v 2 oe 25 yeoman {nlured ina motor vehicular crash, fs admitted tothe emergency department, a Yana i erence Pan stir He dos not fotow commands, but he , an 10e$ not respond to painful stimulus Rowever his left hand reaches toward i Both legs ae stifly, ended, His Glasgow Coma Seale Score a. Two b. Four © Six d. Eight 8. CSA32-year-old man was involved ina knife fight and had stab injuries to his abdomen, although it is unclear how deep these injuries are, He is brought into the emergency witha heart rate of 110 beats per minute and blood pressure of 84/50 mmHg, Based on the clinical assessment, which ofthe following isthe amount of acute blood lose he has experienced? a 250m! b. 500m! 1000 mi + <.(GS00%mit fe. 2000 mi 9. CSA35-year-old man falls off a 10-foot ladder. Based on this information, which injuries would you attend to first? a. Fractured femur b. Angulated wrist + Cenveal spine precautions d. Hip fracture e. Minor wound bleedings 10. CS A 49-year-old man is found unresponsive, not breathing, and pulseless. The cardio monitor reveals monomorphic VT. The most important actions in the management of this patient are: b. defibrillation and resuscitation medications cc. CPRand prompt insertion of an advanced airway d. endotracheal intubation followed by defibrillation e. synchronized cardioversion and resuscitation medications 11. CS.A'53-year-old man suddenly collapses and becomes unresponsive. You witness him collapse and are the first rescuer to arrive at the scene. You find him lying motionless on the floor. Which is the first action you should take in this situation? a. activate the emergency response system b. start high-quality CPR, beginning with chest compressions c. start providing rescue breaths od. e. start provi ig chest compressions1g whee! of his truck during 2 motor smplain of chest Which of the the cause of alnst the steering the emergency department he Is diaphoretic and co 40 and his respiratory rate Is 40 moths per minutes iponade from tension pneumothorax aS [J 312805 A 56-year-old man is thrown vilentlY 98 ‘vehicular erash. On arrival in pain. His blood pressure Is 60/ following would best diferentiate cardiac tam his hypotension? a, Tachycardia pulse volume ‘= breath sounds d._ pulse pressure fe. jugular venous pressure she denies pain and lations 18 breaths/min. Which of the of palpitation. When questioned, 134/82 mmHg, pulse 180, venti w-ORS tachycardia without visible P waves. 13,5, 56-year-old woman is complak ‘shortness of breath. Her blood pressure is ‘The cardiac monitor shows a regular narro\ following reflects your best course of action to take at this time? = 2, 02,1V, vagal maneuvers, and adenosine 6 mg rapid IV bolus b. 02,1V, vagal maneuvers, and verapamil 2,5 mg stow IV bolus c. 02,1V, sedate and perform synchronized cardioversion with 501 4. 02,1V, and atropine 0,5 mg V every 3to S minute to a maximum of 31m fe. 02,|V, and epinephrine 0,5 mg IV every 3 to 5 minute 14, (SAboy is shot with an arrow through the chest and out the back, what would be the Dest course of action? ‘a. Remove the arrow and apply sterile gauze to the wound. bb. Remove the arrow and call for help po not remove the arrow, place several dressing around the arrow to keep it from moving, bandage the dressings in place around the arrow 4. Do not remove the arrow; break off the part out the back, bandage with dressing around the arrow to hold it in place ‘e. Remove the arrow, wash the area, and bandage with sterile gauze sc \V_156CMA child's weight (kg) con be estimated from the following equation: =a, Weight=2(age +4) b. Weight = 3(age- 4) Weight = (age /4)+4 d. Weight =7 (age) /3 yee. Weight = 3{age) +7 (J 16. {SA four-year-old girl, weighing approximately 20 kg, is admitted in shock after an automobile ca re initial fluid challenge or bolus should consist of Ringer's lactate solution in the volume of: mi 220ml 400 rl 440 mi {600 mi17. CS Amajor disadvantage of using» bag-mask device Is: that it cannot deliver 100% oxygen the fact that the reservoirs easly torn dlficulty in maintaining a mask-to-face seat aninabilty to attach 100% onygen to the device that it deliver 80% oxygen panoge V/_ 18. CS Amother approaches you carrying her 3-month-od infant inher ams. She says, "He was crying, ‘but | think he stopped breathing on the way here.” As you take the infant from her, what should be your first