ANSWERS
1. You are caring for a patient with a suspected stroke
whose symptoms start-ed 2 hours ago. The CT was
normal with no sign of hemorrhage. The patient does
not have any contraindications to fibrinolytic therapy.
Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result: a. start fibrinolytic therapy ASAP
2. For STEMI pt, maximum goal time for ED door-to-
balloon-inflation time for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins: 90 mins
3. Which is the recommended oral dose of ASA for a pt w/
suspected ACS?
a. 81 mg
b. 325-650 mg
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c. 160-325 mg
d. 40 mg: 160-325 mg
4. chest compressions during for adult rate: 100-120/min
5. effect of excessive ventilation
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return: decreased cardiac output
6. temperature to achieve targeted temperature
management after cardiac arrest: 32-36C
7. 3 mins into cardiac arrest resuscitation attempt, one
member of your team inserts an endotracheal tube
while another performs chest compressions.
Capnography shows a persistent waveform & a
PETCO2 of 8mmHg. What is the significance of the
finding?
a. chest compression may not be effective
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b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts:
a. chest compression may not be ettective
8. Your patient is in cardiac arrest and has been
intubated. to assess CPR quality, you should: monitor the
patient's PETCO2
9. In addition to clinical assessment, which is the most
reliable method to confirm & monitor correct placement
of an endotracheal tube?: continous waveform
capnography
10. A 45M had coronary artery stents placed 2 days
ago. Today he is in severe distress and reporting
"crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak,
blood pressure is 64/40, respiratory is 28 bpm/min and
O2 set is 89% on room air.: answer has to do with acute
coronary syndrome
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