FREE AEMT Cardiovascular Emergencies Questions and Answers

Question 1

Acute Coronary Syndrome (ACS) is defined as patients with angina, shortness of breath, chest, epigastric, arm, or jaw pain or discomfort and may be associated with diaphoresis, nausea, shortness of breath or difficulty breathing.

Accepted Answer

TRUE

Answer

Acute Coronary Syndrome (ACS) is a broad term encompassing conditions caused by sudden, reduced blood flow to the heart. Its presentation is indeed characterized by symptoms like angina (chest pain), shortness of breath, and referred pain to the epigastrium, arms, or jaw. These symptoms are often accompanied by diaphoresis (sweating), nausea, and difficulty breathing, making the given definition accurate.

Question 2

Patient that meet the STEMI inclusion criteria shall be transported to the closest Cardiac Intervention Center by air or ground as long as the delivery time is not more than _________  greater than transport to the nearest ED.

Accepted Answer

45 minutes

Answer

In the management of STEMI (ST-elevation myocardial infarction), timely reperfusion therapy is critical. Guidelines often specify a maximum allowable transport time to a specialized Cardiac Intervention Center (CIC) compared to the nearest emergency department (ED). A common threshold is 45 minutes, meaning if transport to a CIC would exceed the nearest ED by more than 45 minutes, alternative strategies like fibrinolytic therapy at the nearest ED should be considered.

Question 3

What is criteria on a EKG strip for a STEMI?

Accepted Answer

All of the above

Answer

The criteria for diagnosing a STEMI on an EKG are multifaceted and include several key indicators. Significant ST elevation (typically >1mm in two or more contiguous leads) is a primary sign. Posterior MIs have specific EKG findings like ST depression in V1-V2. A new Left Bundle Branch Block (LBBB) can also obscure typical STEMI findings and is considered a STEMI equivalent in the appropriate clinical context, making 'All of the above' the correct answer.

Question 4

If a patient can not be delivered to a Cardiac Intervention Center within 45 minutes, a Fibrinolytic Therapy Checklist should be completed for STEMI and the patient should be transported to the nearest ED.

Accepted Answer

TRUE

Answer

If a patient with STEMI cannot be transported to a Cardiac Intervention Center for primary percutaneous coronary intervention (PCI) within the recommended timeframe (e.g., 45 minutes greater than transport to the nearest ED), then fibrinolytic therapy becomes the preferred reperfusion strategy. In such cases, a Fibrinolytic Therapy Checklist is completed to assess eligibility and contraindications, and the patient is transported to the nearest ED for administration.

Question 5

If a patient does not meet the criteria for fibrinolytic therapy, consultation should be done with the nearest Cardiac Intervention Center and the nearest ED to determine the most appropriate receiving facility.

Accepted Answer

TRUE

Answer

When a STEMI patient does not meet the criteria for fibrinolytic therapy (due to contraindications or other factors), it necessitates a careful decision regarding the most appropriate receiving facility. Consultation with both the nearest Cardiac Intervention Center (for potential PCI if feasible) and the nearest Emergency Department (for supportive care and further assessment) is crucial to ensure the patient receives the best possible care pathway.

AEMT - Advanced Emergency Medical Technician Practice Test

AEMT - Advanced Emergency Medical Technician Practice Test

FREE AEMT Cardiovascular Emergencies Questions and Answers