step in the BLS sequence of action? immediate bag-mask ventilation ‘check the carotid pulse for signs of circulation stimulate the infant and check for responsiveness leave the infant and phone 112 or activate the emergency response system in your work setting check the femoral pulse for signs of ciculation \/ 33: GSAnormat adult's resting respiratory rate typically ranges between: @. Band 10 breaths/min b. 10nd 12 breaths/min © 12and 15 breaths/min 20 and 30 breaths/min +e. Zand 20 breaths/min Vv 20. CSA patient is in cardiac arrest. CPR is in progress. Two attempts to establish peripheral IV access have been unsuccessful. To administer medications to this patient, your best course of action in this. situation will bet proceed with insertion of a central line continue attempts to establish peripheral IV access administer endotracheal intubate the patient and administer drugs via the tracheal tube establish vascular access by means of an IO infusion Vv 21. CSApi it with a hip fracture would MOST likely present with: 1a. shortening of the injured leg with the toes pointed inward 'b. lengthening of the injured leg with the foot rotated inward +c. shortening of the injured leg with the toes pointed@utward) d. lengthening of the injured leg with the foot rotated outward e. shortening of the injured leg with the foot pointed inward 22. CSA patient with a systolic blood pressure less than 90 mm Hg commonly presents with: © a. signs of shock a severe headache persistent diarrhea skin that is hot and dry respiratory failure panos23. CSA previously healthy, 70 kg man suffers an estimated acute blood loss of two liters. Which one of, the following statements apply to this patient? a. his pulse pressure will be widened his urinary output will be at the lower limits of normal hhe will have tachycardia, but no change in his systolic blood pressure his systolic blood pressure will be decreased with a narrowed, pulse pressure? his systolic blood pressure will be maintained with an elevated diastolic pressure « od. e 24 CS Around of CPR should las S cycles or approximately: a. Sminutes B.A minutes & Aminutes +d. 2minutes ©. 3minutes / 25. C5 A seven-year-old boy is brought to the emergency department by his parents several minutes after he fell through a window. He is bleeding profusely from a 6-cm (2.4-inch) wound of his medial right thigh. Immediate management of the wound should consist. application of a tourniquet direct pressure on the wound apply a hemostat to bleeding vessels direct pressure on the femoral artery at the groin, pressure point compression \/ 26. CSA snoring sound heard when an unconscious patient is breathing is often the result of: a. Blood or other fluids in the upper airway b. Lack of oxygen in the blood Partial blockage of the airway by the tongue d. Narrowing of the upper airway structures Arespiratory rate that is too slow or too fast V/ 27. CSA snoring sound heard when an unconscious patient is breathing is MOST often the result of: blood or other fluids in the upper airway narrowing of the upper airway structures +c. partial blockage of the airway by the tongue d. arespiratory rate that is too slow or too fast total blockage of the airway by the tongue a e 28. CSA tourniquet should be applied to control severe external bleeding: 2. if arrival of the responding paramedics will be delayed b. if direct pressure and elevation have proven ineffective only after all methods to control the bleeding have failed if blood continues to soak through a tightly applied dressing if bandaging and pressure point compression have proven ineffective ec. d. e1 control the bleeding from tN sustained a stab wourd tothe artery inthe eck. T 129. C$ A young ma 1d apply pressure to the Injury, you sho a. Jugular vein = b, Carotid artery Femoral artery 4d. Radiat artery fe. Popliteat artery 30 OM Absolute contraindications to thrombolysis nce: de previous hernerrhagie@rokS> Previous major surgery within 6 months = c. aortie dissection Ja. cusneoplasm Fe gastrointestinal bleed within the past month ry syndromes (ACS) are presented PY: ment elevation in 1/3 cases iment elevation in 2/3 cases ‘VJ 31.JEM Acute corona’ «a. ACSwith ST se ‘eb, ACSwithout ST seer unstable angina in 75% cases d._ stable angina in 2/3 cases in 75% of cases t._stable and unstable angina pectoris coronary syndromes have asa 8B event: ‘coronaty artery vessel Vv 32. esacute a ry vessel total obstruction of the: suction of the coronary arte! the fluid-coagulant balance the atheroma plate b. partial obstr c. disturbances of d. destabilization o malignant dysrhythmias onary syndromes include: is Jevation (STEM!) VY 335M Acute cor’ 4-2. Unstable angina pecto} jb. AMI with ST segment el ¢._ Stable angina pectoris «sd. aMiwithout ST segment elevation (ste) «diated hypertrophic cardiomyopathy 70. 