Update 2026 | 2027 | Questions &
Quiz_________________?
A 49-year-old man arrives at the emergency department with chest discomfort. He states
that he was working in the garden this morning when his chest started hurting. The last
episode lasted about 25 minutes, and he was sweaty. The chest discomfort is not relieved
with rest.
Within the first 10 minutes, on the basis of the pt showing symptoms suggestive of MI, what
will your first actions include (if not completed by EMS before arrival)? -
Answer✅
If SpO2 is less than 90%, start oxygen
Obtain a 12-lead EKG
Administer aspirin and establish IV access
Assess ABCs
Consider nitroglycerin, morphine, and a P2Y inhibitor
Activate the STEMI team
1
, Quiz_________________?
A 72-year-old male pt has been suffering from progressive dizziness and bouts of
palpitations after exercising last night. His symptoms reappeared and worsened this am.
The pt is conscious and alert, has a HR of 180/min, a weak radial pulse, BP 110/78 mmHg,
and SpO2 of 96%
What are the most appropriate initial interventions? -
Answer✅
Maintain a patent airway and monitor
Attach a 12-lead EKG
Quiz_________________?
A 74-year-old man was brought to the hospital by his wife. She states that her husband
started having sudden left-arm weakness and left-sided facial paralysis during lunch. He has a
past medical history of poorly controlled HTN.
The pt's VS show HR 92/min, RR 14/min, BP 130/86 mmHg, SpO2 97%, and AFib on the
monitor.
What additional assessment and stabilization activities should be completed within the first
10 mins after the pt's arrival? -
Answer✅
Check glucose
Activate stroke team
Establish IV access
Complete neuro screening
Order an emergent CT scan or MRI of the brain and review pt history
2
, Quiz_________________?
A 75-year-old man presents to the emergency department. His wife states that he fainted 45
mins ago, while watching TV. She said he has had episodes of confusion and fatigue during
the past week. The pt presents with HR 30/min (weak pulse), BP 66/43 mmHg, RR 20/min,
and SpO2 89%. He is alert and responsive.
What should your next steps be to assess and treat this pt? -
Answer✅
Maintain the airway and administer oxygen if needed
Establish IV access
Obtain a 12-lead EKG
Quiz_________________?
After administration of adenosine, the pt's VS are now HR 184/min, RR 26/min, and BP
78/54 mmHg. He now only responds to noxious stimuli.
What is your next action? -
Answer✅
Perform synchronized cardioversion
Quiz_________________?
Among others, which of the following factors has been associated with improved survival in
pts with cardiac arrest?
Immediate high-quality CPR
3
Quiz_________________?
A 49-year-old man arrives at the emergency department with chest discomfort. He states
that he was working in the garden this morning when his chest started hurting. The last
episode lasted about 25 minutes, and he was sweaty. The chest discomfort is not relieved
with rest.
Within the first 10 minutes, on the basis of the pt showing symptoms suggestive of MI, what
will your first actions include (if not completed by EMS before arrival)? -
Answer✅
If SpO2 is less than 90%, start oxygen
Obtain a 12-lead EKG
Administer aspirin and establish IV access
Assess ABCs
Consider nitroglycerin, morphine, and a P2Y inhibitor
Activate the STEMI team
1
, Quiz_________________?
A 72-year-old male pt has been suffering from progressive dizziness and bouts of
palpitations after exercising last night. His symptoms reappeared and worsened this am.
The pt is conscious and alert, has a HR of 180/min, a weak radial pulse, BP 110/78 mmHg,
and SpO2 of 96%
What are the most appropriate initial interventions? -
Answer✅
Maintain a patent airway and monitor
Attach a 12-lead EKG
Quiz_________________?
A 74-year-old man was brought to the hospital by his wife. She states that her husband
started having sudden left-arm weakness and left-sided facial paralysis during lunch. He has a
past medical history of poorly controlled HTN.
The pt's VS show HR 92/min, RR 14/min, BP 130/86 mmHg, SpO2 97%, and AFib on the
monitor.
What additional assessment and stabilization activities should be completed within the first
10 mins after the pt's arrival? -
Answer✅
Check glucose
Activate stroke team
Establish IV access
Complete neuro screening
Order an emergent CT scan or MRI of the brain and review pt history
2
, Quiz_________________?
A 75-year-old man presents to the emergency department. His wife states that he fainted 45
mins ago, while watching TV. She said he has had episodes of confusion and fatigue during
the past week. The pt presents with HR 30/min (weak pulse), BP 66/43 mmHg, RR 20/min,
and SpO2 89%. He is alert and responsive.
What should your next steps be to assess and treat this pt? -
Answer✅
Maintain the airway and administer oxygen if needed
Establish IV access
Obtain a 12-lead EKG
Quiz_________________?
After administration of adenosine, the pt's VS are now HR 184/min, RR 26/min, and BP
78/54 mmHg. He now only responds to noxious stimuli.
What is your next action? -
Answer✅
Perform synchronized cardioversion
Quiz_________________?
Among others, which of the following factors has been associated with improved survival in
pts with cardiac arrest?
Immediate high-quality CPR
3
