CARDIOLOGY EXAM QUESTIONS WITH VERIFIED DETAILED CORRECT ANSWERS

An adult patient was brought to the emergency department following a motorcycle crash. On arrival, the patient
is only responsive to pain, has bleeding from the nose, and multiple abrasions and contusions to the face. What
is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect the airway. - ANSWER>> C.Use a jaw thrust to open the
airway and look for signs of obstruction.
An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40 mph. The patient is
awake and alert and the right leg is shortened. Following initial resuscitation with fluids, the patient remains
hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter - ANSWER>> Apply a pelvic binder
A severely injured patient has been intubated and is being mechanically ventilated. The patient has received a
balanced resuscitation including multiple blood products. Under which circumstance will it be harder for the
hemoglobin to release oxygen to the tissues?
A.Decreased pH
B.Elevated carbon dioxide level
C.Decreased body temperature
D.Increased metabolic demand - ANSWER>> C.Decreased body temperature
A patient is thrown against a car during a tornado and presents with obvious bilateral femur fractures. The
patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be
most appropriate for this patient based on the disaster triage principles?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the next few hours.
D.Contact the command center for personnel to notify next of kin. - ANSWER>> Initiate two large-caliber
intravenous lines for isotonic crystalloid administration.
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers
placed a nonporous dressing over the chest wound and taped it on three sides. The patient is now showing signs
of anxiety, restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure. Which of the
following is the MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ANSWER>> C.Dressing removal
A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The vehicle's
air-bag failed to deploy. The patient is drowsy but arousable and complaining of chest pain with ecchymosis
noted to the chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding.
Cardiac monitor shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
D.Hemostatic resuscitation - ANSWER>> C.Inotropic support
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent with
spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin - ANSWER>> B.Loss of reflexes
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg (8.66 kPa) and an
intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is most likely an indication of the body's
response to these findings?
A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure - ANSWER>> D.Widening pulse pressure