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1. You have acquired the following 12 lead on a patient
complaining of chest pain and shortness of breath. You
should Suspect?
A. Inferior myocardial injury.
B. Septal myocardial injury.
C. Lateral myocardial injury.
D. Anterior myocardial injury
C. Inferior myocardial injury
2. A 55 year old male is pulseless and apneic. Bystander
CPR has been in progress for 5 minutes. His ECG is below.
What is your initial treatment?
A. Perform immediate defibrillation.
B. Perform synchronized Cardioversion.
C. Administer 1 gm of magnesium IV.
D. Administer 300 mg amiodarone.
C. Administer 1gm of magnesium IV.
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3. A. Dopamine. In the prehospital setting, which vasopressor is most com-
monly used in adult cardiogenic shock?
A. Dopamine
B. Norepinephrine
C. Dobutamine
D. Epinephrine
A. Dopamine
4. A 53 year old patient had a sudden onset of a tearing
abdominal pain at the area of the umbilicus that radiates
to his back. He is pale, ashen, and diaphoretic. He has a
history of hypertension, for which he takes hydrochloroth-
iazide. Vital signs are BP 110/70, P 100, R 20. His ECG is
below. How should you interpret this rhythm?
A. Sinus tachycardia.
B. Right-sided bundle branch block.
C. Normal sinus rhythm
D. PSVT
A. Sinus Tachycardia
5.
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D. Atrial fibrilla- Which of the following dysrhythmias presents a significant
tion. risk for embolic cerebrovascular accident (CVA)?
Select one:
A. Ventricular tachycardia with a pulse
B. Sinoatrial arrest
C. Atrial flutter
D. Atrial fibrillation
6. C. The rhythm is On an ECG tracing, nearly all sinoatrial dysrhythmias
usually regularly share which of the following features in Lead II?
irregular. Select one:
A. All P-R intervals are shortened and irregular.
B. All P waves are upright and uniform in appearance.
C. The rhythm is usually regularly irregular.
D. All QRS complexes are less than 0.12 seconds.
7. C. 1 mE/kg IV You have been running a cardiac arrest for about 30 min-
utes. Medical control orders sodium bicarbonate. What is
the appropriate dose and route for this medication?
Select one:
A. 50 mEq ETT
B. 1 mg/kg IV only
C. 1 mEq/kg IV
D. 50 mg IV or 1 amp
8. D. Noting the Which of the following is the most important aspect of
time of symptom stroke care?
onset Select one:
A. Monitoring the Cincinnati stroke scale
B. Assessing blood pressure values on both arms
C. Obtaining a blood glucose level
D. Noting the time of symptom onset
9. c. Decreased What is an early effect of a tension pneumothorax on the
contractility heart?
Select one:
a. increased preload
b. increased contractility