute the defibrillation.
B.stand clear as the defibrillator automatically delivers shock.
C.choose the power setting so that the unit can give the shock without input.
D.wait for the machine to recommend a shock, after which you push the button.


19. Which of the following conditions does NOT usually occur as a result of acute myocardial infarction?
A.Sudden death
B.Cardiogenic shock
C.Reversal of blood flow
D.Congestive heart failure


20. If the patient is pulseless and the AED recommends no shock, you should next:
A.restart CPR.
B.shock anyway.
C.provide immediate transport.
D.provide transport and deliver three stacked shocks en route.


21. After administering nitroglycerin to a patient, the EMT-B should do which of the following actions?
A.Check the expiration date of the nitroglycerin.
B.Ensure that the nitroglycerin is prescribed to the patient.
C.Reassess the patient's blood pressure within 5 minutes.
D.Tell the patient to chew the tablet until it is dissolved.


22. If AED use is indicated and the patient has a pacemaker, you should:
A.not defibrillate the patient.
B.place both pads near the pacemaker.
C.avoid placing the pads over the pacemaker.
D.place one pad over the pacemaker and the other on the left side of the back.


23. Signs and symptoms of angina pectoris include which of the following?
A.Severe headache and nausea
B.Symptoms that mimic a stroke
C.Severe bradycardia and hypertension
D.The same as that of an acute myocardial infarction


24. Which of the following is one of the MOST serious complications associated with an acute myocardial infarction?
A.Severe hypertension
B.Cardiogenic shock
C.Severe emotional crisis
D.An abnormally fast heart rate


25. You should NOT assist with nitroglycerin if the patient:
A.is over 80-years-old.
B.took a pill 5 minutes earlier.
C.has a heart rate over 100 beats/min.
D.has a systolic blood pressure of less than 100 mm Hg.


26. Which of the following descriptions is NOT usually associated with the pain of angina pectoris?
A.Tight
B.Crushing
C.Squeezing
D.Long-lasting



This is the end of the test. When you have completed all the questions and reviewed your answers, press the button below to grade the test.