Paramedic Cardiology Exam Practice Tests
Course Introduction
Paramedic Cardiology is designed to provide students with a comprehensive understanding of the cardiovascular system as it pertains to pre-hospital emergency care. The course covers the anatomy and physiology of the heart, recognition and interpretation of cardiac rhythms, and the assessment and management of patients experiencing cardiac emergencies such as myocardial infarction, heart failure, and arrhythmias. Emphasis is placed on advanced electrocardiogram (ECG) interpretation, pharmacology for cardiac conditions, and the application of evidence-based interventions including defibrillation, cardioversion, and medication administration. Through a combination of didactic learning and practical scenarios, students will develop the critical thinking and technical skills necessary to effectively manage cardiac emergencies in the field.
Recommended Textbook
EKG Plain and Simple 4th Edition by Karen Ellis
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15 Chapters
875 Verified Questions
875 Flashcards
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Chapter 1: Cardiac Anatomy and Physiology
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66 Verified Questions
66 Flashcards
Source URL: https://quizplus.com/quiz/48190
Sample Questions
Q1) The electrical signals that tell the heart when to beat are created and transmitted by
A)conduction system cells.
B)coronary system cells.
C)contractile cells.
D)circumflex cells.
Answer: A
Q2) Through which vessel does oxygenated blood enter the capillaries?
A)Aorta
B)Veins
C)Venules
D)Arterioles
Answer: D
Q3) Which is TRUE about the rest-and-digest response?
A)It is a function of the sympathetic nervous system.
B)It results in increased heart rate and blood pressure.
C)It slows down digestion.
D)It decreases heart rate and blood pressure.
Answer: D
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3
Chapter 2: Electrophysiology
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68 Verified Questions
68 Flashcards
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Sample Questions
Q1) What electrical event must occur for atrial contraction to occur?
A)Atrial depolarization
B)Ventricular depolarization
C)Atrial repolarization
D)Ventricular repolarization
Answer: A
Q2) A QRS complex with one positive deflection followed by one negative deflection would be labeled
A)RS.
B)QS.
C)QR.
D)RR'.
Answer: A
Q3) If a pacemaker becomes irritable and fires at a faster than normal rate,________ will occur.
A)escape
B)usurpation
C)cardiac block
D)refraction
Answer: B
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Chapter 3: Lead Morphology and Placement
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) Lead II connects which limbs?
A)Right arm and left leg
B)Right arm and right leg
C)Right arm and left arm
D)Left arm and right leg
Answer: A
Q2) Normal current of the heart travels top to bottom and ________.
Answer: Right to left
Q3) AVF
A)is a bipolar lead.
B)is a precordial lead.
C)is an augmented lead.
D)has its positive pole on the left arm.
Answer: C
Q4) Einthoven's law states that
A)Lead I + Lead III = Lead II.
B)Lead II + Lead III = Lead I.
C)V + V = V .
D)Lead I + Lead II = Lead III.
Answer: A
Page 5
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Chapter 4: Technical Aspects of the EKG
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) It is possible to have artifact in the midst of a dangerous rhythm.
A)True
B)False
Q2) If you think the rhythm is artifact,check your patient for any symptoms of decreased cardiac output first,then check his monitor wires and patches and observe the rhythm in another lead.
A)True
B)False
Q3) Artifact can mimic arrhythmias.
A)True
B)False
Q4) ________ is unwanted jitter or interference on the EKG tracing.
Q5) You're doing a 12-lead EKG on a patient who has tremors that make the EKG hard to read.You should
A)leave,telling the nurse to call you when the tremors stop,so you can return and try again.
B)make several attempts at a good tracing,then document on the EKG how many attempts were made.
C)call the physician and ask for medication to stop the tremors.
D)do the EKG as usual with no documentation about tremors.
Page 6
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Chapter 5: Calculating Heart Rate
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Regularity of a rhythm is determined by measuring the A)P-P intervals.
B)QRS intervals.
C)R-R intervals.
D)distance between consecutive U waves.
Q2) Regardless of the method used,what are you doing when you calculate heart rate?
