ACLS QUIZ
1. Which of the following are the "H" causes of reversible cardiac arrest?
Answer: -Hypovolemia, hypoxia, acidosis, hyperkalemia/ hypokalemia, hypothermia
2. Which of the following are the "T" causes of reversible cardiac arrest?
Answer: Tension pneumothorax, cardiac tamponade, toxins, pulmonary thrombosis, coronary
thrombosis
3. What is the most common symptom of myocardial ischemia and infraction?
Answer: Retrosternal chest pain
4. Which demographic group experiencing acute coronary syndrome in morelikely to present
without chest pain?
Answer: females
5. Oxygen should be delivered to a patient who has obvious signs of heartfailure if the
oxygen saturation is less than --- or unknown
Answer: 90%
6. Obtaining a --- is the most important assessment tool for a patient displaying signs and
symptoms of acute coronary syndromes.
Answer: 12 lead EKG
7. What is the time goal for how quickly you should complete a fibrinolytic checklist once
the patient arrives in the emergency department?
Answer: 10 minutes
8. A patient without dyspnea has signs of acute coronary syndrome. Thereare no obvious
signs of heart failure. You assess a noninvasively monitoredoxyhemoglobin saturation. What is
the oxygen saturation threshold below which supplemental oxygen would be required?
Answer: 90%
9. What are signs of clinical deterioration that would prompt the activation ofa rapid system?
Answer: Unexplained agitation, symptomatic hypertension, seizure
10. What blood component is acted upon by aspirin administration during themanagement of a
patient with acute coronary syndromes?
Answer: Platelets
11. Which is a contraindication to the administration of aspirin for the management of a
,patient with a cute coronary syndrome?
Answer: Recent GI bleeding
12. What is a physiologic effect of nitroglycerin?
Answer: Reduces preload
13. Which clinical finding represents a contraindication to the administrationof nitroglycerin?
Answer: Confirmed right ventricular infarction
14. Which class of medications commonly given to patients with acute coronary syndromes
may be adversely affected by morphine administration?
Answer: Oralantiplatelet medications
15. What is a benefit of morphine when given for the management of acutecoronary
syndromes?
Answer: Central nervous system analgesia
16. You obtain a 12-lead EKG in a patient with retrosternal chest pain. Which EKG finding is
suggestive of high-risk non-ST-Segment Elevation acute coronary syndromes?
Answer: Dynamic T-wave inversion
17. Upon reviewing a patient's 12-lead EKG, you note ST-Segment elevation of2mm in leads II,
III and AVF. How would you classify the EKG findings?
Answer: ST-segment elevation myocardial infraction
18. What happens when teams rapidly assess and intervene when patients have abnormal
vital signs?
Answer: The number of in-hospital cardiac arrests decreases
19. In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system?
Answer: Decreased ICU length to stay, decrease in total hospital length to stay
20. What is the goal for first medical contact-to-balloon inflation time for apatient receiving
percutaneous coronary intervention?
Answer: 90 minutes
21. What is the longest acceptable emergency department-door-to-needletime when
fibrinolysis is the intended reperfusion strategy?
Answer: 30 minutes
22. Upon reviewing a patient's 12-lead EKG, you note ST-segment elevation of2mm in leads
II, III, and AVF. How would you classify the EKG findings?
Answer: ST segment elevation myocardial infraction
, 23. What is recommended time window after symptom onset for early fibrinolytic therapy or
direct catheter- based reperfusion for patients with St-segment elevation myocardial infraction
and no contraindications?
Answer: Within 12 hours
24. What is the benefit of morphine when given for the management of ACS?-
Answer: Central nervous system analgesia
25. What is the most common type of stroke?
Answer: Ischemic stroke
26. What type of stroke occurs when a blood vessel is the brain suddenlyruptures into the
surrounding tissue?
Answer: Hemorrhagic stroke
27. Which is a sign of stroke?
Answer: Trouble speaking
28. Which is a symptom of stroke?
Answer: Sudden trouble seeing
29. What validated abbreviated out-of-hospital neurologic evaluation tool contains 3
components: the facial droop, arm drift, and abnormal speech tests?-
Answer: (CPSS) Cincinnati Prehospital Stroke Scale
30. What is the estimated probability of the Cincinnati Prehospital Stroke Scalewith 1 abnormal
finding when scored by prehospital provides?
Answer: 72%
31. Which is a stroke severity tool that helps EMS differentiate occlusion fromnon-large-
vessel occlusion stroke?
Answer: Los Angeles Motor Scale
32. Which are the elements of a system of care?
Answer: Structure, processes, system,patient outcome
33. What element of a system of care is represented by properly functioningresuscitation
equipment?
Answer: Structure
34. Among others, which factor has been associated with improved survival inpatients with
cardiac arrest?
