PHARMACOLOGY
Examination 2024
A 35-year-old woman has palpitations, light-headedness,
and a stable tachycardia. The monitor show a regular
narrow-complex QRS at a rate of 180/min. Vagal
maneuvers have not been effective in terminating the
rhythm. An IV has ben established. Which drug should be
administered?
A. adenosine 6 mg
B. atropine 0.5 mg
C. epinephrine 2 to 10 mcg/kg per minute
D. lidocaine 1 mg/kg A. adenosine 6 mg
, 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 C. perform electrical
cardioversion
A 62-year-old man suddenly experienced difficulty
speaking and left-sided weakness. he meets initial criteria
for fibrinolytic therapy, and a CT scan of the brain is
ordered. Which best describes the guidelines for
antiplatelet and fibrinolytic therapy?
A. give aspirin 160 to 325 mg to be chewed immediately
B. give aspirin 160 mg and clopidogrel 75 mg orally
C. give heparin if the CT scan is negative for hemorrhage