A)Counting the number of P waves in a minute-long rhythm strip
B)Counting the number of QRS complexes in a minute-long rhythm strip
C)Counting the number of premature beats or pauses in a minute-long rhythm strip
D)Counting the number of irregular blocks in a minute-long rhythm strip
Q3) An irregular rhythm has R-R intervals that vary by only one or two little blocks.
A)True
B)False
Q4) The rhythm in Figure 1 is
A)regular.
B)irregular.
C)regular but interrupted by premature beats.
D)regular but interrupted by pauses.
Q5) Heart rate is the same as ________ rate.
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Chapter 6: How to Interpret a Rhythm Strip
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20 Flashcards
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Sample Questions
Q1) What are the five steps in rhythm interpretation?
Q2) Sinus rhythm is an irregular rhythm interrupted by premature beats and pauses. A)True
B)False
Q3) The normal rhythm of the heart has P waves that are
A)upright,matching,and precede the QRS complex.
B)variable in shape and location.
C)often hidden inside QRS complexes.
D)multiple in number,preceding the QRS complex.
Q4) The normal PR interval in sinus rhythm should be ________.
Q5) A heart rate less than 60 is said to be a A)tachycardia.
B)bradycardia.
C)tachyarrhythmia.
D)bundle branch block.
Q6) Arrhythmias are
A)normal heart rhythms.
B)abnormal heart rhythms.
C)rhythms originating in the sinus node.
D)rhythms that cause no symptoms.
Page 8
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Chapter 7: Rhythms Originating in the Sinus Node
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) An artificial pacemaker can be used to treat sinus bradycardia.
A)True
B)False
Q2) Which of the following is TRUE about sinus rhythm?
A)It is regular.
B)It has an irregularly irregular pattern of QRS complexes.
C)It has multiple shapes of P waves.
D)It has wide QRS complexes without preceding P waves.
Q3) A rhythm with a heart rate less than 60 is ________.
Q4) All sinus rhythms have a P-QRS-T configuration.
A)True
B)False
Q5) In Figure 5,the heart rate is closest to A)100.
B)40.
C)75.
D)55.
Q6) The PR interval in sinus rhythms should be ________ from beat to beat.
Q7) In a sinus arrest,the sinus node________ firing for a time.
Q8) In sinus rhythms,the QRS complexes should have an interval of ________.
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Chapter 8: Rhythms Originating in the Atria
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) SVT stands for A)sinus ventricular tachycardia.
B)supraventricular tension.
C)sinus valvular tachycardia.
D)supraventricular tachycardia.
Q2) Atrial flutter is almost always seen in patients with A)thyrotoxicosis.
B)acute heart attacks.
C)heart disease.
D)cardiac arrest.
Q3) Blood clots in the atria are associated with multifocal atrial tachycardia.
A)True
B)False
Q4) Nonconducted PACs do not conduct through to the ventricles.
A)True
B)False
Q5) In SVT,the heart rate must be greater than 180.
A)True
B)False
Q6) In order to diagnose PAT,the ________ that initiates it must be seen.
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Chapter 9: Rhythms Originating in the AV Junction
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) Which junctional rhythm has the same heart rate as sinus rhythm?
A)Junctional bradycardia
B)Junctional rhythm
C)Accelerated junctional rhythm
D)Junctional tachycardia
Q2) Junctional tachycardia without visible P waves is best called A)sinus tachycardia.
B)SVT.
C)atrial tachycardia.
D)PJCs.
Q3) Junctional rhythms have retrograde conduction to the ventricles.
A)True
B)False
Q4) Electrical shock is used to treat frequent PJCs.
A)True
B)False
Q5) A P wave that is upside down is called ________.
Q6) Junctional bradycardia is usually the result of usurpation.
A)True
B)False
Page 11
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Chapter 10: Rhythms Originating in the Ventricles
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) The rhythm in Figure 14 is
A)ventricular tachycardia.
B)accelerated idioventricular rhythm.
C)sinus rhythm with PVCs.
D)accelerated junctional rhythm.
Q2) The rhythm in Figure 16 is
A)ventricular tachycardia.
B)ventricular fibrillation.
C)accelerated idioventricular rhythm.
D)asystole.
Q3) Ventricular fibrillation can be caused by A)heart attack.
B)drowning.
C)drug overdoses.
D)all of the above.
