Deck 16: Cardiovascular and Stroke Emergencies
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Deck 16: Cardiovascular and Stroke Emergencies
1
A condition in which fatty substances and other debris are deposited on the arterial walls is:
A) arteriosclerosis.
B) atherosclerosis.
C) myocardial infarction.
D) angina pectoris.
A) arteriosclerosis.
B) atherosclerosis.
C) myocardial infarction.
D) angina pectoris.
atherosclerosis.
2
Arteriosclerosis is often referred to as:
A) congestive heart failure.
B) pulmonary edema.
C) angina pectoris.
D) hardening of the arteries.
A) congestive heart failure.
B) pulmonary edema.
C) angina pectoris.
D) hardening of the arteries.
hardening of the arteries.
3
Myocardial infarction refers to the death of the:
A) pericardium.
B) myocardium.
C) epicardium.
D) endometrium.
A) pericardium.
B) myocardium.
C) epicardium.
D) endometrium.
myocardium.
4
Arteriosclerosis occurs when arteries lose their:
A) shape.
B) size.
C) elasticity.
D) oxygen.
A) shape.
B) size.
C) elasticity.
D) oxygen.
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5
In a heart attack, the common structures that cause the problems are:
A) capillaries.
B) veins.
C) arteries.
D) skin.
A) capillaries.
B) veins.
C) arteries.
D) skin.
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6
Pulmonary edema results from ________ leaking out of the capillaries into the surrounding lung tissue.
A) red blood cells
B) plasma
C) sugar
D) nutrients
A) red blood cells
B) plasma
C) sugar
D) nutrients
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7
Angina pectoris literally means:
A) hardening of the arteries.
B) pain in the chest.
C) coronary artery disease.
D) heart attack.
A) hardening of the arteries.
B) pain in the chest.
C) coronary artery disease.
D) heart attack.
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8
Angina pectoris occurs when the heart's demand for ________ is greater than what it is receiving.
A) sugar
B) oxygenated blood
C) nutrients
D) stimulus
A) sugar
B) oxygenated blood
C) nutrients
D) stimulus
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9
Which of the following is True about angina pectoris?
A) Angina is an unrelenting feeling of pain or discomfort.
B) Angina is a brief feeling of pain or discomfort.
C) Angina produces permanent damage to the heart.
D) Angina is often fatal.
A) Angina is an unrelenting feeling of pain or discomfort.
B) Angina is a brief feeling of pain or discomfort.
C) Angina produces permanent damage to the heart.
D) Angina is often fatal.
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10
The most common sign of angina pectoris is:
A) palpitations.
B) nausea and/or vomiting.
C) dyspnea.
D) chest pain.
A) palpitations.
B) nausea and/or vomiting.
C) dyspnea.
D) chest pain.
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11
Stable angina pectoris usually appears suddenly and is associated with:
A) improper nutrition.
B) smoking/lung disease.
C) physical exertion.
D) respiratory complications.
A) improper nutrition.
B) smoking/lung disease.
C) physical exertion.
D) respiratory complications.
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12
The most dramatic sign of progressing congestive heart failure is:
A) anxiety.
B) rapid heart rate.
C) paleness or cyanosis.
D) pulmonary edema.
A) anxiety.
B) rapid heart rate.
C) paleness or cyanosis.
D) pulmonary edema.
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13
Which of the following conditions is most likely to produce cardiac tissue death?
A) respiratory infection
B) overexertion
C) indigestion
D) myocardial infarction
A) respiratory infection
B) overexertion
C) indigestion
D) myocardial infarction
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14
A condition in which plasma seeps out of the capillaries into the lungs due to pressure from a failing heart is:
A) pulmonary edema.
B) myocardial infarction.
C) congestive heart failure.
D) coronary artery disease.
A) pulmonary edema.
B) myocardial infarction.
C) congestive heart failure.
D) coronary artery disease.
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15
When the blood supply to the heart is significantly reduced or stopped, the result is:
A) pulmonary edema.
B) congestive heart failure.
C) angina pectoris.
D) myocardial infarction.
A) pulmonary edema.
B) congestive heart failure.
C) angina pectoris.
D) myocardial infarction.
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16
Generally, the best way to relieve angina pectoris is to:
A) rest.
B) take aspirin.
C) exercise.
D) control your diet.
A) rest.
B) take aspirin.
C) exercise.
D) control your diet.
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17
If an adult has had a heart attack and his/her pulse is absent, you should:
A) start CPR.
B) start rescue breathing.
C) sit him/her up to breathe.
D) place him/her in the recovery position.
A) start CPR.
B) start rescue breathing.
C) sit him/her up to breathe.
D) place him/her in the recovery position.
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18
To treat a responsive cardiac victim, activate the EMS system, then:
A) give the victim nitroglycerin.
B) immediately remove all restrictive clothing.
C) perform an initial assessment.
D) lie the victim down.
A) give the victim nitroglycerin.
B) immediately remove all restrictive clothing.
C) perform an initial assessment.
D) lie the victim down.
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19
If the responsive cardiac victim is able (and has no allergies or contraindications), encourage them to chew:
A) two low-dose baby aspirin.
B) two adult aspirin.
C) two enteric-coated aspirin.
D) one enteric-coated aspirin.
