ACLS

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rahproteus
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10644
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ACLS
Updated:
2010-03-15 19:03:26
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ACLS QUESTIONS
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ACLS QUESTIONS
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  1. A PATIENT ARRIVES IN THE ED WITH ( PEA ) AT 30 BPM. CPR CONTINUES, TUBE PLACEMENT CONFIRMED, IV IN PLACE. WHAT MEDICATION IS MOST APPROPRIATE TO GIVE NEXT.
    EPINEPHRIN 1MG IV
  2. WHAT HELPS DELIVER MAXIMUM CURRENT DURING DEFIBRILLATION
    CORRECT POSITION OF PADS AND CONDUCTIVE PASTE IF PADDLES USED.
  3. WHAT ACTIONS ARE USED WHEN PERFORMING CLEAR BEFORE DEFIBRILLATIOR DISCHARGE
    • CHECK THE PERSON MANAGING AIRWAY
    • CHECK YOURSELF
    • CHECK THAT NO OTHERS ARE TOUCHING PATIENT

    I'M CLEAR, YOUR CLEAR, EVERYONE IS CLEAR
  4. A PATIENT WITH NARROW COMPLES PSVT IN ER. ALERT, ORINENTED, BUT PALE. HR 165 BPM ECG SHOWS SVT. BP 105/70, O2 GIVEN, IV IN PLACE. WHAT DRUG-DOSE IS MOST APPROPRIATE AS INITIAL TREATMENT?
    • ADENOSINE 6MG RAPID IV PUSH
    • THEN
    • 12MG
    • 12MG
  5. TRUE OR FALSE ARTIFACDT SIGNALS DISLPLAYED ON THE MONITOR CAN LOOK LIKE VF
    TRUE
  6. ENDOTRACHEAL INTUBATION COMPLETE AND YOU HEAR GURGLING OVER THE EPIGASTRIUM. WHAT ISSA THE LIKELY EXPLANATION FOR THIS?
    INTUBATION OF ESOPHAGUS
  7. WHAT SHOULD YOU DO AFTER GIVING IV MEDICATION DURING CPR.
    FOLLOW IV MEDICATION WITH A FLUID BOLUS AND RAISE ARM.
  8. WHEN TREATING A PATIENT IN VF AND AFTER 2 SHOCKS KYOU CONSIDER USING VASOPRESSIN. WHAT IS THE GUIDELINE FOR ITS USE:
    GIVE VASOPRESSIN AS AN ALTERNATIVE TO A FIRS OR SECOND DOSE OF EPINEPHRINE.
  9. WHAT AGENTS ARE USED FREQUENTLY IN THE EARLY MANAGEMENT OF ACUTE CARDIAC ISCHEMIA?
    • CHEWABLE ASPRIN
    • SUBLIGUAL NITROGLYCERIN
    • IV MORPHINE
  10. WHAT OUT OF HOSPITAL ASYSTOLE IS MOST LIKELY TO RESPOND TO TREATMENT

