4/25 ACLS AHA TEST EXAM WITH
2
Q&A VERIFIED ANSWERS A GRADED
patient has a rapid, irregular, wide-complex tachycardia;
A
The ventricular rate is 138/min.;
It is asymptomatic, with a BP of 110/70 mmHG;
He has a h/o angina;
hat action is recommended next?
W
a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
d) Seeking expert consultation
hat tests should be performed for a patient with a suspected stroke within 2 hours of arrival?
W
non-contrast CT scan of the head
VT types?
S
1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
he patient is in cardiac arrest?
T
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is asystole.
hat is the first drug/dose to administer?
W
Epinephrine 1 mg IV/IO
ranscutaneous Pacing?
T
Aka external pacing: a temporary means of pacing a patient's heart during a medical
emergency.
,It is accomplished by gradually delivering pulses of electric current (50-100 mA) through
the patient's chest until capture is reached (usually at a selected rate of 70), which
stimulates the heart to contract at a regular pace.
hich intervention is most appropriate for the treatment of a patient in asystole?
W
Epinephrine
patient with sinus bradycardia and a heart rate of 42/min is diaphoretic and with a blood
A
pressure of 80/60 mm Hg.
What is the initial dose of atropine?
0.5 mg of Atropine
patient has sinus bradycardia with a heart rate of 36 beats/min. Atropine has been
A
administered to a total dose of 3 mg. A transcutaneous pacing has failed to capture. The patient
is confused, and her BP is 88/56 mmHg. Which therapy is now indicated?
Epinephrine infusion: 2-10 mcg/min.
monitored patient in the ICU developed a sudden onset of regular narrow-complex
A
tachycardia at a rate of 220 beats/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is
98%.
There is a vascular (IV) access in the left arm, and the patient has not been given any basic
active drugs.
A 12-lead ECG confirms SVT with no evidence of ischemia or infarction.
The HR has not responded to vagal maneuvers.
What is your next action?
Administer adenosine 6 mg IV push
patient with possible STEMI has ongoing chest discomfort. What is a contraindication to
A
nitrate administration?
Use of a phosphodiesterase inhibitor (eg, Viagra) within the previous 24 hours
patient is in pulseless V-tach (PEA). 2 shocks and 1 dose of epinephrine have been given.
A
Which drug should be given next?
Amiodarone 300 mg (first dose)
, hat is the indication for the use of magnesium in cardiac arrest?
W
Pulseless V-tach associated with Torsades des pointes
hich is one way to minimize interruptions in chest compressions during CPR?
W
Continue CPR while the defibrillator charges
35-year-old woman has palpitations, light-headedness, and a stable tachycardia.
A
The monitor shows a regular-narrow-monomorphic-complex QRS at a rate of 180/minutes.
Vagal maneuvers have not been effective in terminating the rhythm.
An IV has been established.
Which drug should be administered?
Adenosine 6 mg (first dose)
ntiarrhythmic Infusion for Stable Wide-QRS Tachycardia:
A
1) Procainamide IV: 20 (max 50) mg/min;
2) Amiodarone IV: 150mg/10 min.;
3) Sotalol IV: 100 mg/5 min.;
57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a
A
regular wide-complex QRS at a rate of 180/min.
She becomes diaphoretic, and her BP is 80/60 mm Hg.
Which action do you take next?
Perform Synchronized Cardioversion at 100J
OSC
R
Return to spontaneous circulation after BLS.
patient is in refractory V-fib and has received multiple appropriate defibrillation shocks;
A
Epinephrine 1 mg IV twice;
An initial dose of amiodarone 300 mg IV.
The patient is intubated.
Which best describes the recommended (IV) 2nd dose of amiodarone for this patient?
150 mg (half);
ou arrive on the scene with the code team.
Y
High-quality CPR is in progress. An AED has previously advised "no shock indicated".
2
Q&A VERIFIED ANSWERS A GRADED
patient has a rapid, irregular, wide-complex tachycardia;
A
The ventricular rate is 138/min.;
It is asymptomatic, with a BP of 110/70 mmHG;
He has a h/o angina;
hat action is recommended next?
W
a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
d) Seeking expert consultation
hat tests should be performed for a patient with a suspected stroke within 2 hours of arrival?
W
non-contrast CT scan of the head
VT types?
S
1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
he patient is in cardiac arrest?
T
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is asystole.
hat is the first drug/dose to administer?
W
Epinephrine 1 mg IV/IO
ranscutaneous Pacing?
T
Aka external pacing: a temporary means of pacing a patient's heart during a medical
emergency.
,It is accomplished by gradually delivering pulses of electric current (50-100 mA) through
the patient's chest until capture is reached (usually at a selected rate of 70), which
stimulates the heart to contract at a regular pace.
hich intervention is most appropriate for the treatment of a patient in asystole?
W
Epinephrine
patient with sinus bradycardia and a heart rate of 42/min is diaphoretic and with a blood
A
pressure of 80/60 mm Hg.
What is the initial dose of atropine?
0.5 mg of Atropine
patient has sinus bradycardia with a heart rate of 36 beats/min. Atropine has been
A
administered to a total dose of 3 mg. A transcutaneous pacing has failed to capture. The patient
is confused, and her BP is 88/56 mmHg. Which therapy is now indicated?
Epinephrine infusion: 2-10 mcg/min.
monitored patient in the ICU developed a sudden onset of regular narrow-complex
A
tachycardia at a rate of 220 beats/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is
98%.
There is a vascular (IV) access in the left arm, and the patient has not been given any basic
active drugs.
A 12-lead ECG confirms SVT with no evidence of ischemia or infarction.
The HR has not responded to vagal maneuvers.
What is your next action?
Administer adenosine 6 mg IV push
patient with possible STEMI has ongoing chest discomfort. What is a contraindication to
A
nitrate administration?
Use of a phosphodiesterase inhibitor (eg, Viagra) within the previous 24 hours
patient is in pulseless V-tach (PEA). 2 shocks and 1 dose of epinephrine have been given.
A
Which drug should be given next?
Amiodarone 300 mg (first dose)
, hat is the indication for the use of magnesium in cardiac arrest?
W
Pulseless V-tach associated with Torsades des pointes
hich is one way to minimize interruptions in chest compressions during CPR?
W
Continue CPR while the defibrillator charges
35-year-old woman has palpitations, light-headedness, and a stable tachycardia.
A
The monitor shows a regular-narrow-monomorphic-complex QRS at a rate of 180/minutes.
Vagal maneuvers have not been effective in terminating the rhythm.
An IV has been established.
Which drug should be administered?
Adenosine 6 mg (first dose)
ntiarrhythmic Infusion for Stable Wide-QRS Tachycardia:
A
1) Procainamide IV: 20 (max 50) mg/min;
2) Amiodarone IV: 150mg/10 min.;
3) Sotalol IV: 100 mg/5 min.;
57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a
A
regular wide-complex QRS at a rate of 180/min.
She becomes diaphoretic, and her BP is 80/60 mm Hg.
Which action do you take next?
Perform Synchronized Cardioversion at 100J
OSC
R
Return to spontaneous circulation after BLS.
patient is in refractory V-fib and has received multiple appropriate defibrillation shocks;
A
Epinephrine 1 mg IV twice;
An initial dose of amiodarone 300 mg IV.
The patient is intubated.
Which best describes the recommended (IV) 2nd dose of amiodarone for this patient?
150 mg (half);
ou arrive on the scene with the code team.
Y
High-quality CPR is in progress. An AED has previously advised "no shock indicated".