A) two low-dose baby aspirin.
B) two adult aspirin.
C) two enteric-coated aspirin.
D) one enteric-coated aspirin.
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20
Which of the following is True concerning a thrombus stroke?
A) 20 percent of all strokes are thrombus strokes.
B) 40 percent of all strokes are thrombus strokes.
C) 60 percent of all strokes are thrombus strokes.
D) 80 percent of all strokes are thrombus strokes.
A) 20 percent of all strokes are thrombus strokes.
B) 40 percent of all strokes are thrombus strokes.
C) 60 percent of all strokes are thrombus strokes.
D) 80 percent of all strokes are thrombus strokes.
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21
The characteristics of a stroke depend on:
A) the cause, location and severity of the stroke.
B) the age, gender and ethnicity of the victim.
C) the time of day, prior medical conditions and age of the victim.
D) the age of the victim, any history of prior cardiac problems and time of day.
A) the cause, location and severity of the stroke.
B) the age, gender and ethnicity of the victim.
C) the time of day, prior medical conditions and age of the victim.
D) the age of the victim, any history of prior cardiac problems and time of day.
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22
Approximately 20 percent of all strokes are caused by:
A) embolus.
B) hemorrhage.
C) thrombus.
D) compression.
A) embolus.
B) hemorrhage.
C) thrombus.
D) compression.
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23
A transient ischemic attack is:
A) a "mini" heart attack.
B) a brief spell, similar to a stroke.
C) an episode of shortness of breath.
D) a condition just before a myocardial infarction.
A) a "mini" heart attack.
B) a brief spell, similar to a stroke.
C) an episode of shortness of breath.
D) a condition just before a myocardial infarction.
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24
Which of the following is not associated with TIAs (transient ischemic attacks)?
A) blindness in one eye
B) temporary paralysis of the face
C) slurred speech
D) nausea or vomiting
A) blindness in one eye
B) temporary paralysis of the face
C) slurred speech
D) nausea or vomiting
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25
Which of the following statements about cerebral embolisms is True?
A) Of all strokes, cerebral embolisms have the most rapid onset.
B) Cerebral embolisms often occur in the elderly.
C) Cerebral embolisms are most common with existing lung disease.
D) Cerebral embolisms have the highest death rate of all strokes.
A) Of all strokes, cerebral embolisms have the most rapid onset.
B) Cerebral embolisms often occur in the elderly.
C) Cerebral embolisms are most common with existing lung disease.
D) Cerebral embolisms have the highest death rate of all strokes.
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26
Because of its dramatic nature, 80 percent of the victims of this form of stroke die.
A) thrombus
B) hemorrhage
C) embolus
D) compression
A) thrombus
B) hemorrhage
C) embolus
D) compression
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27
A stroke that produces a sudden excruciating headache followed by a rapid loss of consciousness, and coma is caused by:
A) embolus.
B) compression.
C) cerebral hemorrhage.
D) thrombus.
A) embolus.
B) compression.
C) cerebral hemorrhage.
D) thrombus.
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28
You should position the conscious victim of a stroke:
A) on his back with head and shoulders slightly raised.
B) on his back with head turned to one side.
C) on his side, paralyzed side up.
D) on his back with feet raised.
A) on his back with head and shoulders slightly raised.
B) on his back with head turned to one side.
C) on his side, paralyzed side up.
D) on his back with feet raised.
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29
Which of the following is not a sign/symptom of a stroke?
A) one-sided face droop
B) slurred speech
C) one dilated pupil
D) chest pain
A) one-sided face droop
B) slurred speech
C) one dilated pupil
D) chest pain
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30
A 60-year-old male is walking to the kitchen and suddenly clutches his head and collapses to the floor. He is unable to move his right arm and cannot speak. He has most likely suffered a:
A) heart attack.
B) transient ischemic attack.
C) angina pectoris.
D) stroke.
A) heart attack.
B) transient ischemic attack.
C) angina pectoris.
D) stroke.
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31
Heart attacks and associated heart disease are the number-one killer of adults in the United States today.
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32
Because of the critical nature of heart disease emergencies, you should treat every adult with chest pain as a heart attack victim until proven otherwise.
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33
Atherosclerosis is a disease condition in which the arteries lose their elasticity.
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34
It is difficult for a First Aider to tell the difference between the pain of angina pectoris and the pain of a heart attack.
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35
Twenty-five percent of all myocardial infarction victims have no chest pain at all.
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36
Silent myocardial infarctions are commonly seen in women, diabetics, and the elderly.
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37
If you are in doubt about whether the victim is having an angina attack or a myocardial infarction, treat it as if it were a heart attack.
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38
Heart attack is the same as cardiac arrest.
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39
You should not allow a victim to move on his or her own if you suspect myocardial infarction.
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40
It is crucial to determine at the scene the kind of stroke that occurred because first aid care will differ according to the cause of the stroke.
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41
If the victim of a stroke develops difficulty breathing or becomes unconscious, turn him/her on his/her side with the paralyzed side up.
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42
A victim of a stroke can be given water to drink.
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43
A conscious victim of a stroke may not be able to speak, but can still understand and hear you speak.
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44
A transient ischemic attack may precede a thrombotic stroke.
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45
A stroke should be treated as an emergency just like a heart attack.
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