FREE Paramedics Cardiology and Resuscitation Questions and Answers

Question 1

A 66-year-old male with a history of angina reports an episode of crushing chest pain that resolved before your arrival.
He is now pain-free.
His 12-lead ECG shows deeply inverted T-waves in leads V2 and V3, with minimal ST elevation (<1mm) and no pathological Q waves.
What is this ECG pattern most indicative of?

Accepted Answer

Wellens' Syndrome

Answer

Benign early repolarization

Answer

Posterior wall myocardial infarction

Answer

Pericarditis

Question 2

You are treating a 55-year-old female for symptomatic bradycardia with a heart rate of 38 and signs of poor perfusion. She has a history of a heart transplant. Which of the following interventions is LEAST likely to be effective for this patient?

Accepted Answer

Atropine sulfate

Answer

Transcutaneous pacing

Answer

Epinephrine infusion

Answer

Dopamine infusion

Question 3

A 72-year-old male patient with end-stage renal disease who missed his last two dialysis appointments is found in cardiac arrest. The monitor shows a wide-complex PEA. Which underlying cause is most likely, and what is the most appropriate initial medication to administer to stabilize the myocardium?

Accepted Answer

Hyperkalemia; Calcium Chloride

Answer

Hypovolemia; Normal Saline bolus

Answer

Tension Pneumothorax; Needle decompression

Answer

Massive Pulmonary Embolism; Fibrinolytics

Question 4

According to current ACLS guidelines for shock-refractory ventricular fibrillation (VF), after the third shock and administration of epinephrine, which of the following is an appropriate next step?

Accepted Answer

Administer a 300 mg IV/IO bolus of amiodarone.

Answer

Administer a 50 mEq bolus of sodium bicarbonate.

Answer

Deliver a fourth shock at the maximum energy setting.

Answer

Immediately begin a lidocaine infusion at 2 mg/min.

Question 5

You have successfully resuscitated a 50-year-old patient from cardiac arrest. The patient remains comatose and unable to follow commands. According to the most recent resuscitation guidelines, what is the primary goal of targeted temperature management (TTM) for this patient?

Accepted Answer

Actively preventing fever by targeting a temperature ≤ 37.5°C.

Answer

Rapidly inducing deep hypothermia to 30°C.

Answer

Warming the patient to 38°C to prevent infection.

Answer

Alternating between periods of cooling and warming.

Question 6

A paramedic is treating a patient in pulseless electrical activity (PEA). Which of the following is considered one of the reversible 'H' causes that should be immediately assessed and managed?

Accepted Answer

Hypoxia

Answer

Tension Pneumothorax

Answer

Tamponade (cardiac)

Answer

Thrombosis (pulmonary)