C-NPT: Cardiovascular
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Question 1 of 37
1. Question
A 3-year-old patient in respiratory distress secondary to a respiratory syncytial virus (RSV) is being transported. Â A patient in initial shock most likely will suffer from which acid-base disorder?
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Question 2 of 37
2. Question
A 30-week gestation neonate with a hypoplastic left heart is on FiO2 of 18% with a corresponding pre-ductal SpO2 of 71%. The team is currently at 2,000 feet, and the patient has an increase in SpO2 to 73%. What is the initial intervention for this patient?
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Question 3 of 37
3. Question
A neonate has sudden decompensation two days after going home with parents. The infant was full-term and seemingly healthy. On assessment, the pre-ductal SpO2Â on the right hand is 90%, and lower extremity SpO2Â is 70%. No femoral pulses are noted, and there is a distended abdomen. What is the suspected clinical diagnosis?
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Question 4 of 37
4. Question
A normal central venous pressure (CVP)/right atrial pressure (RAP) reading would be?
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Question 5 of 37
5. Question
A patient has a blood pressure of 102/58. What is the mean arterial pressure (MAP)?
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Question 6 of 37
6. Question
A patient presenting with Beck’s triad is most likely experiencing:
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Question 7 of 37
7. Question
AÂ patient is experiencing left ventricular diastolic failure. What is the focus of first-line therapy?
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Question 8 of 37
8. Question
Beck’s triad has all of the following EXCEPT which of the following?
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Question 9 of 37
9. Question
Common causes of an elevated pulmonary artery (PA) pressure include all the following except?
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Question 10 of 37
10. Question
Dopamine’s alpha-adrenergic effects are related to?
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Question 11 of 37
11. Question
How is cardiac output (Q) determined?
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Question 12 of 37
12. Question
How much circulating blood volume does your pediatric patient have?
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Question 13 of 37
13. Question
Identify the underlying problem based on the following parameters:
- CVP 0
- CI 6.1
- PA S/D 30/14
- PCWP 6
- SVR 400
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Question 14 of 37
14. Question
Identify the underlying problem based on the following parameters:
- CVP 16
- CI 1.3
- PA S/D 44/26
- PCWP 27
- SVR 2052
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Question 15 of 37
15. Question
Identify the underlying problem based on the following parameters:
- CVP 1
- CI 1.6
- PA S/D 12/8
- PCWP 5
- SVR 300
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Question 16 of 37
16. Question
Identify the underlying problem based on the following parameters:
- CVP 1
- CI 1.8
- PA S/D 11/5
- PCWP 4
- SVR 1800
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Question 17 of 37
17. Question
Immediately following rapid sequence intubation (RSI) and the use of succinylcholine, a 3-year-old patient develops a widened QRS complex and then a sinusoidal rhythm on the monitor. Subsequently, the patient goes into cardiac arrest. What condition do you suspect?
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Question 18 of 37
18. Question
Infants are born with ____________ axis deviation?
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Question 19 of 37
19. Question
Left axis deviation is noted on the EKG for a 1-hour-old neonate. This would indicate?
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Question 20 of 37
20. Question
Pulmonary capillary wedge pressure (PCWP) represents?
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Question 21 of 37
21. Question
The central venous pressure (CVP) monitors what?
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Question 22 of 37
22. Question
The following hemodynamic parameters are noted on a neonate: CVP 2, PCWP 12, CI 1.5, SVR 1800. What is the diagnosis?
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Question 23 of 37
23. Question
The following hemodynamic parameters are obtained: CVP 8, CI 1.4, and PCWP 13. This could indicate what problem for the patient?
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Question 24 of 37
24. Question
The high vascular resistance in the fetal lung is due to which of the following physiologic mechanisms?
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Question 25 of 37
25. Question
The team is caring for an 18-month-old, 10 kg patient experiencing a heart rate of 230 beats per minute.  The best medication for this patient is:
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Question 26 of 37
26. Question
The ___________ measures filling pressures on the right side of the heart as the tip of the catheter lies in the right atrium.
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Question 27 of 37
27. Question
What is the formula for determining mean arterial pressure (MAP)?
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Question 28 of 37
28. Question
What is the normal range for a pulmonary capillary wedge pressure (PCWP)?
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Question 29 of 37
29. Question
What is the normal systemic vascular resistance (SVR) measurement?
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Question 30 of 37
30. Question
When obtaining a pulmonary capillary wedge pressure (PCWP) on a cardiac patient, there is a large “V” wave on the waveform. After confirming correct placement and ensuring that the balloon is not ruptured, what condition is suspected?
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Question 31 of 37
31. Question
Which of the following congenital disorders results in a right-to-left shunt?
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Question 32 of 37
32. Question
Which of the following pressures is augmented by the intra-aortic balloon pump (IABP) inflation?
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Question 33 of 37
33. Question
Which of the following pulmonary artery pressures is within normal limits?
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Question 34 of 37
34. Question
Which type of medication blocks the renin-angiotensin-aldosterone (RAA) system to help with heart failure?
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Question 35 of 37
35. Question
While transferring a patient out of the pediatric ICU, the following hemodynamic parameters are noted: CI 1.6, CVP 17, PAP 44/22 mmHg, and PCWP 18 with a current BP of 78/60 and HR of 120. These hemodynamic parameters would suggest what diagnosis?
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Question 36 of 37
36. Question
Your patient presents with the following hemodynamic parameters: CVP 10 mmHg, PCWP 20 mmHg, cardiac output 2 mL/min, SVR 2,000 dynes/sec/cm/-5.  What type of shock is this patient in?
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Question 37 of 37
37. Question
____________ is a drug that has potent alpha effects and is used to increase systemic vascular resistance (SVR) in profound vasodilatory redistributive shock states such as sepsis and neurogenic shock.
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