    1 SUBMERSION IN WARM WATER
    2 DRUG OVERDOSE
    3 BLUNT MULTISYSTEM TRAUMA
    2 DRUG OVERDOSE
  11. WITHIN 45 MINS OF ARRIVAL IN ER, WHAT EVALUATION SEQUENCES SHOUUD BE PERFORMED ON A PATIENT WITH STROKE SYMPTOMS.
    HISTORY, PHYSICAL, NEURLOGIC EXAMS, NON-CONTRAST CT ( WITH RADIOLOGIST INTERPRETATION )
  12. A 34 Y/O WOMAN WIHT HX OF MITRAL VALVE PROLAPSE IS IN ED COMPLAING OF PALPITATIONS. VITAL SIGNS HR165, RESP 14, BP 118/92, O2 98%, LUNGS CLEAR, NO SOB. ECG SHOWS NARROW-COMPLEX TACHYCARDIA. WHAT TERM BEST DESCRIBES HER CONDITION?
    STABLE TACHYCARDIA
  13. PATIENT IN ER WITH 1 WEEK HX OF LIGHTHEADEDNESS, PALPITATIONS, AND MILD EXERCISE INTOLERRANCE. ECG SHOWS ( atrial fibrillation ) WHAT IS THE MOST APPROPRIATE NEXT INTERVENTION?
    SEEK EXPERT CONSULTATION
  14. VASOPRESSIN CAN BE RECOMMENDED FOR WHICH ARREST RHYTHMS?
    VF, ASYSTOLE, AND PEA
  15. BAG VENTILATIONS ARE PRESENT, NOW 2 MINS AFTER 1MG EPINEPHRINE IV ( PEA ) CONTINUES AT 30BPM. WHAT IS THE NEXT ACTION?
    GIVE 1MG ATROPINE IV
  16. A 25 Y/O WOMEN IN ER HAVING ANOTHER EPISODE OF PSVT. HR IS 180, HAS PALPITATIONS, MILD SOB,. BAGAL MANEUVERS AND CAROTID MASSAGE HAVE NO EFFEDCT ON HR OR RHYTHEM. WHAT SHOULD BE NEXT INTERVENTION?
    IV ADENOSINE
  17. A PATIENT WITH HR OF 30-40 BPM COMPLAINS OF DIZZINESS, COOL AND CLAMMY, DYSPNEA. ECG SHOWS ( 3RD DEGREE HEART BLOCK ) ALL MODALITIES ARE PRESENT. WHAT SHOULD BE CONSIDERED FIRST?
    BEGIN IMMEDIATE TRANSCUTANEOUS PACING, AND SEDATE IF POSSIBLE
  18. WHAT IS THE DRUG OF CHOICE FOR MOST NARROW-QRS TACHYCARDIA
    ADENOSINE
  19. VASOPRESSIN MAY BE USED IN THE MANAGEMENT OF?
    V-FIB
  20. THE MOST COMMON SIDE EFFECT OF GIVING AMIODARONE ARE?
    BRADYCARDIA AND HYPOTENSION
  21. WHAT APPROACHE IS RECOMMENDED DURING THE " INITAL " PATIENT EVALUATION?
    • LEVEL OF RESPONSIVENESS
    • AIRWAY
    • BREATHING
    • CIRCULATION
    • DEFIBRILLATION IF NECESSARY
  22. WHAT IS THE FIRST ANTIARRHYTHMIC ADMINISTERED IN PATIENTS IN PULSELESS NENTRICULAR TACHYCARDIA OR VENTRICULAR FIBRILLATION?
    AMIODARONE OR LIDOCAINE
  23. AN ORAL AIRWAY IS IN PLACE, EACH VENTILATION DELIVERED OVER 1 SECOND AT RATE OF ?
    10 - 12 VENTILATIONS PER MINUTE, EACH DELIVERED OVER 1 SEC.
  24. A PATIENT WITH POSSIBLE ACUTE CORONARY SYNDROME SHOULD RECEIVE A TARGETED HISTORY AND PHYSICAL AND A 12 LEAD ECG WITHIN _____ MINS OF CONTACT ( PRE-HOSPITAL) OR ARRIVAL IN ER.
    10 MINUTES
  25. A PATIENT WITH SYMPTOMATIC BRADYCARDIA AND PLACED ON TRANSCUTANEOUS PACEMAKERE. The RATE SHOULD BE SET AT ____________ AND SHOUD BE INCREASED SLOWLEY UNTIL CAPTURE IS ACHIEVED.
    60 - 80 BPM
  26. MOST MYOCARDIAL INFARCTONS OCCUR BECAUSE OF ?
    CORONARY THROMBOSIS
  27. IS A MONOMORPHIC VENTRICULAR TACHYCARDIA A SHOCKABLE RHYTHM
    YES
  28. HOW SHOULD IV DRUGS BE GIVEN DURING CARDIAC ARREST
    GIVE IV BOLUS AND FOLLOWED WITH A 20ML OF FLUSH, RAISE ARM
  29. IF ATTEMPTS TO ESTABLISH A PERIPHERAL IV HAVE BEEN UNSUCCESSFUL, YOU BEST COURSE OF ACTION AT THIS TIME WILL BE?
    ATTEMPT INTRAOSSEOUS ACCESS
  30. HOW IS AMIODARONE GIVEN
    • 300MG 1ST DOSE
    • 150MG ONE REPEAT DOSE
    • FOR PULSELESS V-TAC OR F-FIB
  31. WHAT DRUG CAN BE GIVEN IN DOSES OF 1MG TO A MAX OF 3MG IN ASYSTOLE OR SLOW PEA
    ATROPINE
  32. TRUE OR FALSE BAG-VALVE-MASK VENTILATION CAN PRODUCE GASTRIC DISTENTION THAT CAN LEAD TO VOMITING AND SUBSEQUENT ASPIRATION
    TRUE
  33. DEFIBRILLATION IS INDICATED IN THE MANAGEMENT OF?
    • PULSELESS VENTRICULAR TACHYCARDIA
    • VENTRICULAR FIBRILLATION
  34. THE MOST COMMON CAUSE OF A STROKE IS ?
    A CLOT ( THROMBUS )
  35. A 72 Y/O PATIENT HAS SEVERE CHEST PAIN. HIS CONSCIOUSNESS SUDDENLY DECREASES AS AN ALARM SOUNDS ON THE MONITOR. THE MONITOR REVEALS ( MONOMORPHIC V-TACH ). HIS SKIN IS PALE, CLAMMY, BP 68/40, R 12. PULSE IS WEAK AND FAST., WHAT IS BEST COURSE OF ACTION IN THIS SITUATION?
    CONSIDER SEDATION AND PERFORM SYNCHRONIZED CARDIOVERSION
  36. THE CORRECT DOSE OF EPINEPHRINE, WHEN GIVEN VIA ET TUBE IS
    2 - 2.5 MG
  37. A PATIENT WITH A PERMANENT PACEMAKER IN PLACE. SHOULD IT BE NECESSARY TO DEFIBRILATE THIS PATIENT, THE PADS SHOULD BE PLACED?
    1 INCH FROM THE PACEMAKER GENERATOR
  38. TRANSCUTANEOUS PACING IS NO LONGER RECOMMENDED FOR WHICH OF THE FOLLOWING RHYTHMS.

