FISDAP CARDIOLOGY EMT ACTUAL EXAM

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FISDAP CARDIOLOGY EMT ACTUAL EXAM

NEWEST 2025 ACTUAL EXAM COMPLETE 200

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+

After delivering one shock with the AED and performing 2 minutes of CPR on a woman in cardiac arrest, you reanalyze her cardiac rhythm and receive a no shock advised message. This

means that:

• she is not in a shockable rhythm.
• she has electrical activity but no pulse.
• her rhythm has deteriorated to asystole.
• the first shock restored a rhythm and pulse - ANSWER-A)

she is not in a shockable rhythm.

Rationale; If the AED gives a no shock advised message, it has determined that the patient is not in a shockable rhythm (eg, V-Fib, pulseless V-Tach). It does not indicate that the patient has a pulse, nor does it indicate that a normal cardiac rhythm has been restored. The AED does not distinguish pulseless electrical activity (PEA) from asystole; 1 / 4

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it only recognizes them as nonshockable. PEA is a condition in which organized cardiac electrical activity is present despite the absence of a pulse. Asystole is the absence of all cardiac electrical and mechanical activity. If the AED gives a no shock advised message, immediately resume CPR, starting with chest compressions, until ALS arrives or the patient starts to move.

A middle-aged female with a history of hypertension and high cholesterol complains of chest discomfort. She asks you to take her to the hospital where her personal physician practices, which is 15 miles away. Her blood pressure is 130/70 mm Hg, pulse is 84 beats/min and regular, and respirations are 18 breaths/min and unlabored. Which of the following actions is clearly NOT appropriate for this patient?

• Giving oxygen via nasal cannula
• Taking her to her choice hospital
• Contacting her physician via phone
• Allowing her to walk to the ambulance - ANSWER-D)

Allowing her to walk to the ambulance

Rationale; You should NEVER allow a patient with a possible cardiac problem to walk to the ambulance. This causes exertion, which increases cardiac oxygen 2 / 4

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consumption and demand and could worsen his or her condition. Give the patient oxygen in a concentration sufficient to maintain his or her oxygen saturation equal to or greater than 94%. In general, you should transport patients to the hospital of their choice. However, transport to a closer hospital should be considered if you believe the patient is unstable or is at high risk for becoming unstable. If necessary, consult with the patient's physician via phone to determine if he or she thinks the patient should go to a closer hospital.

A 50-year-old man's implanted defibrillator has fired twice within the last hour. He is conscious and alert and complains of a "sore chest." Further assessment reveals that his chest pain is reproducible to palpation and is localized to the area of his

implanted defibrillator. Treatment for him should include:

• application of the AED and transport to the hospital.
• prompt transport with continuous monitoring en route.
• deactivating his defibrillator by running a magnet over it.
• up to three doses of nitroglycerin and prompt transport. -

ANSWER-B) prompt transport with continuous monitoring en route.

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Rationale; Patients who are at high risk for lethal cardiac dysrhythmias (ie, V-Fib, V-Tach) may have an automated implantable cardioverter/defibrillator (AICD). This small device is usually implanted in the upper left chest, just below the left clavicle. The AICD detects cardiac dysrhythmias and rapidly delivers a shock. When treating a patient whose AICD has fired, you should determine the number of times the device fired, assess vital signs, and transport to the hospital with continuous monitoring en route. Administer supplemental oxygen if the patient is experiencing respiratory distress and/or the oxygen saturation is less than 94%. Application of the AED is not indicated; however, if the patient develops cardiac arrest, you should use the AED as you normally would (remember to apply the pads at least 1 inch away from the implanted device). The pain that the patient is experiencing, which is reproducible and localized near his AICD, is likely musculoskeletal pain as the result of his AICD shocking him; therefore, nitroglycerin is not indicated. Because the AICD works so quickly (much faster than you can apply an AED), you should not make any attempt to deactivate it.

A 60-year-old man is in cardiac arrest. You begin CPR while your partner applies the AED. What should you do if you receive a no shock message?

• Assess for a carotid pulse for up to 10 seconds.
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