6S Before providing rescue breathing for an unresponsive victim, you must check for breathing. You do this by listening and feeling for airflow through the victim's nose or moth and by: a. providing chest compressions Looking into the victim's mouth to see if anything is blocking the airway Shaking or tapping the victim’s shoulder to stimulate him to breathe 4. Checking the pupils #€. Looking to see if the chest rises (and falls) as the victim breathes 7.465 Before providing rescue breathing for an unresponsive victim, you must check for breathing. You do this by listening and feeling for airflow through the victim's nose or mouth and by: Applying pain stimuli Looking into the victim's mouth to see if anything is blocking the airway Shaking or tapping the victim's shoulder to stimulate him to breathe Checking the pupils Looking to see if the chest rises (and falls) as the victim breathes pangs 72.4CS Beta-blockers: a. increase heart rate decrease the force of myocardial contraction block the conversion of angiotensin | into angiotensin It are contraindicated in patients experiencing an Acute Coranary Syndrome increase the force of myocardial contraction peos ‘730iCM BLS for adult includes next affirmations, with exceptions: «a Adrenaline administration b. Emergency cal (112)* c.Oxygen administration by mask/intubation tube 4. External chest compressions ©. Opening and maintaining permeable upper airways 74,°CM Calcium is indicated for pulseless electrical activity arrests caused by: +a. Hyperkaliemia +b. overdose of calcium channel-blocking drugs *c hypocalcaemia 4. hypomagnesaemia e. metabolic alkalosis ‘75.(CM Cardiac arrestin electrocution: ‘> 8. is usually associated with higher voltages in adults than children +b. may occur as a result of respiratory arrest & may be caused by coronary artery spasm induced by the electric current 4. is more likely with hand-foot current pathways than hand-hand pathways + €. isa greater risk with moist skin, which decreases electrical resistance ‘76SCM Cardiac arrest: a. presents as VF as the initial rhythm in approximately 60% of cases of out-of-hospital arrest + b. has approximately double the survival rate in patients with a shockable compared with non- shockable rhythm, + © has survival rates that have been gradually improving since the early 2000s + d._ occurs in one-third of all people who suffer an out-of-hospital myocardial infarction ‘+e. has an increase in mortality of approximately 10% for each minute's delay in ambulance arrival 775€S Cardiopulmonary resuscitation sequence for adult: 3 compressions/1 ventilation 15 compressions/1 ventilation 30 compressions/2 ventilations 15 compressions/2 ventilations 5 compressions/1 ventilation pangs ‘78NES Cause of tall T waves on the ECG include: +2. Hyperkalaemia b. Hypothermia pulmonary embolus d. digoxin e. amiodarone 79.NCM Causes of a prolonged PR interval include: © a. first-degree heart block b. second-degree heart block (Mobitz type I) c. second-degree heart block (Mobitz type II) ed. third-degree heart block e. atrial fibrillation80. EM Causes of hypokalemia includ 2. chronic constipation +b. diuretics Addison's disease = d, metabolic alkalosis 's @ magnesium depletion 81. EM Causes of pulseless electrical activity include: #2. Hypovolaemia = b. cardiac tamponade «tension pneumothorax d. paracetamol overdose ‘+ &. pulmonary embolus 82NCM Causes of pulseless electrical activity Include: =a. Hypovolaemia +b. cardiac tamponade = © tension pneumothorax d. paracetamol overdose =e. pulmonary embolus 839 CM Causes of pulseless electrical activity include: ‘2. myocardial stunning following defibrillation +b. hyperkalaemia +c hypothermia 4. hyperthermia + & hypoglycaemia ‘Ba. C5 Cervical spine injury: a. isexcluded by a normal neurologic examination b. isnot present if the patient has normal range of neck motion ._unconstient patient without visible injuries d. canbe