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Cardiology and Resuscitation Flashcards

7 cards from real Paramedics Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Cardiology and Resuscitation flashcards as text

  1. A patient with atrial fibrillation has a ventricular rate of 140 bpm and a BP of 88/60 mmHg with altered mental status. What is the most appropriate intervention?

    Answer: Synchronized cardioversion

    Unstable atrial fibrillation with hemodynamic compromise requires immediate synchronized cardioversion to restore sinus rhythm.

  2. Which ECG finding is most associated with a hyperacute (very early) STEMI before ST elevation develops?

    Answer: Peaked, tall T waves in the affected leads

    Hyperacute T waves—tall, peaked, and asymmetric—are the earliest ECG sign of myocardial ischemia, appearing before ST elevation.

  3. A patient has a pulseless rhythm that appears as a rapid, completely disorganized waveform on the monitor. What is the immediate treatment?

    Answer: Deliver unsynchronized defibrillation immediately

    Ventricular fibrillation is treated with immediate unsynchronized defibrillation, as there is no organized rhythm to synchronize with.

  4. In the management of suspected cardiac tamponade in a pulseless patient, which intervention is definitive?

    Answer: Pericardiocentesis

    Pericardiocentesis, the needle drainage of blood from the pericardial sac, is the definitive treatment for cardiac tamponade.

  5. When performing two-rescuer adult CPR, at what rate should chest compressions be delivered?

    Answer: 100-120 compressions per minute

    Current AHA guidelines recommend chest compressions at a rate of 100-120 per minute for optimal coronary and cerebral perfusion during CPR.

  6. A patient presents with symptomatic bradycardia at 38 bpm unresponsive to atropine. What is the next intervention?

    Answer: Initiate transcutaneous pacing

    When atropine fails to treat symptomatic bradycardia, transcutaneous pacing is the next step while preparing for transvenous pacing.

  7. A 12-lead ECG shows ST elevation in leads V1-V4 with a new left bundle branch block in a patient with chest pain. How should this be managed?

    Answer: Activate the cardiac catheterization lab for emergent PCI

    New LBBB with chest pain is a STEMI equivalent requiring emergent activation of the cath lab for percutaneous coronary intervention.