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ACLS Post Test

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ACLS Post Test

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2024/2025

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You are caring for a patient with a suspected stroke whose symptoms started 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 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 Which is the recommended oral dose of ASA for a pt w/ suspected ACS? a. 81 mg b. 325-650 mg c. 160-325 mg d. 40 mg 160-325 mg chest compressions during for adult rate 100-120/min effect of excessive ventilation a. decresed cardiac output b. decreased intrathoracic pressure c. increased perfusion pressure d. increased venous return decreased cardiac output temperature to achieve targeted temperature management after cardiac arrest 32-36C 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 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 effective Your patient is in cardiac arrest and has been intubated. to assess CPR quality, you should monitor the patient's PETCO2 In addition to clinical assessment, which is the most reliable method to confirm & monitor correct placement of an endotracheal tube? continous waveform capnography 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 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. When

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ACLS Post Test yy yy

Youyyareyycaringyyforyyayypatientyywithyyayysuspectedyystrokeyywhoseyysymptomsyystartedyy2yyhoursyyago.yy
TheyyCTyywasyynormalyywithyynoyysignyyofyyhemorrhage.yyTheyypatientyydoesyynotyyhaveyyanyyycontraindic
ationsyytoyyfibrinolyticyytherapy.yyWhichyytreatmentyyisyybest?
a.yystartyyfibrinolyticyytherapyyyASAP
b.yyholdyyfibrinolyticyytherapyyyforyy24yyhours
c.yyorderyyanyyechoyybeforeyyfibrinolyticyyadministration
d.yywaityyforyyMRIyyresult a.yystartyyfibrinolyticyytherapyyyASAP
ForyySTEMIyypt,yymaximumyygoalyytimeyyforyyEDyydoor-to-balloon-inflationyytimeyyforyyPCI?
a.yy150yymins
b.yy180yymins
c.yy120yymins
d.yy90yymins 90yymins
WhichyyisyytheyyrecommendedyyoralyydoseyyofyyASAyyforyyayyptyyw/yysuspectedyyACS?
a.yy81yymg
b.yy325-650yymg
c.yy160-325yymg
d.yy40yymg 160-325yymg
chestyycompressionsyyduringyyforyyadultyyrate 100-120/min
effectyyofyyexcessiveyyventilation
a.yydecresedyycardiacyyoutput
b.yydecreasedyyintrathoracicyypressure
c.yyincreasedyyperfusionyypressure
d.yyincreasedyyvenousyyreturn decreasedyycardiacyyoutput
temperatureyytoyyachieveyytargetedyytemperatureyymanagementyyafteryycardiacyyarrest 32-36C
3yyminsyyintoyycardiacyyarrestyyresuscitationyyattempt,yyoneyymemberyyofyyyouryyteamyyinsertsyyanyyendotr
achealyytubeyywhileyyanotheryyperformsyychestyycompressions.yyCapnographyyyshowsyyayypersistentyywa
veformyy&yyayyPETCO2yyofyy8mmHg.yyWhatyyisyytheyysignificanceyyofyytheyyfinding?
a.yychestyycompressionyymayyynotyybeyyeffective
b.yyTheyyendotrachaelyytubeyyisyyinyytheyyesophagus
c.yytheyyteamyyisyyventilatingyytheyypatientyytooyyoften
d.yytheyypatientyymeetsyytheyycriteriayyforyyterminationyyofyyefforts
a.yychestyycompressionyymayyynotyybeyyeffective
Youryypatientyyisyyinyycardiacyyarrestyyandyyhasyybeenyyintubated.yytoyyassessyyCPRyyquality,yyyouyyshould
monitoryytheyypatient'syyPETCO2
Inyyadditionyytoyyclinicalyyassessment,yywhichyyisyytheyymostyyreliableyymethodyytoyyconfirmyy&yymonitoryy
correctyyplacementyyofyyanyyendotrachealyytube? continousyywaveformyycapnography
Ayy45Myyhadyycoronaryyyarteryyystentsyyplacedyy2yydaysyyago.yyTodayyyheyyisyyinyysevereyydistressyyandyyre
portingyy"crushing"yychestyydiscomfort.yyHeyyisyypale,yydiphoretic,yyandyycoolyytoyytheyytouch.yyHisyyradial
yypulseyyisyyveryyyweak,yybloodyypressureyyisyy64/40,yyrespiratoryyyisyy28yybpm/minyyandyyO2yysetyyisyy89%y

yonyyroomyyair. answeryyhasyytoyydoyywithyyacuteyycoronaryyysyndrome

Ayy45Myyhadyycoronaryyyarteryyystentsyyplacedyy2yydaysyyago.yyTodayyyheyyisyyinyysevereyydistressyyandyyre
portingyy"crushing"yychestyydiscomfort.yyHeyyisyypale,yydiphoretic,yyandyycoolyytoyytheyytouch.yyHisyyradial
yypulseyyisyyveryyyweak,yybloodyypressureyyisyy64/40,yyrespiratoryyyisyy28yybpm/minyyandyyO2yysetyyisyy89%y

