ACLS POST TEST (COPY)
Youtoaretocaringtofortoatopatienttowithtoatosuspectedtostroketowhosetosymptomstostartedto2toh
ourstoago.toThetoCTtowastonormaltowithtonotosigntooftohemorrhage.toThetopatienttodoestonotto
havetoanytocontraindicationstototofibrinolytictotherapy.toWhichtotreatmenttoistobest?
a.tostarttofibrinolytictotherapytoASAP
b.toholdtofibrinolytictotherapytoforto24tohours
c.toordertoantoechotobeforetofibrinolytictoadministration
d.towaittofortoMRItoresultto-toans--✔✔a.tostarttofibrinolytictotherapytoASAP
FortoSTEMItopt,tomaximumtogoaltotimetofortoEDtodoor-to-balloon-inflationtotimetofortoPCI?
a.to150tomins
b.to180tomins
c.to120tomins
d.to90tominsto-toans--✔✔90tomins
WhichtoistothetorecommendedtooraltodosetooftoASAtofortoatopttow/tosuspectedtoACS?
a.to81tomg
b.to325-650tomg
c.to160-325tomg
d.to40tomgto-toans--✔✔160-325tomg
chesttocompressionstoduringtofortoadulttorateto-toans--✔✔100-120/min
effecttooftoexcessivetoventilation
a.todecresedtocardiactooutput
b.todecreasedtointrathoracictopressure
c.toincreasedtoperfusiontopressure
d.toincreasedtovenoustoreturnto-toans--✔✔decreasedtocardiactooutput
temperaturetototoachievetotargetedtotemperaturetomanagementtoaftertocardiactoarrestto-
toans--✔✔32-36C
3tominstointotocardiactoarresttoresuscitationtoattempt,toonetomembertooftoyourtoteamtoinsertsto
antoendotrachealtotubetowhiletoanothertoperformstochesttocompressions.toCapnographytosh
owstoatopersistenttowaveformto&toatoPETCO2toofto8mmHg.toWhattoistothetosignificancetooftot
hetofinding?
a.tochesttocompressiontomaytonottobetoeffective
b.toThetoendotrachaeltotubetoistointothetoesophagus
c.tothetoteamtoistoventilatingtothetopatienttotootooften
, d.tothetopatienttomeetstothetocriteriatofortoterminationtooftoeffortsto-toans--
✔✔a.tochesttocompressiontomaytonottobetoeffective
Yourtopatienttoistointocardiactoarresttoandtohastobeentointubated.tototoassesstoCPRtoquality,toy
outoshouldto-toans--✔✔monitortothetopatient'stoPETCO2
Intoadditiontototoclinicaltoassessment,towhichtoistothetomosttoreliabletomethodtototoconfirmto&to
monitortocorrecttoplacementtooftoantoendotrachealtotube?to-toans--
✔✔continoustowaveformtocapnography
Ato45Mtohadtocoronarytoarterytostentstoplacedto2todaystoago.toTodaytohetoistointoseveretodistr
esstoandtoreportingto"crushing"tochesttodiscomfort.toHetoistopale,todiphoretic,toandtocooltototot
hetotouch.toHistoradialtopulsetoistoverytoweak,tobloodtopressuretoisto64/40,torespiratorytoisto28t
obpm/mintoandtoO2tosettoisto89%toontoroomtoair.to-toans--
✔✔answertohastototodotowithtoacutetocoronarytosyndrome
Ato45Mtohadtocoronarytoarterytostentstoplacedto2todaystoago.toTodaytohetoistointoseveretodistr
esstoandtoreportingto"crushing"tochesttodiscomfort.toHetoistopale,todiphoretic,toandtocooltototot
hetotouch.toHistoradialtopulsetoistoverytoweak,tobloodtopressuretoisto64/40,torespiratorytoisto28t
obpm/
mintoandtoO2tosettoisto89%toontoroomtoair.toWhentoapplied,tothetocardiactomonitortoinitiallytosh
owedtoventriculartotachycardia,towhichtothentoquicklytochangedtototoventriculartofibrillation.to
Whattodotowetodo?
a.tochesttocompression
b.tovasoactivetomeds
c.tovasculartoaccess
d.toadvancedtoairwayto-toans--✔✔a.tochesttocompression
Ato45Mtohadtocoronarytoarterytostentstoplacedto2todaystoago.toTodaytohetoistointoseveretodistr
esstoandtoreportingto"crushing"tochesttodiscomfort.toHetoistopale,todiphoretic,toandtocooltototot
hetotouch.toHistoradialtopulsetoistoverytoweak,tobloodtopressuretoisto64/40,torespiratorytoisto28t
obpm/
mintoandtoO2tosettoisto89%toontoroomtoair.toDespiteto2todefibtoattempt,tothetopatienttoremainsto
intoV-fib.toWhichtodrugto&todosetoshouldtobetogiven?
a.tolidocaineto1tomg/kg
b.toamiodaroneto300mg
c.toepito1mg
d.toatropineto1tomgto-toans--✔✔epito1tomg
Ato45Mtohadtocoronarytoarterytostentstoplacedto2todaystoago.toTodaytohetoistointoseveretodistr
esstoandtoreportingto"crushing"tochesttodiscomfort.toHetoistopale,todiphoretic,toandtocooltototot
hetotouch.toHistoradialtopulsetoistoverytoweak,tobloodtopressuretoisto64/40,torespiratorytoisto28t
obpm/
mintoandtoO2tosettoisto89%toontoroomtoair.todespitetothetodrugtoprovidedtoaboveto&tocontinuou
stoCPR,tothetopatienttoremainstointov-fib.towhichtodrugtoshouldtobetogiventonext?
