Advanced Life Support (ALS) Exam Updated Actual Question and Answer (2026/2027) | Final Review

Advanced Life Support (ALS) Exam Updated
Actual Question and Answer (2026/2027) |
Final Review
• Stable angina -✓✓ Ischaemic chest pain provoked by exertion that resolves with
rest


• Unstable angina -✓✓ Ischaemic chest pain not provoked by exertion but without
myocardial infarction


• ST-elevation myocardial infarction (STEMI) -✓✓ Transmural myocardial
infarction resulting in ST elevation in contiguous ECG leads


• Anterior ECG leads -✓✓ V2, V3, V4


• Non ST-elevation myocardial infarction (NSTEMI) -✓✓ Non-transmural
myocardial infarction resulting in ST depression and/or T wave inversion in
contiguous ECG leads


• Inferior ECG leads -✓✓ II, III, aVF


• Lateral ECG leads -✓✓ I, aVL, V5, V6


• Septal ECG leads -✓✓ V1, V2


• Immediate treatment for all suspected acute coronary syndrome -✓✓ 1. Aspirin
300mg

, 2. Nitrate
3. Morphine
4. Oxygen ONLY IF HYPOXIC


• Further treatment for suspected unstable angina or NSTEMI -✓✓
Prasugrel/ticagrelor/clopidogrel
PLUS Fondaparinux/LMWH


• What can be used for myocardial protection in unstable angina or NSTEMI? -✓✓
Beta-blocker


• First-line further treatment for suspected STEMI -✓✓ PCI


• Second-line further treatment for suspected STEMI -✓✓ Fibrinolysis


• Left bundle branch block on ECG -✓✓ Wide QRS in V5 and V6
Large R wave in lead 1
Negative wave in lead V1


• First-line management for polymorphic VT/torsades de pointes -✓✓ Magnesium
2g over 10 minutes


• First-line management for monomorphic VT -✓✓ Amiodarone 300mg


• First-line management for regular supraventricular tachycardia -✓✓ Vagal
manoeuvres