A patient arrives with crushing substernal chest pain and diaphoresis. What is the priority diagnostic action in the first 10 minutes?
Cen Cardiovascular
Question · Easy
The right to say no
Short
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Primary Survey
Triage & Shock
Flashcard
Which rhythm in a pulseless adult is shockable?
Complete coronary artery occlusion syndrome on a 12-lead ECG that warrants primary percutaneous coronary intervention or timely fibrinolytic reperfusion.
Cardiovascular Emergencies
Guess the Term
Chapter 1: CEN Orientation and Exam Strategy
1.1 Current CEN Exam Facts
Study guide
Cheat sheet
An unstable tachycardic patient with hypotension and altered mentation should receive which immediate intervention?
Question · Medium
Read the clue and guess the term in 6 tries.
Game
ESI Level 1
Which finding is MOST concerning for cardiogenic shock after acute MI?
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Largest systemic artery whose intimal tear produces sudden ripping chest or interscapular back pain and blood pressure differences between the arms.
A patient with tearing chest pain radiating to the back and pulse differential between arms should raise suspicion for:
Which precautions?
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Waiting Room Reassessment
What is the first-line treatment priority for symptomatic bradycardia with poor perfusion?
Resuscitation milestone after cardiac arrest that triggers structured post-arrest blood pressure, oxygenation, ventilation, and temperature control.
1.2 Eligibility, Application, and Scheduling
A narrow-complex tachycardia at 180 bpm that is regular and stable is most consistent with:
Swap tiles to line up three of the same term.
Term Match
Compensated Shock
Which statement about high-sensitivity troponin in the ED is MOST accurate?
Question · Hard
Ventricular hormone measured in blood to help distinguish acute decompensated heart failure from pulmonary causes of dyspnea.
A patient in cardiac arrest has PEA on monitor. What is the MOST important immediate strategy?
Distributive Shock
Which finding best differentiates pericarditis from STEMI on ECG?
Venous clot disorder of the lower leg, thigh, or pelvis evaluated with D-dimer testing and duplex Doppler ultrasound.
1.3 Blueprint Domains and Weighting
In acute decompensated heart failure with severe dyspnea, which bedside intervention often improves oxygenation quickly?
Flip two cards at a time to find matching terms.
Term Pairs
Septic Shock Pattern
Which patient with chest pain is highest triage priority?
Average arterial perfusion pressure across one cardiac cycle estimated by adding one-third of pulse pressure to diastolic blood pressure.
A COPD patient arrives in acute exacerbation with SpO2 79% on room air. Initial oxygen strategy should aim for:
Cen Respiratory
Hemorrhagic Shock Priority
Trauma
Sudden dyspnea, pleuritic chest pain, and unilateral leg swelling should prompt evaluation for:
Chronic reversible inflammatory airway disease in which a peak expiratory flow reading below 50 percent of personal best signals a severe attack.
Respiratory Emergencies
1.4 Question Style and Score Report Thinking
Tracheal deviation, severe respiratory distress, and unilateral absent breath sounds most strongly indicate:
Find five hidden terms in a grid of letters.
Term Search
C-Spine Precautions
In severe asthma with minimal air movement ("silent chest"), the nurse should recognize this as:
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