Q4) Torsades de pointes is a form of ventricular tachycardia that ________ around an axis.
Q5) QRS complexes in ventricular rhythms should be ________ seconds wide.
Q6) PVC stands for ________.
Q7) Agonal rhythm has a heart rate less than ________.
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Chapter 11: AV Blocks
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) Wenckebach is a type of
A)first-degree AV block.
B)second-degree AV block.
C)third-degree AV block.
D)fourth-degree AV block.
Q2) In AV blocks,the underlying rhythm is ________.
Q3) Which strip is consistent with third-degree AV block?
A)A
B)B
C)C
D)D
Q4) The QRS interval in Figure 18 is closest to A)0.12 seconds.
B)0.20 seconds.
C)0.32 seconds.
D)0.40 seconds.
Q5) Mobitz II second-degree AV block involves a block at either the AV node or the ________.
Q6) AV blocks involve a block in conduction between ________.
Q7) The origin of the P waves in AV blocks is the ________.
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Chapter 13: How to Interpret a 12-Lead EKG
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) Which of the following is NOT a step in 12-lead EKG interpretation?
A)Assess the basics-rhythm,rate,and intervals
B)Determine the axis quadrant
C)Check for ventricular hypertrophy
D)Check the patient for symptoms
Q2) Right axis deviation is between
A)0 and +90 degrees.
B)0 and -90 degrees.
C)+90 and 180 degrees.
D)-90 and 180 degrees.
Q3) Low voltage EKGs can be caused by ALL BUT which of the following?
A)Obesity
B)Thyroid gland malfunction
C)Emphysema
D)Hypertension
Q4) Normal axis is between
A)0 and +90 degrees.
B)0 and -90 degrees.
C)+90 and 180 degrees.
D)-90 and 180 degrees.
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Chapter 14: Myocardial Infarction
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76 Verified Questions
76 Flashcards
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Sample Questions
Q1) If you were told that Figure 19's EKG was of a young black male,you would think of what cause of mild widespread ST elevation?
A)Pericarditis
B)Inferior MI
C)Early repolarization
D)Right ventricular infarction
Q2) Which of the following is indicative of myocardial necrosis?
A)ST elevation
B)ST depression
C)Significant Q wave
D)Inverted T wave
Q3) An inferior MI is most often caused by occlusion of which coronary artery?
A)Right coronary artery
B)Left main
C)Circumflex
D)Left anterior descending
Q4) The leads one looks at to find an inferior MI are ________.
Q5) Ischemia causes myocardial tissue to turn black.
A)True
B)False
15
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Chapter 16: Medications and Electrical Therapy
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113 Verified Questions
113 Flashcards
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Sample Questions
Q1) Antiarrhythmic medications can sometimes cause arrhythmias.
A)True
B)False
Q2) A client who has overdosed on tricyclic antidepressants would most likely exhibit which of the following findings on an EKG?
A)Shortened PR intervals
B)Widened QRS segments
C)Shortened QT intervals
D)Narrowed QRS segments
Q3) Cardioversion and defibrillation are the same thing.
A)True
B)False
Q4) Which of the following findings would be LEAST likely in a client who is taking diuretics?
A)Ventricular irritability
B)Tachycardias
C)Ventricular arrhythmias
D)Bradycardia
Q5) The second letter of the pacemaker code refers to the ________.
Q6) When a pacemaker fires,it causes a ________ on the EKG.
Page 16
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Chapter 17: Diagnostic Electrocardiography
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) The patient's blood pressure was 120/80 at rest.During the stress test,it has fallen to 90/50 and he is cold and clammy.What is the appropriate course of action?
A)Stop the test immediately.
B)Stop for a minute,then resume at a slower pace.
C)Continue as is.
D)Slow the pace to let the patient recover,then speed it back up to the previous level.
Q2) A positive stress test implies that ________ is present.
Q3) If your patient develops a first-degree AV block during her stress test,you should
A)stop the test immediately.
B)continue,but watch the rhythm cautiously.
C)stop the test and send the patient for a permanent pacemaker.
D)back the stage to the previous level.
Q4) For purposes of ischemia evaluation,the baseline of the EKG is at the A)ST segment.
B)PR segment.
C)TP segment.
D)J-point.
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