PHARMACOLOGY LATEST EXAM WITH
ACTUAL QUESTION AND CORRECT
ANSWERS GRADED A+ 2025
A patient is in cardiac arrest. High-quality chest compressions are being given. The
patient is intubated, and an IV has been started. The rhythm is asystole. What is the first
drug/dose to administer?
A. atropine 0.5 mg IV / IO
B. atropine 1 mg IV / IO
C. dopamine 2 to 20 mcg/kg per minute IV / IO
D. epinephrine 1 mg IV / IO - ANSWER D. epinephrine 1 mg IV / IO
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to second shock.
Which drug should be administered first?
A. atropine 1 mg IV / IO
B. epinephrine 1 mg IV / IO
C. lidocaine 1 mg/kg IV / IO
D. sodium bicarbonate 50 mEq IV / IO - ANSWER B. epinephrine 1 mg IV / IO
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which
therapy is now indicated?
A. atropine 1 mg
B. epinephrine 2 to 10 mcg/min
C. adenosine 6 mg
D. normal saline 250 ml to 500 ml bolus - ANSWER B. epinephrine 2 to 10 mcg/min
a 57 year-old-woman has palpitations, chest discomfort, and tachycardia. The monitor
show a regular wide-complex QRS at a rate of 180/min. she becomes diaphoretic, and
her blood pressure is 80/60 mm Hg. Which action do you take next?
A. establish IV access
,B. obtain a 12-lead ECG
C. perform electrical cardioversion
D. seek expert consultation - ANSWER C. perform electrical cardioversion
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial
shock. If no pathway for medication administration is in place, which method is
preferred?
A. central line
B. endotracheal tube
C. external jugular vein
D. IV or IO - ANSWER D. IV or IO
You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage
2 months ago. He is being evaluated for another acute stroke. The CT scan is negative
for hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV
has been established. His blood pressure is 180/100 mm Hg. Which drug do you
anticipate giving to this patient?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA - ANSWER A. aspirin
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood
pressure of 80/60 mm Hg. What is the initial dose of atropine?
A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 3 mg - ANSWER B. 0.5 mg
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a
heparin infusion of 1000 unit per hour are being administered. The patient did not take
aspirin because he has a history of gastritis, which was treated 5 years ago. What is
your next action?
A. give aspirin 160 to 325 mg to chew
B. give clopidogrel 300 mg orally
C. give enteric-coated aspirin 75 mg orally
, D. give enteric-coated aspirin 325 mg rectally - ANSWER A. give aspirin 160 to 325
mg to chew
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine
have been given. Which drug should be given next?
A. adenosine 6 mg
B. amiodarone 300 mg
C. epinephrine 3 mg
D. lidocaine 0.5 mg/kg - ANSWER B. amiodarone 300 mg
What is the indication for the us of magnesium in cardiac arrest?
A. ventricular tachycardia associated with a normal QT
interval
B. shock-refractory monomorphic ventricular tachycardia
C. pulseless ventricular tachycardia-associated torsades
de pointes
D. shock-refractory ventricular fibrillation - ANSWER C. pulseless ventricular
tachycardia-associated
torsades de pointes
In which situation does bradycardia require treatment?
A. 12-lead ECG showing a normal sinus rhythm
B. hypotension
C. diastolic blood pressure greater than 90 mm Hg
D. systolic blood pressure greater than 100 mm Hg - ANSWER B. hypotension
You arrive on the scene with the code team. High-quality CPR is in progress. An AED
has previously advised "no shock indicated." A rhythm check now finds asystole. After
resuming high-quality compressions, which action do you take next?
A. call for a pulse check
B. establish IV or IO access
C. insert a laryngeal airway
D. perform endotracheal intubation - ANSWER B. establish IV or IO access
ACTUAL QUESTION AND CORRECT
ANSWERS GRADED A+ 2025
A patient is in cardiac arrest. High-quality chest compressions are being given. The
patient is intubated, and an IV has been started. The rhythm is asystole. What is the first
drug/dose to administer?
A. atropine 0.5 mg IV / IO
B. atropine 1 mg IV / IO
C. dopamine 2 to 20 mcg/kg per minute IV / IO
D. epinephrine 1 mg IV / IO - ANSWER D. epinephrine 1 mg IV / IO
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to second shock.
Which drug should be administered first?
A. atropine 1 mg IV / IO
B. epinephrine 1 mg IV / IO
C. lidocaine 1 mg/kg IV / IO
D. sodium bicarbonate 50 mEq IV / IO - ANSWER B. epinephrine 1 mg IV / IO
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which
therapy is now indicated?
A. atropine 1 mg
B. epinephrine 2 to 10 mcg/min
C. adenosine 6 mg
D. normal saline 250 ml to 500 ml bolus - ANSWER B. epinephrine 2 to 10 mcg/min
a 57 year-old-woman has palpitations, chest discomfort, and tachycardia. The monitor
show a regular wide-complex QRS at a rate of 180/min. she becomes diaphoretic, and
her blood pressure is 80/60 mm Hg. Which action do you take next?
A. establish IV access
,B. obtain a 12-lead ECG
C. perform electrical cardioversion
D. seek expert consultation - ANSWER C. perform electrical cardioversion
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial
shock. If no pathway for medication administration is in place, which method is
preferred?
A. central line
B. endotracheal tube
C. external jugular vein
D. IV or IO - ANSWER D. IV or IO
You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage
2 months ago. He is being evaluated for another acute stroke. The CT scan is negative
for hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV
has been established. His blood pressure is 180/100 mm Hg. Which drug do you
anticipate giving to this patient?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA - ANSWER A. aspirin
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood
pressure of 80/60 mm Hg. What is the initial dose of atropine?
A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 3 mg - ANSWER B. 0.5 mg
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a
heparin infusion of 1000 unit per hour are being administered. The patient did not take
aspirin because he has a history of gastritis, which was treated 5 years ago. What is
your next action?
A. give aspirin 160 to 325 mg to chew
B. give clopidogrel 300 mg orally
C. give enteric-coated aspirin 75 mg orally
, D. give enteric-coated aspirin 325 mg rectally - ANSWER A. give aspirin 160 to 325
mg to chew
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine
have been given. Which drug should be given next?
A. adenosine 6 mg
B. amiodarone 300 mg
C. epinephrine 3 mg
D. lidocaine 0.5 mg/kg - ANSWER B. amiodarone 300 mg
What is the indication for the us of magnesium in cardiac arrest?
A. ventricular tachycardia associated with a normal QT
interval
B. shock-refractory monomorphic ventricular tachycardia
C. pulseless ventricular tachycardia-associated torsades
de pointes
D. shock-refractory ventricular fibrillation - ANSWER C. pulseless ventricular
tachycardia-associated
torsades de pointes
In which situation does bradycardia require treatment?
A. 12-lead ECG showing a normal sinus rhythm
B. hypotension
C. diastolic blood pressure greater than 90 mm Hg
D. systolic blood pressure greater than 100 mm Hg - ANSWER B. hypotension
You arrive on the scene with the code team. High-quality CPR is in progress. An AED
has previously advised "no shock indicated." A rhythm check now finds asystole. After
resuming high-quality compressions, which action do you take next?
A. call for a pulse check
B. establish IV or IO access
C. insert a laryngeal airway
D. perform endotracheal intubation - ANSWER B. establish IV or IO access
