COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
◍ Ventricular fibrillation
CPR, Amiodarone, Defibrilate, Epi. Answer: What is this rhythm and
how is it treated?
◍ Asystole
CPR & Epinephrine. Answer: What is this rhythm? and how is it
treated?
◍ PVC or premature ventricular contraction
Treat the underlying cause:
1. hypoxemia (o2)
2. Ischemia (12 lead to confirm)
3. electrolyte imbalance (Mg+ or K+ replacement). Answer: What is
this rhythm? and how is it treated?
◍ AFib
"control the rate and anticoagulate"
,Synchronized Cardioversion and anticoagulation. Answer: What is
this rhythm and how is it treated if unstable?
◍ Give an antidysrhythmic (amiodarone)
Cardizem/Diltiazem
We don't defib because we are worried a clot has formed in the
appendages which will travel to the brain or lungs when shocked.
Answer: How is stable Afib treated?
◍ AFib RVR
This is Afib plus tachycardia and it is treated as unstable Afib
Cardiovert. Answer: What is this rhythm? and how is it treated?
◍ 30%. Answer: What percent of cardiac output is lost due to Afib
and loss of "atrial kick"?
◍ this is a calcium channel blocker it decreases BP & decreases HR it
is often given to help reduce the HR in Afib RVR along with
Heparin/Warfarin. Answer: What does Cardizem/Diltiazem do?
◍ 1. Protamine
2. Vitamin K
3. if there is an active bleed or they are going to need surgery.
Answer: What is the antidote for heparin?
, What is the antidote for Warfarin?
When do we reverse anticoagulation?
◍ 1. recognition of sudden cardiac arrest ck for pt responsiveness and
breathing
2. Activate the emergency response system (call a code or rapid)
3. CPR if no pulse, and while waiting on the crash cart to arrive.
(Remember 30 compressions to 2 breaths)
4. Defibrillate- as soon as possible. Answer: what are the steps to BLS
CPR?
◍ 2 leads ds. Answer: How many leads must Asystole be confirmed
in?
◍ Vasoconstrictor and (+) Inotrope. Answer: what is Epinephrine?
◍ pacer spikes with no P or QRS
Usually a problem with battery or lead in the wrong place. the PM
fires but doesn't cause a contraction
use an external pacemaker and call the Dr.
Turn up the the miliamps. Answer: What is failure to capture on a
pacemaker?