You have acquired the following 12 lead on a patient complaining of
chest pain and shortness of breath. You should Suspect?
A. Inferior myocardial injury.
B. Septal myocardial injury.
C. Lateral myocardial injury.
D. Anterior myocardial injury
C. Inferior myocardial injury Correct Answer-C. Inferior myocardial
injury
A 55 year old male is pulseless and apneic. Bystander CPR has been in
progress for 5 minutes. His ECG is below. What is your initial
treatment?
,A. Perform immediate defibrillation.
B. Perform synchronized Cardioversion.
C. Administer 1 gm of magnesium IV.
D. Administer 300 mg amiodarone.
C. Administer 1gm of magnesium IV. Correct Answer-C. Administer
1gm of magnesium IV.
In the prehospital setting, which vasopressor is most commonly used in
adult cardiogenic shock?
A. Dopamine
B. Norepinephrine
C. Dobutamine
D. Epinephrine
A. Dopamine Correct Answer-A. Dopamine.
A 53 year old patient had a sudden onset of a tearing abdominal pain at
the area of the umbilicus that radiates to his back. He is pale, ashen, and
diaphoretic. He has a history of hypertension, for which he takes
hydrochlorothiazide. Vital signs are BP 110/70, P 100, R 20. His ECG is
below. How should you interpret this rhythm?
,A. Sinus tachycardia.
B. Right-sided bundle branch block.
C. Normal sinus rhythm
D. PSVT
A. Sinus Tachycardia Correct Answer-A. Sinus Tachycardia
Which of the following dysrhythmias presents a significant risk for
embolic cerebrovascular accident (CVA)?
Select one:
A. Ventricular tachycardia with a pulse
B. Sinoatrial arrest
C. Atrial flutter
D. Atrial fibrillation Correct Answer-D. Atrial fibrillation.
On an ECG tracing, nearly all sinoatrial dysrhythmias share which of the
following features in Lead II?
Select one:
A. All P-R intervals are shortened and irregular.
B. All P waves are upright and uniform in appearance.
C. The rhythm is usually regularly irregular.
, D. All QRS complexes are less than 0.12 seconds. Correct Answer-C.
The rhythm is usually regularly irregular.
You have been running a cardiac arrest for about 30 minutes. Medical
control orders sodium bicarbonate. What is the appropriate dose and
route for this medication?
Select one:
A. 50 mEq ETT
B. 1 mg/kg IV only
C. 1 mEq/kg IV
D. 50 mg IV or 1 amp Correct Answer-C. 1 mE/kg IV
Which of the following is the most important aspect of stroke care?
Select one:
A. Monitoring the Cincinnati stroke scale
B. Assessing blood pressure values on both arms
C. Obtaining a blood glucose level
D. Noting the time of symptom onset Correct Answer-D. Noting the
time of symptom onset
What is an early effect of a tension pneumothorax on the heart?
Select one:
a. increased preload
b. increased contractility