    A. JUNCTIONAL RHYTHM
    B. 2 DEGREE AV BLOCK TYPE II
    C. THIRD-DEGREE AV BLOCK
    D. ASYSTOL
    D. ASYSTOL
    (this multiple choice question has been scrambled)
  39. WHAT DYSRHYTHMIAS IS MOST EASILY CONFUSED WITH MULTIFOCAL ATRIAL TACHYCARDIA.
    ATRIAL FIBRILLATION
  40. IF ATROPINE IS GIVEN ENDOTRACHEALLY THE CORRECT DOSE IS
    2-2.5MG
  41. HOW SHOULD IV EPINEPHRIN BE GIVEN DURING CARDIAC ARREST
    1 MG OF EPINEPHRINE 1:10000 SOLUTION GIVEN RAPID IV PUSH EVERY 3-5 MINS. FOLLOWED BY 10ML FLUID AND RAISE ARM.
  42. CPR IN PROGRESS IN A CARDIAC ARREST. THIS WAS NOT WITNESSED. THE CARDIAC MONITOR SHOWES FINE V-FIB. WHAT WOULD BE THE NEXT INTERVENTION?
    CONTINUE CPR FOR 2MINS OR 5 CYCLES AND THEN DEFIBRILATE
  43. A PATIENT IS NOT RESPONSIVE, NOT BREATHING, NO PULSE. CPR IS IN PROGRESS. IV ESTABLISHED, PATIENT IS VENTILATED. ECG SHOWES ( SINUS BRADYCARDIA ) WHAT ACLS GUIDELINES SHOULD BE USED
    BECAUSE THE PATIENT HAS NO PULSE YOU MUST TREAT AS A ( PEA ) ALWAYS CHECK FOR CAUSE LIKE A TENSION PNEUMOTHORAX
  44. THE ENERGY SELECTED FOR TCP IN INDICATED IN__________________
    MILLAMPERES
  45. PROPER ORAL AIRWAY SIZE IS DETERMINED BY MEASURING FROM THE CORNEROF THE MOUTH TO THE ANGLE OF THE _____
    JAW
  46. THE MOST COMMON VASOPRESSOR USED IN CARDIAC ARREST IS _________
    EPINEPHRINE
  47. _____________ CARDIOVERSION: THE TIMED DELIVERY OF A SHOCK DURING THE QRS COMPLEX
    SYNCHRONIZED
  48. TCP IS USUALLY PERFORMED IN _____________MODE
    DEMAND
  49. EVRY OTHER BEAT COMES FROM A SITE OTHER THAN THE SA NODE IS KNOWN AS ______________
    BIGEMINY
  50. THE ENERGY SELECTED FOR DEFIBRILLATION OR CARDIOVERSION IS INDICATED IN ____________
    JOULES
  51. SYNCHRONIZED CARDIOVERSION DELIVERS A SHOCK DURING THE ____________COMPEX
    QRS
  52. DEFIBRILLATION IS INDICATED IN THE MANAGEMENT OF ____________
    • PULSELESS VT
    • VF
  53. SECOND-DEGREE AV BLOCK, TYPE II ; BP 64/42 AND A ALTERED MENTAL STATUS _____________IS INDICATED
    TCP
  54. A COMMON CAUSE OF PEA IS ____________
    HYPOVOLEMIA
  55. FIVE CYCLES OF EPR IS EQUAL TO ABOUT __________MINS
    TWO MINS
  56. MOST WIDE QRS TACHYCARDIAS ARE ________TACHYCARDIAS
    VENTRICULAR
  57. WHAT IS THE DEFINITIVE TREATMENT FOR CARDIAC TAMPONADE
    PERICARDIOCENTESIS
  58. A TYPE OF VT IN WHICH THE QRS COMPEXES ARE OF SIMILAR SHAPE AND AMPLITUDE IS KNOWN AS ___________
    MONOMORPHIC
  59. ___________ INCREASES MYOCARDIAL OXYGEN DEMAND AND DECREASES TIME FOR CORONARY ARTER PERFUSION
    TACHYCARDIA
  60. THE MAXIMUM TOTAL DOSE OF ATROPINE FOR SYMPTOMATIC BRADYCARDIA OR ASYSTOL IS ______MG
    3 MG
  61. SIGNS OF HPERKALEMIA ON THE ECG ARE USUALLY SEEN AS TALL ________
    T-WAVES
  62. DO NOT USE __________GEL FOR DEFIBRILLATION
    ULTRASOUND
  63. MORPHINE SULFATE MAY BE USED IN THE MANAGEMENT OF ACUTE PULMONARY EDEMA BECAUSE IT_______________
    CAUSES VASODILATION, REDUCING PRELOAD AND AFTERLOAD
  64. WHEN ATROPINE IS USED IN THE MANAGEMENT OF ASYSTOL, THE CORRECT DOSE IS ____
    1 MG
  65. EXAMPLES OF IRREGUILAR TACHYCARDIAS INCLUDE_____________
    A-FIB, ATRIAL FLUTTER, AND POLYMORPHIC VT

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