MGRADES
ALS RCUK UPDATED ACTUAL Exam
Questions and CORRECT Answers
STEMI is always associated with chest pain - CORRECT ANSWER - False
STEMI rarely causes VF - CORRECT ANSWER - False
ST depression in leads V1-3 - CORRECT ANSWER - Posterior STEMI
new left bundle branch block - CORRECT ANSWER - STEMI
Transcutaneous pacing electrical capture - CORRECT ANSWER - 50-100 mA
Transcutaneous pacing in hyperkalaemi - CORRECT ANSWER - May be unsuccessful
Movement artefact may inhibit the pacemaker - CORRECT ANSWER - True
Electrical capture and generation of qrs complex ensures return of pulse - CORRECT
ANSWER - False
Self adhesive pads or ecg electrodes - CORRECT ANSWER - Electrodes
Where to apply adhesive electrodes for 3 lead monitoring - CORRECT ANSWER - Over
bone (minimise artefact)
Normal PR interval time - CORRECT ANSWER - 0.12-0.20 seconds (3-5 small boxes)
Normal QRS complex - CORRECT ANSWER - less than 0.12 seconds (3 small boxes)
, MGRADES
Immediate entry of water into lungs in drowning - CORRECT ANSWER - False
What happens initially in drowning - CORRECT ANSWER - Laryngospasm and breath
holding
High chance of good outcome in drowning - CORRECT ANSWER - Less than 10mins
Low chance of good outcome in drowning - CORRECT ANSWER - More than 25 mins
Following submersion, order of cardiac and respiratory arrest - CORRECT ANSWER -
Respiratory then cardiac
Prophylactic antibiotics in drowning - CORRECT ANSWER - No benefit
Asystole - shockable - CORRECT ANSWER - No
PEA - calcium chloride? - CORRECT ANSWER - 5ml 10% solution IV
Asystole - drug - CORRECT ANSWER - Adrenaline 1mg IV
PEA - drug - CORRECT ANSWER - Calcium chloride 5ml 10% solution
Hypoxaemic? - CORRECT ANSWER - Pao2 should only be 10 less than FiO2
Acidaemia - CORRECT ANSWER - <7.35
Alkalaemia - CORRECT ANSWER - >7.45
ALS RCUK UPDATED ACTUAL Exam
Questions and CORRECT Answers
STEMI is always associated with chest pain - CORRECT ANSWER - False
STEMI rarely causes VF - CORRECT ANSWER - False
ST depression in leads V1-3 - CORRECT ANSWER - Posterior STEMI
new left bundle branch block - CORRECT ANSWER - STEMI
Transcutaneous pacing electrical capture - CORRECT ANSWER - 50-100 mA
Transcutaneous pacing in hyperkalaemi - CORRECT ANSWER - May be unsuccessful
Movement artefact may inhibit the pacemaker - CORRECT ANSWER - True
Electrical capture and generation of qrs complex ensures return of pulse - CORRECT
ANSWER - False
Self adhesive pads or ecg electrodes - CORRECT ANSWER - Electrodes
Where to apply adhesive electrodes for 3 lead monitoring - CORRECT ANSWER - Over
bone (minimise artefact)
Normal PR interval time - CORRECT ANSWER - 0.12-0.20 seconds (3-5 small boxes)
Normal QRS complex - CORRECT ANSWER - less than 0.12 seconds (3 small boxes)
, MGRADES
Immediate entry of water into lungs in drowning - CORRECT ANSWER - False
What happens initially in drowning - CORRECT ANSWER - Laryngospasm and breath
holding
High chance of good outcome in drowning - CORRECT ANSWER - Less than 10mins
Low chance of good outcome in drowning - CORRECT ANSWER - More than 25 mins
Following submersion, order of cardiac and respiratory arrest - CORRECT ANSWER -
Respiratory then cardiac
Prophylactic antibiotics in drowning - CORRECT ANSWER - No benefit
Asystole - shockable - CORRECT ANSWER - No
PEA - calcium chloride? - CORRECT ANSWER - 5ml 10% solution IV
Asystole - drug - CORRECT ANSWER - Adrenaline 1mg IV
PEA - drug - CORRECT ANSWER - Calcium chloride 5ml 10% solution
Hypoxaemic? - CORRECT ANSWER - Pao2 should only be 10 less than FiO2
Acidaemia - CORRECT ANSWER - <7.35
Alkalaemia - CORRECT ANSWER - >7.45
