ACLS 2021
ACLS 2021 Study Guide Review
Questions (151 terms) with Verified
Answers Updated 2023-2024.
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
, ACLS 2021
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
, ACLS 2021
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 fibrinolytic
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
ACLS 2021 Study Guide Review
Questions (151 terms) with Verified
Answers Updated 2023-2024.
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
, ACLS 2021
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
, ACLS 2021
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 fibrinolytic
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