detected safely by careful fiexion and extension of the neck fe. may be first manifested by neurologic deficit after movement of the neck "BS. CS Chest compression during CPR should be: ‘a. Hard and fast with frequent interruption for resting b. Gentle and slow with frequent interruption for pulse checks c. Gentle and slow and interrupted as little as possible d. Hard and fast with frequent interruption for pulse checks ‘ee. Hard and fast and interrupted as little as possible 986. CS Chest compressions will be interrupted for: ‘a, transporting the patient to the hospital b. connection to monitors.c. Installation of the peripheral or central catheter ‘sd. rhythm analysis and administration of electric shock . placing the defibrillator paddles 87. EM Choose the correct doses of Amiodarone in CPR for adults: a. 5mg/kg © b. 300mg oc. 150mg d. 510mg / kg fe. 900 mg/24 hours £88,(CM Choose the correct statements: 2a ined ob c. adrenaline may be replaced by Vasopressin in the cardiac arrest 4. adrenaline is the first line medication in cardiogenic shock '89.5CM Choose the right doses of energy when using the biphasic defibrillator during CPR for adults, as recommended by the European Resuscitation | ‘Council and the American Heart Association (AHA): b. 200)-300) and more dd. 50J-100) ants 90. CS Circulatory phase of ventricular fibrillation after the collapse lasts: a. 0-4min © b. 4-10 min 1145 min d. 10-20 min e. 21-25 min | 91. CS Clinical manifestations are c a. unexplained nausea and vomiting syncopa coma palpitations cardiac dysrhythmias red equivalent of anginal syndrome, except: 92. CS Clinical manifestations in Acute Coronary Syndrome more frequently begin: a. when the lumen of the vessel is obstructed in a ratio of 40-50% when the lumen of the vessel is obstructed in a ratio of 60-70% when the lumen of the vessel is obstructed in a ratio of 70-80% when the lumen of the vessel is obstructed in a ratio of 80-100% | when the lumen of the vessel is restored after a total obstruction93! CM Commotio cordis: © a. results from a direct blow to the precordium b. may be induced by a precordial thump performed during a resuscitation attempt c._results only if injury occurs during a vulnerable phase of the ecg, during the descending phase of the Twave is nota risk when wearing a sports chest protector © e. has VFas its initial arrhythmia 94.CM Compared to the entrance wound caused by gunshot, the exit wound: a. Closes quickly *b. d. Bleeds less severely e. Is often much smaller ‘95!.CM Complications of CPR: =a. Broken ribs b. The patient's skin color improves © cLung injuries d. The chest rises visibly during ventilations e. The second rescuer feels a carotid pulse while you are compressing the chest 96.CM CPR can be performed effectively on a soft bed? Yes c._ Just on hospital bed if the matress is orthopedi 97. CSCPR compressions should be delivered hard and fast a. Onthe victim's belly b. On the victims back c. Inthe middle of the victim’s chest 4d, Simultaneously on both shoulders None of the above 98. CS CPR in child 10 years old will start wi a. 15 compressions/1 ventilations b. Sback blows 8c. 30 compressions/2 ventilation nx OTR [2 IX ODN 2 OX HN d. 3 compressions/1 ventilations e. 15 compressions/2 vent99. CS CPR in child 5 years old, performed by two rescuers, will start with: a, Sback blows b. 15 compressi c. 30.compressions/2 ventilation d. 3 compressions/1 ventilations © e, 1S.compressions/2 ventilations 100. _CSCPR injfiewhbOMM is performed: ‘a, 15 compressions/1 ventilations b. 30 compressions/2 ventilation d. fe. Continuous artificial respirations 101. CS CPRis initiated and the person's pulse returns, but he is not breathing. What ventilation rate should be used for this person? a. 20-25 breaths per minute b. 6-8 breaths per minute © c 10-12 breaths per minute 18-20 breaths per minute fe. Depends on his color 102. “CM Cricoid pressure: «2, “isalso known as Sellick's manoeuvre, b. requires a backwards force against the cricoid cartilage of 10-20 N 103. CM Cricothyroidotomy: a. isthe same procedure as a tracheostomy involves an incision through the thyroglossal membrane 104. {CM Cricothyroidotomy: a._is the same procedure as a tracheostomy cricothyroidotomy is indicated in lower airway obstruction 105. _ CS Defibrillation is indicated in the management of: a. VF and asystole b. PEAand asystole