, yonyyroomyyair.yyWhenyyapplied,yytheyycardiacyymonitoryyinitiallyyyshowedyyventricularyytachycardia,yyw
hichyythenyyquicklyyychangedyytoyyventricularyyfibrillation.yyWhatyydoyyweyydo?
a.yychestyycompression
b.yyvasoactiveyymeds
c.yyvascularyyaccess
d.yyadvancedyyairway a.yychestyycompression
Ayy45Myyhadyycoronaryyyarteryyystentsyyplacedyy2yydaysyyago.yyTodayyyheyyisyyinyysevereyydistressyyandyyre
portingyy"crushing"yychestyydiscomfort.yyHeyyisyypale,yydiphoretic,yyandyycoolyytoyytheyytouch.yyHisyyradial
yypulseyyisyyveryyyweak,yybloodyypressureyyisyy64/40,yyrespiratoryyyisyy28yybpm/minyyandyyO2yysetyyisyy89%y

yonyyroomyyair.yyDespiteyy2yydefibyyattempt,yytheyypatientyyremainsyyinyyV-

fib.yyWhichyydrugyy&yydoseyyshouldyybeyygiven?
a.yylidocaineyy1yymg/kg
b.yyamiodaroneyy300mg
c.yyepiyy1mg
d.yyatropineyy1yymg epiyy1yymg
Ayy45Myyhadyycoronaryyyarteryyystentsyyplacedyy2yydaysyyago.yyTodayyyheyyisyyinyysevereyydistressyyandyyre
portingyy"crushing"yychestyydiscomfort.yyHeyyisyypale,yydiphoretic,yyandyycoolyytoyytheyytouch.yyHisyyradial
yypulseyyisyyveryyyweak,yybloodyypressureyyisyy64/40,yyrespiratoryyyisyy28yybpm/minyyandyyO2yysetyyisyy89%y

yonyyroomyyair.yydespiteyytheyydrugyyprovidedyyaboveyy&yycontinuousyyCPR,yytheyypatientyyremainsyyinyyv-

fib.yywhichyydrugyyshouldyybeyygivenyynext?
a.yyatropineyy1mg
b.yymagyysulfateyy1g
c.yyamiodaroneyy300mg
d.yyepiyy1yymg c.yyamiodaroneyy300mg
Ayy45Myyhadyycoronaryyyarteryyystentsyyplacedyy2yydaysyyago.yyTodayyyheyyisyyinyysevereyydistressyyandyyre
portingyy"crushing"yychestyydiscomfort.yyHeyyisyypale,yydiphoretic,yyandyycoolyytoyytheyytouch.yyHisyyradial
yypulseyyisyyveryyyweak,yybloodyypressureyyisyy64/40,yyrespiratoryyyisyy28yybpm/minyyandyyO2yysetyyisyy89%y

yonyyroomyyair.yyTheyypatientyyhasyyreturnedyyofyyspontaneousyycirculationyy(ROSC)yy&yyisyynotyyableyytoyy

followyycommands.yyWhichyyimmediateyypost-
cardiacyyarrestyycareyyinterventionyydoyyyouyychooseyyforyytheyypatient?
a.yyextubate
b.yycheckyyglucose
c.yygiveyyepi
d.yyinitiateyytargetedyytemp.yymanagement initiateyytargetedyytemperatureyymanagement
(theyyguidelineyynoyylongeryyhasyypost-arrestyyoptimalyyglucoseyylevel)
Ayy45Myyhasyycoronaryyyarteryyystentsyyplacedyy2yydaysyyago.yyToday,yyheyyisyyinyysevereyydistressyy&yycru
shingyychestyydiscomfort.yyheyyisyypale,yydiaphoretic,yy&yycoolyytoyytheyytouch.yyHisyyradialyypulseyyisyyvery
yyweak.yyBloodyypressureyyisyy64/40yymmyyHg,yyrespiratoryyyrateyyisyy28yybpmyy&yyO2yyisyy89%.yycardiacyy

monitoryyinitiallyyyshowedyyventricularyytachycardia,yywhichyyquicklyyychangedyytoyyv-
fib.yywhatyywouldyyyouyyhaveyydoneyyfirstyyifyytheyypatientyyhadyynotyygoneyyintoyyv-fib?
a.yygiveyyatropineyy1mg
b.yyestablishyyIV
c.yydoyyayy12yylead
d.yyperformedyysynchronizedyycardioversion performedyysynchronizedyycardioversion

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Type: Exam (elaborations)
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