and answers latest 2023 edition
1. The drug of choice for most forms of narrow-QRS tachycardia is:
a. Amiodarone
b. Atropine
C. Adenosine
d. Epinephrine
Answer: C
2. Vasopressin may be used in the management of:
a. Symptomatic first-degree atrioventricular block
b. Ventricular fibrillation
c. Narrow-QRS tachycardia
d. Atrial fibrillation with a rapid ventricular response
Answer: B
3. Which Of the following could be administered endotracheally if
necessary?
a. Amiodarone, dopamine, procainamide, naloxone, and adenosine
b. Naloxone, atropine, vasopressin, epinephrine, and lidocaine
c. Lidocaine, amiodarone, procainamide, vasopressin, and naloxone
d. Procainamide, epinephrine, lidocaine, adenosine, and dopamine
Answer: B
4. The most common side effects of giving amiodarone are:
a. Nausea and asystole
b. Bradycardia and hypotension
c. AV block and hypertension
d. Blurred vision and abdominal pain
Answer: B
5. A 75-year-old man has suffered a cardiac arrest. The arrest was not
witnessed. CPR is in progress. The cardiac monitor reveals ventricular
fibrillation. A monophasic waveform defibrillator is available to you. Your
next action will be to:
a. Deliver three stacked shocks using 200, 300, and 360 joules after 5 cycles
(about 2 minutes) of CPR
b. Give a 2.5- to 5-mg IV bolus Of verapamil over 3 minutes
c. Deliver a single shock using 360 joules after 5 cycles of CPR and then
immediately resume CPR
d. Give magnesium sulfate 1 to 2 g IV over 10 minutes
, Answer: C
6. Which Of the following approaches is recommended during an initial
patient evaluation?
a. Oxygen, IV, monitor
b. Level Of responsiveness, airway, breathing, circulation, defibrillation if
necessary
c. Temperature, pulse, respiration, blood pressure
d. Oxygen, |V fluid challenge, vital signs, level Of responsiveness
Answer: B
7. A 37-year-old woman is complaining Of shortness Of breath and
palpitations. You have placed the patient on oxygen and an IV has been
established. Her mental status is rapidly decreasing and she is very pale. Her
initial blood pressure was 148/70. It is now 62/38. Breathing is shallow at 8 to
R
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Your best course Of action will be to:
a. Perform synchronized cardioversion starting with 50 joules
b. Give sublingual nitroglycerin
c. Perform CPR for 2 minutes, then defibrillate with 200 joules
d. Perform CPR and give epinephrine 1 mg IV push
Answer: A
8. At doses recommended for use in cardiac arrest, epinephrine and
vasopressin:
a. Cause significant peripheral vasoconstriction
b. Neutralize acid accumulated during cardiac arrest
c. Slow conduction through the atrioventricular node
d. Cause profound peripheral vasodilation
Answer: A
9. The first antiarrhythmic administered in the management Of the patient in
pulseless ventricular tachycardia or ventricular fibrillation is:
a. Epinephrine or vasopressin
b. Amiodarone or lidocaine
c. Vasopressin or amiodarone
d. Epinephrine or lidocaine
Answer: B
10. During cardiac arrest:
a. Chest compressions should be interrupted for 2 to 3 minutes to start an IV and
iInsert an advanced airway