COMPLETE QUESTIONS WITH ANSWERS
"His initial vital signs are HR 120/min, BP 135/88 mm Hg, RR 23/min, SpO2 87%, and
temperature 37.3C. When considering oxygen saturation, what is your course of action?
o Intubate the patient immediately
o Administer albuterol nebulizer
o Do not start oxygen
o Start oxygen at 4L/min via nasal cannula - CORRECT ANSWER o Start oxygen at 4L/min via
nasal cannula"
"What additional question help you determine next steps?
o Do you take any medication?
o Do you have any allergies?
o When was the last time you went to the doctor?
o When did the symptoms start?
o Have you had any recent falls? - CORRECT ANSWER o Do you take any medication?
o Do you have any allergies?
o When did the symptoms start?"
"With the diagnosis of STEMI, what is the most probable treatment?
o Release to home
o Admission to an intensive car unit
o Admission for observation
o Admission for PCI or fibrinolysis - CORRECT ANSWER o Admission for PCI or fibrinolysis"
"What is your goal for PCI when treating this patient?
o Door-to-balloon inflation time of 30 minutes
o First medical contact-to-balloon inflation time of 90 minutes
o Door-to-needle time of 90 minutes
o First medical contact-to-needle time of 30 minutes - CORRECT ANSWER o First medical
contact-to-balloon inflation time of 90 minutes"
"What needs to be completed for this patient within 20 minutes after hospital arrival?
o Neurologic assessment
o Admission to a monitored bed
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, o Interpretation of the emergent CT scan or MRI of the brain
o Administration of fibrinolytic therapy - CORRECT ANSWER o Neurologic assessment"
"As part of the neurologic assessment, you perform a physical and neurologic examination.
What are some of the general questions you need to ask?
o What other symptoms do you have?
o Has your wife been sick as well?
o Do you take any medications?
o Did you eat anything today?
o When did the symptoms start?
o Do you have any allergies? - CORRECT ANSWER o What other symptoms do you have?
o Do you take any medications?
o When did the symptoms start?
o Do you have any allergies?"
"You find the patient's neurologic function is rapidly improving. Is this patient still a candidate
for fibrinolytic therapy?
o Yes
o No
o Not enough information - CORRECT ANSWER o No"
"Based on the patient's condition, what is your next action?
o Pause CPR to establish IV/IO access
o Continue CPR while you establish IV/IO access
o Shock immediately
o Continue CPR while delivering shock - CORRECT ANSWER o Shock immediately"
"After a shock is delivered, CPR resumes immediately. What actions also needs to be performed
at this time?
o Establish IV/IO access
o Administer amiodarone or lidocaine
o Consider an advanced airway
o Perform a second rhythm check - CORRECT ANSWER o Establish IV/IO access"
"After 2 minutes, the team pauses CPR for a rhythm check. What rhythm is now being
demonstrated by the patient?
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