Answer: Immediate high- quality CPR
1. Which of the following are the "H" causes of reversible cardiac arrest?
Answer: -Hypovolemia, hypoxia, acidosis, hyperkalemia/ hypokalemia, hypothermia
2. Which of the following are the "T" causes of reversible cardiac arrest?
Answer: Tension pneumothorax, cardiac tamponade, toxins, pulmonary thrombosis, coronary
thrombosis
3. What is the most common symptom of myocardial ischemia and infraction?
Answer: Retrosternal chest pain
4. Which demographic group experiencing acute coronary syndrome in morelikely to present
without chest pain?
Answer: females
5. Oxygen should be delivered to a patient who has obvious signs of heartfailure if the
oxygen saturation is less than --- or unknown
Answer: 90%
6. Obtaining a --- is the most important assessment tool for a patient displaying signs and
symptoms of acute coronary syndromes.
Answer: 12 lead EKG
7. What is the time goal for how quickly you should complete a fibrinolytic checklist once
the patient arrives in the emergency department?
Answer: 10 minutes
8. A patient without dyspnea has signs of acute coronary syndrome. Thereare no obvious
signs of heart failure. You assess a noninvasively monitoredoxyhemoglobin saturation. What is
the oxygen saturation threshold below which supplemental oxygen would be required?
Answer: 90%
9. What are signs of clinical deterioration that would prompt the activation ofa rapid system?
Answer: Unexplained agitation, symptomatic hypertension, seizure
10. What blood component is acted upon by aspirin administration during themanagement of a
patient with acute coronary syndromes?
Answer: Platelets
11. Which is a contraindication to the administration of aspirin for the management of a
,patient with a cute coronary syndrome?
Answer: Recent GI bleeding
12. What is a physiologic effect of nitroglycerin?
Answer: Reduces preload
13. Which clinical finding represents a contraindication to the administrationof nitroglycerin?
Answer: Confirmed right ventricular infarction
14. Which class of medications commonly given to patients with acute coronary syndromes
may be adversely affected by morphine administration?
Answer: Oralantiplatelet medications
15. What is a benefit of morphine when given for the management of acutecoronary
syndromes?
Answer: Central nervous system analgesia
16. You obtain a 12-lead EKG in a patient with retrosternal chest pain. Which EKG finding is
suggestive of high-risk non-ST-Segment Elevation acute coronary syndromes?
Answer: Dynamic T-wave inversion
17. Upon reviewing a patient's 12-lead EKG, you note ST-Segment elevation of2mm in leads II,
III and AVF. How would you classify the EKG findings?
Answer: ST-segment elevation myocardial infraction
18. What happens when teams rapidly assess and intervene when patients have abnormal
vital signs?
Answer: The number of in-hospital cardiac arrests decreases
19. In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system?
Answer: Decreased ICU length to stay, decrease in total hospital length to stay
20. What is the goal for first medical contact-to-balloon inflation time for apatient receiving
percutaneous coronary intervention?
Answer: 90 minutes
21. What is the longest acceptable emergency department-door-to-needletime when
fibrinolysis is the intended reperfusion strategy?
Answer: 30 minutes
22. Upon reviewing a patient's 12-lead EKG, you note ST-segment elevation of2mm in leads
II, III, and AVF. How would you classify the EKG findings?
Answer: ST segment elevation myocardial infraction
, 23. What is recommended time window after symptom onset for early fibrinolytic therapy or
direct catheter- based reperfusion for patients with St-segment elevation myocardial infraction
and no contraindications?
Answer: Within 12 hours
24. What is the benefit of morphine when given for the management of ACS?-
Answer: Central nervous system analgesia
25. What is the most common type of stroke?
Answer: Ischemic stroke
26. What type of stroke occurs when a blood vessel is the brain suddenlyruptures into the
surrounding tissue?
Answer: Hemorrhagic stroke
27. Which is a sign of stroke?
Answer: Trouble speaking
28. Which is a symptom of stroke?
Answer: Sudden trouble seeing
29. What validated abbreviated out-of-hospital neurologic evaluation tool contains 3
components: the facial droop, arm drift, and abnormal speech tests?-
Answer: (CPSS) Cincinnati Prehospital Stroke Scale
30. What is the estimated probability of the Cincinnati Prehospital Stroke Scalewith 1 abnormal
finding when scored by prehospital provides?
Answer: 72%
31. Which is a stroke severity tool that helps EMS differentiate occlusion fromnon-large-
vessel occlusion stroke?
Answer: Los Angeles Motor Scale
32. Which are the elements of a system of care?
Answer: Structure, processes, system,patient outcome
33. What element of a system of care is represented by properly functioningresuscitation
equipment?
Answer: Structure
34. Among others, which factor has been associated with improved survival inpatients with
cardiac arrest?
Answer: Immediate high- quality CPR
