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National Registry Paramedic Exam: Cardiology, Cardiac Emergencies, and Resuscitation
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National Registry Paramedic Exam: Cardiology, Cardiac Emergencies, and Resuscitation
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10 Questions

1. During a successful intubation attempt of a patient in severe respiratory distress, you notice your patient’s heart rhythm is now marked sinus bradycardia at a rate of 34 when it was previously in the high 70s. The pulse oximetry remained in the high 90s throughout the attempt. What is the next most appropriate treatment?
2. Mitral valve regurgitation means that blood flows backward through the mitral valve. Into which of the following structures does blood flow during mitral valve regurgitation?
3. You have a 66-year-old patient found pulseless and apneic in his home. CPR was initiated by family members and is still continuing to produce a strong carotid pulse. The ECG shows the following rhythm, and you have started a 16-gauge intravenous line in the right EJ. Which medication is the best option for this patient?
4. You have a 66-year-old patient found pulseless and apneic in his home. CPR was initiated by family members and is still continuing to produce a strong carotid pulse. The ECG shows the following rhythm, and you have started a 16-gauge intravenous line in the right EJ. Which medication is the best option for this patient?
5. During myocardial contraction, which of the following is true?
6. A 12-lead ECG reveals a QRS above the baseline in lead I and below the baseline in lead aVF. It also shows an RSRʹ pattern in lead V1. What is the most likely explanation for these findings?
7. Your patient is in cardiac arrest and the rhythm shows a pulseless 3rd-degree heart block at a rate of 30. All of the following are appropriate treatments for this patient EXCEPT:
8. You notice an ECG of a patient has a PRI that is consistently 0.20 second long. There is a P wave for every QRS complex, but there is not a QRS complex for every P wave. Which of the following is most likely this patient’s rhythm?
9. Your patient presents with chest pain and the above ECG. Which coronary artery most likely is occluded?
10. During a successful intubation attempt of a patient in severe respiratory distress, you notice your patient’s heart rhythm is now marked sinus bradycardia at a rate of 34 when it was previously in the high 70s. The pulse oximetry remained in the high 90s throughout the attempt. What is the next most appropriate treatment?

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