Exam 2023-2024
A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of
amiodarone 300 mg IV. The patient is intubated. Which best describe the
recommended second dose of amiodarone for this patient?
A. 1 mg/kg IV push
B. 1 to 2 mg/min infusion
C. 150 mg IV push
D. 300 mg IV push - answer-C. 15o mg IV push
You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT
scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula
at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg.
Which drug do you anticipate giving to this patient?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA - answer-A. aspirin
, A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which
therapy is now indicated?
A. atropine 1 mg
B. epinephrine 2 to 10 mcg/min
C. adenosine 6 mg
D. normal saline 250 ml to 500 ml bolus - answer-B. epinephrine 2 to 10 mcg/min
a 57 year-old-woman has palpitations, chest discomfort, and tachycardia. The
monitor show a regular wide-complex QRS at a rate of 180/min. she becomes
diaphoretic, and her blood pressure is 80/60 mm Hg. Which action do you take
next?
A. establish IV access
B. obtain a 12-lead ECG
C. perform electrical cardioversion
D. seek expert consultation - answer-C. perform electrical cardioversion
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an
initial shock. If no pathway for medication administration is in place, which
method is preferred?
A. central line
B. endotracheal tube
C. external jugular vein