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1. You are caring for a 66-year-old man with a history A. aspirin
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
2. A patient with sinus bradycardia and a heart rate of B. 0.5 mg
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
3. A patient with STEMI has ongoing chest discomfort. A. give aspirin 160
Heparin 4000 units IV bolus and a heparin infusion of to 325 mg to chew
1000 unit per hour are being administered. The patient
did not take aspirin because he has a history of gas-
tritis, 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
4. A patient is in pulseless ventricular tachycardia. Two B. amiodarone 300
shocks and 1 dose of epinephrine have been given. mg
Which drug should be given next?
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A. adenosine 6 mg
B. amiodarone 300 mg
C. epinephrine 3 mg
D. lidocaine 0.5 mg/kg
5. What is the indication for the us of magnesium in C. pulseless ven-
cardiac arrest? tricular tachycar-
dia-associated
A. ventricular tachycardia associated with a normal torsades de
QT pointes
interval
B. shock-refractory monomorphic ventricular tachy-
cardia
C. pulseless ventricular tachycardia-associated tor-
sades
de pointes
D. shock-refractory ventricular fibrillation
6. In which situation does bradycardia require treat- B. hypotension
ment?
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
7. You arrive on the scene with the code team. High-qual- B. establish IV or
ity CPR is in progress. An AED has previously ad- IO access
vised "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
8. A patient has a rapid irregular wide-complex tachy- D. seeking expert
cardia. The ventricular rate is 138/min. He is asymp- consultation
tomatic, with a blood pressure of 110/70 mm Hg. He
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