ACLS Exam 2021/2022 with complete solution

Which class of medications commonly given to patients with acute coronary syndromes may be adversely affected by morphine administration A. Phosphodiesterase inhibitors B. Oral antiplatelet medications C. Beta blockers D. Calcium channel blockers - ANSWER Oral antiplatelet medications What is a benefit of morphine when given for the management of acute coronary syndromes? A. Central nervous system analgesia B. Increases systemic vascular resistance C. Increases left ventricular preload D. Vasoconstriction - ANSWER A. Central nervous system analgesia You obtain a 12-lead ECG in a patient with retrosternal chest pain. Which ECG finding is suggestive of high-risk non-ST segment elevation acute coronary syndromes A. ST depressions less than 0.5mm B. Dynamic T-wave inversion C. ST-segment elevation D. New bundle branch block - ANSWER B. Dynamic T-wave inversion Upon reviewing a patient's 12 lead ECG, you note ST-segment elevation of 2mm in leads II,III, and aVF How would you classify the electrocardiographic findings A. Normal B. STEMI C. Non-STEMI D. Non-diagnostic - ANSWER b. STEMI What happens when teams rapidly assess and intervene when patients have abnormal vital signs - ANSWER The number of in hospital cardiac arrests decreases What is the goal for first medical contact-to-ballon inflation time for a patient receiving PCI - ANSWER 90 minutes What is the longest acceptable emergency department door-to-needle time when fibrinolysis is the intended reperfusion strategy - ANSWER 30 minutes What is the time goal for how quickly you should complete a fibronolytic checklist once the patient arrives in the emergency department - ANSWER 10 minutes What is the recommended time window after symptom onset for early fibronolytic therapy or direct catheter-based reperfusion for patients with STEMI and no contraindication - ANSWER Within 12 hours a 49 yo says that he has had chest discomfort and excessive sweating for the past 25 minutes. Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of MI, what will your first actions include? - ANSWER Provide prehospital notification to the receiving hospital Administer aspirin if considering prehospital fibrinolysis, use the fibrinolytic checklist assess ABC Obtain EKG consider oxygen, nitroglycerin, and morphine if needed His initial vital signs are HR 120/min BP 135/88 RR 23 O2 87% When considering oxygen saturation, what is your course of actions? - ANSWER Start oxygen at 4L What additional questions help you determine next steps - ANSWER When did the symptoms start Do you take any medication Do you have any allergies Your patient continues to say that he has chest discomfort What treatment can you repeat as long as it is not contraindicated by vital signs - ANSWER Nitroglycerin subling