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NEWEST EXAM (JUST RELEASED)
Evidence suggest that there is a higher likelihood of good to excellent functional outcome when alteplase is
given to adults with an acute ischemic stroke within what time frame?
12 hours
3 hours
24 hours
6 hours - ANSWER: 3hrs
How do interruptions in chest compressions negatively impact survival after cardiac arrest?
Increase intracranial pressure
Decrease coronary perfusion pressure
Reduce right ventricular period
Increase intrathoracic pressure - ANSWER: Decrease coronary perfusion pressure
How do you calculate Coronary Perfusion Pressure (CPP)? - ANSWER: Aortic diastolic pressure "minus" Right
Atrial Diastolic Pressure
How do you calculate the chest compression fraction (CCF)? What is ideal percentage? - ANSWER: Divide chest
compression time by total code time. You want this at least 60% but ideally greater than 80%
How long should the second rescuer squeeze the bag mask device when providing 2-rescuer ventilation?
,1 sec
3 sec
4 sec
2 sec - ANSWER: 1sec
How quickly does the chance of survival decline for every minute of defibrillation delay in patients with
ventricular fibrillation who do receive bystander CPR?
3-4%
5-6%
11-13%
7-10% - ANSWER: 7-10%
Identify the diastolic blood pressure threshold for withholding fibrinolytic therapy to otherwise eligible
patients with acute ischemic stroke.
110
105
115
100 - ANSWER: 110
Identify the systolic blood pressure threshold for withholding fibrinolytic therapy to otherwise eligible patients
with acute ischemic stroke. - ANSWER: 185
180
177
190
If a patient with stable ventricular tachycardia does not response to vagal maneuvers, what drug and dose
regimen is to be given? - ANSWER: Give Adenosine 6mg over 1 second followed by a flush in a large vein and
elevate arm quickly after
If they don't response in 1-2 minutes, Administer 12 mg IV followed by a flush and elevate arm quickly
, If someone starts developing hypotension after giving morphine or nitroglycerin? - ANSWER: Administer fluids
In addition to decreased IHCA, what are some other benefits of implementing a rapid response system? Select
all that apply
Decreased ICU length of stay
Decreased emergency department admissions
Increased ICU admissions
Increased Hospital Length of Stay
Decreased in total hospital length of stay - ANSWER:
Obtaining a what is the most important assessment tool for a patient displaying signs and symptoms of acute
coronary syndrome? - ANSWER: 12 lead ekg
Oxygen should be delivered to a patient who has obvious signs of heart failure if the oxygen saturation is less
than? - ANSWER: 90%
The initial assessment reveals a conscious patient. The patients airway is patent and an advanced airway is not
indicated.
Which action in the primary assessment should you perform next?
Remove clothing to perform a physical examination
Check for neuro function
Administer oxygen as needed
Check for the presence of a pulse - ANSWER: Administer oxygen as needed
Upon reviewing a patients 12 lead ECG, you note ST elevation of 2mm in leads II, III, and aVF. How would you
classify these ECG findings?
Non-st segment elevation MI