a.toatropineto1mg
Youtoaretocaringtofortoatopatienttowithtoatosuspectedtostroketowhosetosymptomstostartedto2toh
ourstoago.toThetoCTtowastonormaltowithtonotosigntooftohemorrhage.toThetopatienttodoestonotto
havetoanytocontraindicationstototofibrinolytictotherapy.toWhichtotreatmenttoistobest?
a.tostarttofibrinolytictotherapytoASAP
b.toholdtofibrinolytictotherapytoforto24tohours
c.toordertoantoechotobeforetofibrinolytictoadministration
d.towaittofortoMRItoresultto-toans--✔✔a.tostarttofibrinolytictotherapytoASAP
FortoSTEMItopt,tomaximumtogoaltotimetofortoEDtodoor-to-balloon-inflationtotimetofortoPCI?
a.to150tomins
b.to180tomins
c.to120tomins
d.to90tominsto-toans--✔✔90tomins
WhichtoistothetorecommendedtooraltodosetooftoASAtofortoatopttow/tosuspectedtoACS?
a.to81tomg
b.to325-650tomg
c.to160-325tomg
d.to40tomgto-toans--✔✔160-325tomg
chesttocompressionstoduringtofortoadulttorateto-toans--✔✔100-120/min
effecttooftoexcessivetoventilation
a.todecresedtocardiactooutput
b.todecreasedtointrathoracictopressure
c.toincreasedtoperfusiontopressure
d.toincreasedtovenoustoreturnto-toans--✔✔decreasedtocardiactooutput
temperaturetototoachievetotargetedtotemperaturetomanagementtoaftertocardiactoarrestto-
toans--✔✔32-36C
3tominstointotocardiactoarresttoresuscitationtoattempt,toonetomembertooftoyourtoteamtoinsertsto
antoendotrachealtotubetowhiletoanothertoperformstochesttocompressions.toCapnographytosh
owstoatopersistenttowaveformto&toatoPETCO2toofto8mmHg.toWhattoistothetosignificancetooftot
hetofinding?
a.tochesttocompressiontomaytonottobetoeffective
b.toThetoendotrachaeltotubetoistointothetoesophagus
c.tothetoteamtoistoventilatingtothetopatienttotootooften
, d.tothetopatienttomeetstothetocriteriatofortoterminationtooftoeffortsto-toans--
✔✔a.tochesttocompressiontomaytonottobetoeffective
Yourtopatienttoistointocardiactoarresttoandtohastobeentointubated.tototoassesstoCPRtoquality,toy
outoshouldto-toans--✔✔monitortothetopatient'stoPETCO2
Intoadditiontototoclinicaltoassessment,towhichtoistothetomosttoreliabletomethodtototoconfirmto&to
monitortocorrecttoplacementtooftoantoendotrachealtotube?to-toans--
✔✔continoustowaveformtocapnography
Ato45Mtohadtocoronarytoarterytostentstoplacedto2todaystoago.toTodaytohetoistointoseveretodistr
esstoandtoreportingto"crushing"tochesttodiscomfort.toHetoistopale,todiphoretic,toandtocooltototot
hetotouch.toHistoradialtopulsetoistoverytoweak,tobloodtopressuretoisto64/40,torespiratorytoisto28t
obpm/mintoandtoO2tosettoisto89%toontoroomtoair.to-toans--
✔✔answertohastototodotowithtoacutetocoronarytosyndrome
Ato45Mtohadtocoronarytoarterytostentstoplacedto2todaystoago.toTodaytohetoistointoseveretodistr
esstoandtoreportingto"crushing"tochesttodiscomfort.toHetoistopale,todiphoretic,toandtocooltototot
hetotouch.toHistoradialtopulsetoistoverytoweak,tobloodtopressuretoisto64/40,torespiratorytoisto28t
obpm/
mintoandtoO2tosettoisto89%toontoroomtoair.toWhentoapplied,tothetocardiactomonitortoinitiallytosh
owedtoventriculartotachycardia,towhichtothentoquicklytochangedtototoventriculartofibrillation.to
Whattodotowetodo?
a.tochesttocompression
b.tovasoactivetomeds
c.tovasculartoaccess
d.toadvancedtoairwayto-toans--✔✔a.tochesttocompression
Ato45Mtohadtocoronarytoarterytostentstoplacedto2todaystoago.toTodaytohetoistointoseveretodistr
esstoandtoreportingto"crushing"tochesttodiscomfort.toHetoistopale,todiphoretic,toandtocooltototot
hetotouch.toHistoradialtopulsetoistoverytoweak,tobloodtopressuretoisto64/40,torespiratorytoisto28t
obpm/
mintoandtoO2tosettoisto89%toontoroomtoair.toDespiteto2todefibtoattempt,tothetopatienttoremainsto
intoV-fib.toWhichtodrugto&todosetoshouldtobetogiven?
a.tolidocaineto1tomg/kg
b.toamiodaroneto300mg
c.toepito1mg
d.toatropineto1tomgto-toans--✔✔epito1tomg
Ato45Mtohadtocoronarytoarterytostentstoplacedto2todaystoago.toTodaytohetoistointoseveretodistr
esstoandtoreportingto"crushing"tochesttodiscomfort.toHetoistopale,todiphoretic,toandtocooltototot
hetotouch.toHistoradialtopulsetoistoverytoweak,tobloodtopressuretoisto64/40,torespiratorytoisto28t
obpm/
mintoandtoO2tosettoisto89%toontoroomtoair.todespitetothetodrugtoprovidedtoaboveto&tocontinuou
stoCPR,tothetopatienttoremainstointov-fib.towhichtodrugtoshouldtobetogiventonext?
a.toatropineto1mg