Quizzma Team
1.You find an unresponsive patient who is not breathing. After activating the emergency response system you determine that there is no pulse. What is your next action?
B. Administer epinephrine at a dose of 1 mg/kg. A. Open the airway with a head tiltchin lift.C. Deliver 2 rescue breaths each over 1 second.D. Start chest pressions at a rate of at least 100/min.
2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg the heart rate is 92/min the nonlabored respiratory rate is 14 breaths/min and the pulse oximetryreading is 97%. What assessment step is most important now?
A.PETCO2B. Chest x-ray C.Laboratory testingD. Obtaining a 12-lead ECG
3. What is the preferred method of access for epinephrine administration during cardiac arrest inmost patients?
A. IntraosseousB. EndotrachealC. Central intravenousD. Peripheral intravenous
4. An activated AED does not promptly analyze the rhythm. What is your next action?
A. Begin chest pressions.B. Discontinue the resuscitation attempt.C. Check all AED connections and reanalyze. D. Rotate AED electrodes to an alternate position.
5. You have pleted 2 minutes of CPR. The ECG monitor displays the lead II rhythm below and the patient has no pulse. Another member of your team resumes chest pressions and an IV is in place. What management step is your next priority?
A. Give 0.5 mg of atropine.B. Insert an advanced airway.C. Administer 1 mg of epinephrine.D. Administer a dopamine infusion.
6. During a pause in CPR you see this lead II ECG rhythm on the monitor. The patient has nopulse. What is the next action?
A. Establish vascular access.B. Obtain the patient's history.C.Resume chest pressions.D. Terminate the resuscitative effort.
7. What is a mon but sometimes fatal mistake in cardiac arrest management?
A. Failure to obtain vascular accessB. Prolonged periods of no ventilationsD. Prolonged interruptions in chest pressions C. Failure to perform endotracheal intubation
8. Which action is a ponent of high-quality chest pressions?
A.Allowing plete chest recoilB. Chest pressions without ventilation
C. 60 to 100 pressions per minute with a 15:2 ratioD. Uninterrupted pressions at a depth of 1% inches
9. What should be done to minimize interruptions in chest pressions during CPR?
10. Which condition is an indication to stop or withhold resuscitative efforts?
B.Safety threat to providers A. Unwitnessed arrestC. Patient age greater than 85 yearsD. No return of spontaneous circulation after 10 minutes of CPR
11. After verifying the absence of a pulse you initiate CPR with adequate bag-mask ventilation.The patient’s lead II ECG appears below. What is your next action?
A.IV or IO accessC. Consultation with cardiology for possible PCI B. Endotracheal tube placementD. Application of a transcutaneous pacemake
12. After verifying unresponsiveness and abnormal breathing you activate the emergencyresponse team. What is your next action?
B. Check for a pulse. A. Retrieve an AED.C. Deliver 2 rescue breaths.D. Administer a precordial thump.
You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. TheCT was normal with no sign of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment is best?
a. start fibrinolytic therapy ASAP b.hold fibrinolytic therapy for 24 hoursc. order an echo before fibrinolytic administrationd. wait for MRI resulta. start fibrinolytic therapy ASAP
For STEMI pt maximum goal time for ED door-to-balloon-inflation time for PCI?
a. 150 minsc.120 mins b. 180 minsd. 90 mins
d. 90 mins
syndrome? Which is the remended oral dose of aspirin for a patient with suspected acute coronary
a.81 mg b. 325-650 mgc. 160-325 mgd. 40 mg
c. 160-325 mg
chest pressions during for adult rate
a. 40-60/min b. 60-80/minc.80-100/mind. 100-120/min
d. 100-120/min
What is the effect of excessive ventilation?
b. decreased intrathoracic pressure a. decresed cardiac output
c. increased perfusion pressured. increased venous return
a. decreased cardiac output
temperature to achieve targeted temperature management after cardiac arrest
a. 30-34C b. 32-36Cc. 36-40Cd. 38-42C
b.32-36C
3 mins into cardiac arrest resuscitation attempt one member of your team inserts an endotrachealtube while another performs chest pressions. Capnography shows a persistent waveform & aPETCO2 of SmmHg. What is the significance of the finding?
a. chest pression may not be effectiveb. The endotrachael tube is in the esophagus c. the team is ventilating the patient too oftend. the patient meets the criteria for termination of efforts
a. chest pression may not be effective
Your patient is in cardiac arrest and has been intubated. To assess CPR quality you should?
a. obtain a chest x-rayb. check the patient’s pulse c. monitor the patient’s PETCO2d. obtain a 12-lead ECG
C. monitor the patient‘s PETCO2
In addition to clinical assessment which is the most reliable method to confirm & monitor correct placement of an endotracheal tube?
a. arterial blood gas b. hemoglobin levelsc. chest radiographyd. continuous waveform capnography
