6- Shock and resuscitation 14 Marks

1. During CPR you should check pulse every_____

a. 1 cycle b. 5 cycles c. 2 cycles d. 3 cycles
2. Which of the following is the correct compression ventilation ratio for adult one person CPR?
a. 3:1 b. 15: 2 c. 30: 2 d. 90:30
3. Narrow regular cardioversion in joules to treat tachycardia is:
a. 50 J b. 100 c. 150 d.200

4. Biphasic defibrillation joules for treating VF , is:

a.20 b. 50 c. 100 d. 200 J

5. Maximums dose for monophasic shock is__________

a. 20 b. 50 c. 360 d. 200 J
6. Which of the following is the correct rescue breathing during adult CPR
a. 8-10 breath/min b. 10-12 breath/min c. 12-20 breath/min d.40-60 breath/min
7. The last updated sequence of CPR is in adult:
a. Airway, circulation breathing , c. breathing , circulation ,airway
b. Airway , breathing , circulation d. circulation ,airway, breathing
8. You are responding to a 20 years old patient, unresponsive which of the following you should check first
a. Airway b. breathing c. Pulse d. blood pressure
9. __________used in asystole or PEA
a. atropine b. epinephrine c. lidocaine d. morphine

10. Which of the following is the correct dose of epinephrine for adult cardiac arrest patient?
a. 2 to 10 mcg/min b.0.3- 0.5mg/dose c. 1mg/dose d. 2-2.5mg/dose
11. The correct of amiodarone second dose is___________mg.
a. 100mg b.150 c. 300 d. 350
12. Which of the following medication is indicated in management of torsade de point?
a. Magnesium sulfate b. atropine c. epinephrine d. aspirin

13. A 52-year-old male has collapsed on his front porch, his son started CPR. When you arrive,
you should do immediately_______
a. Assess his pulse b. help the daughter in CPR c. start intubation d. rapid transport

14. An 80 kg patient in refractory V.Fib requires a lidocaine bolus of 1.5 mg/kg. The lidocaine is package
in vials containing 100mg/5ml. What is the volume to be administered?
a. 4 b.5.5 c. 6 d. 8

15. You managing a 25 years old patient with cardiac arrest you should start administer epinephrine after
____shock
a. 1 b. 2 c. 3 d. 5
16. Which of the following is a normal stroke volume value
a. 40-55 CC b. 60-100 CC c. 110 - 150 CC d. 150-200 CC
 17. The MAP for patient with blood pressure 80/40 mmhg is................... ( Diastole +1/3 (systole –diastole )
a.53 b. 80 c. 30 d. 90
18. What is the target systolic blood pressure for fluid replacement for patient with internal bleeding?
a. 60-70mmhg b. 80-90mmhg c. 90-100 mmhg d. 100-120 mmhg

19. Types of shock includes all of the following EXCEPT

a. Cardiogenic b. Obstructive c. hypoglycemic d. Hypovolemic e. distributive

20. Which of the following is common in all types and stages of shock?
a. Cellular hypoxia b. tachycardia c. low blood pressure d. cold wet skin
21. First stage of shock is
a. Irreversible b. Compensated c. Decompensated d. late stage
22. Upon arrival on scene, you find a 18-year-male compliant of sever dyspnea after eating fish for first time.
He has an altered level of consciousness and is exhibiting signs of shock. what type of shock he has?
a . Cardiogenic shock. b. septic shock. c. hypovolemic shock d. Anaphylactic shock
23. A 80 years old patient with sever back pain after falls on stair his blood pressure 70/40 his pulse is 50
b/min You should suspect
a .Septic shock. b. anaphylactic shock. c. neurogenic shock. d. distributive shock
24. You have a patient with suspected internal bleeding and cool, clammy, ashen skin. Her blood pressure
starts to fall, and her level of consciousness is rapidly dropping. Which stage of shock would you consider
this patient to be in?
a. Irreversible b. Compensated c. Decompensated d. Early stage

25. A 65-year-old woman presents with an altered mental status. The patient's son tells you that his mother
had been complaining of weakness and chills for the past 3 days. Your initial assessment reveals that she is
responsive to painful stimuli, has shallow respirations, and a weak radial pulse. Further assessment reveals
a BP of 70/40 mm Hg and coarse crackles in her lungs. You should be MOST suspicious for:
a. septic shock. b. congestive heart failure. c. cardiogenic shock. d. bacterial infection.

26. Amount of fluid you should give for adult in hypovolemic shock?
a. 10 ml/kg b. 15ml/kg c. 20 ml/kg d. 40 ml/kg
27. Irreversible shock characterized by
a. cell damage and death vital organs c. blood pressure may still normal
b. The earliest stage of shock d. can be treated by fluid replacement
28. During shock, norepinephrine release causes:
a. Increases in pulse rate, contractility, conductivity, and automaticity.
b. a marked decrease in afterload, thus decreasing the myocardial workload.
c. Vasodilation and preferential movement of blood from the skin to the brain.
d. a marked decrease in pulse pressure , with also decrease of main arterial blood pressure.
29. Which of the following conditions would result in obstructive shock?
a. Injury to the spinal cord b. myocardial infection c. Profound hypovolemia d. Tension pneumothorax

30. The most common type of shock in prehospital is

a. cardiogenic shock. b. septic shock. c. hypovolemic shock d. Anaphylactic shock
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