24) Which of the following is the name given to the condition in which fluid accumulates in the
lungs?
A) Chronic obstructive pulmonary disease (COPD)
B) Pulmonary edema
C) Pedal edema
D) Dyspnea
Objective: 18.7
25) Which of the following terms refers to swelling of the lower extremities seen in many
cardiac patients?
A) Presacral swelling
B) Crackles
C) Congestive heart failure
D) Pedal edema
Objective: 18.7
26) Which of the following is NOT a typical indication of congestive heart failure (CHF)?
A) Productive cough
B) Wet sounding breath sounds
C) Increased heart rate
D) Low blood pressure
Objective: 18.7
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27) Which of the following BEST describes the EMT’s intended role in the ideal provision of
emergency cardiac care?
A) Early notification
B) Early advanced cardiac life support
C) Early defibrillation
D) Early CPR
Objective: 18.8
28) Which intervention is proven to be the most effective is obtaining a return of spontaneous
circulation (ROSC) in a cardiac arrest patient?
A) Combitube
B) Early CPR
C) High-concentration oxygen by bag-valve mask
D) Early defibrillation
Objective: 18.8
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29) Which of the following BEST describes the continued need for prehospital advanced cardiac
life support, even when EMTs in the community carry AEDs?
A) Not all cardiac arrests are due to problems that respond to defibrillation.
B) The patient may need medications to support his cardiac rhythm and blood pressure prior to
attempting defibrillation.
C) In cases of refractory or recurrent ventricular fibrillation, the use of medications may decrease
the chances of defibrillating successfully.
D) All of the above
Objective: 18.8
30) Which of the following is NOT a role of the EMT in providing emergency cardiac care?
A) CPR
B) Early defibrillation
C) Administration of epinephrine
D) Airway management
Objective: 18.8
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31) You are on the scene of a 68-year-old male patient complaining of severe chest pain for the
last 20 minutes. He has a previous history of myocardial infarction and states it feels “just like
the last time.” You have applied oxygen and assisted him in administering aspirin and
nitroglycerin with no reduction in the chest pain. Your nearest facility is 5 minutes away, a Level
III Trauma Center is 10 minutes away, and a hospital with cardiac catheterization capabilities is
20 minutes away. The patient is requesting to be transported to his cardiologist’s hospital, which
is 30 minutes away. Which hospital is the best destination?
A) The nearest facility
B) The trauma center
C) The hospital the patient requests
D) The nearest hospital with cardiac catheterization
Objective: 18.8
32) All of the following are elements of adult high performance CPR, except:
A) compression rate of at least 100 per minute.
B) spending half of each compression on the downstroke and half on the upstroke.
C) taking no more than 1 second to deliver each ventilation.
D) compressing the patient’s chest about 1 inch in depth before allowing full relaxation.
Objective: 18.9
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33) You arrive on-scene of a 56-year-old female patient in cardiac arrest. What is the first airway
you should administer?
A) Nasopharyngeal airway (NPA)
B) Oropharyngeal airway
C) Combitube
D) Pharyngeal-Tracheal Lumen airway
Objective: 18.9
34) Defibrillation is indicated for which of the following situations?
A) Pulseless electrical activity
B) Pulseless bradycardia
C) Asystole
D) Pulseless ventricular tachycardia
Objective: 18.10
35) Which of the following should NOT be done during defibrillation?
A) Pressing the defibrillation pads firmly to the chest to ensure good contact
B) Continued ventilation during the analysis phase to prevent hypoxia
C) Shaving the chest before placing the defibrillation pads to improve contact
D) Performing CPR while the AED is being attached
Objective: 18.10
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36) Which of the following is NOT a reason that an AED may indicate that there is “no shock
advised?”
A) The patient’s heart has no electrical activity; he is “flat line,” or in asystole.
B) The patient’s heart rhythm is normal.
C) The patient has organized electrical activity in the heart but no pulse.
D) The patient is in ventricular fibrillation or pulseless ventricular tachycardia.
Objective: 18.10
37) Your patient is a 44-year-old female who has collapsed while jogging. She has been
unresponsive for 4 to 5 minutes by the time you arrive. Her husband appears to be performing
high-quality CPR. Which of the following should be your first action?
A) Insert an oropharyngeal airway and begin ventilations.
B) Load the patient into the ambulance for further assessment.
C) Apply the AED.
D) Stop CPR and check for a pulse.
Objective: 18.11
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38) When using an AED, which of the following people is responsible for calling to “clear” the
patient before delivering a shock?
A) EMT supervising bystanders
B) EMT operating the defibrillator
C) EMT managing the airway
D) EMT doing chest compressions
Objective: 18.11
39) Which of the following people is allowed to continue providing patient care when the patient
is to be “cleared” for delivery of a shock via the defibrillator?
A) The EMT performing bag-valve-mask ventilations
B) The provider who is ventilating the patient, so long as the patient has been intubated by a
paramedic so the provider does not directly touch the patient
C) Anyone in contact with the patient below the level of the patient‘s knees
D) None of the above
Objective: 18.11
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