ACLS

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Second degree type II
1. Which type of atrioventricular block best describes this rhythm?

2. Your patient is in cardiac arrest and has been intubated. To

Monitor the patient's PETCOS 12-lead
assess CPR quality, which should you do?
3. Which facility is the most appropriate EMS destination for a
patient with sudden cardiac arrest who achieved return of spon- Coronary reperfusion-capable medical center
taneous circulation in the fleld?
4 Which of the following signs is a likely indicator of cardiac arrest
Agonal gasps
in an unresponsive patient?
Second-degroe atrioventricular block type I
5. Which type of atrioventricular block best describes this rhythm?

6 To property ventlate a patient with a perfusing rhythm, how often

Once avery 5 to 6 seconds
do you squeeze the bag?
7 In addition to clinical assessment, which is the most reliable
method to confirm and monitor correct placement of an andotra- Continuous waveform capnography
cheal tube?
8. You are caring for a patient with a suspected stroke whose
symptoms started 2 hours ago. The CT scan was normal, with no
signs of hemorrhage. The patient does not have any contraindi- Start fibrinolytic therapy as soon as possible
cations to fibrinolytic therapy. Which treatment approach is best
for this patient?
Third-degree atrioventricular block
9 Which best describes this rhythm?

10. What is the recommended range from which a temperature

should be selected and maintained constantly to achieve targeted 32 C to 36 C
temperature management after cardiac arrest?
11. Which is the recommended first intravenous dose of amio-
300 mg
darone for a patient with refractory ventricular fibrillation?
12 Which is the primary purpose of a medical emergency team or Improving patient outcomes by identifying and treating early clin-
rapid response team? ical deterioration
13. Which is the recommended next step after a defibrillation
Resume CPR, starting with chest compressions
attempt?
14, EMS providers are treating a patient with suspected stroke.
According to the Adult Suspected Stroke Algorithm, which critical
Alert the hospital access
action performed by the EMS team will expedite this patient's care
on arrival and reduce the time to treatment?
15. A responder is caring for a patient with a history of congestive
heart failure. The patient is experiencing shortness of breath, a Unstable supraventricular tachycardia
blood pressure of 68/50 mm Hg, and a heart rate of 190/min. The
patent's lead il ECG is displayed here. Which best characterizes
this patient's rhythm?
? 16. Your rescue team arrives to find a 59-year-old man lying on
the kitchen floor. You determine that he is unresponisive, Which is Check the patients breathing and pulse
the next stop in your assessment and management of this patient
17 Which best describes the length of time it should take to
5-10 seconds
perform a pulse check during the BLS Assessment?
18 You Instruct a tean member to give 0.5 mg atropine IV. Which
Ill draw up 0.5 mg of atropine
response is an example of closed loop communication?
19. What is an effect of excessive ventlation? Decreased cardiac output

Address the team member immediately

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20. If a team member is about to make a mistake during a re-
suscitation atternpt which best describes the action that the team
leader or other team members should take?
A Monomorphic ventricular tachycardia
21. Which best descrbes this rhythm?

22. For STEMI pationts, which best describes the recommended

maximum goal tme for emergency department door-to-baloon 90 minutes
infation time for percutaneous coronary intervention?
23. Which is the maximum interval you should allow for an inter-
10 seconds
nuption in chest compressions?
24. Which is one way to minimize intemuptions in chest compres-
Continue CPR while the dofibrilator charges
sione during CPR?
25 Which best describes an action taken by the team leader to
Clearly delegate tasks
avold inelficiencies during a resuscitation attermpl?
26. Which is an acceptable melthod of selecting an appropriately
Measure from the coner of the outh to the angle of the mandible
sized oropharyngeal ainway?
27. You are evauating a 58-year-old man with chst discomort
His blood pressure is 92/50 mm Hg his breathmin and his pulse
Obtaining a 12 lead ECG
oximetry reading is 97% heart rate is 92in his nonlabored reapi-
ratory rate is 14. Which assessment step is most important now?
28 A patient in respatory distress and with a blood pressure of Performing synchronized cardioversion
70/50 mm Hg presents with the lead ECG II shown here Which is
the appropriat treament?
29. During post-cardac arrest cere, which is the recommended
duration of targeted temperature management after reaching the Al least 24 hours
corect temperature range?
30 Three minutes into a cardiac arrest resusiation atternpt one
member of your team inserts an endotracheal fube while another
performs chest compressions. Capnography shows a persistont Chest compressions may not be effective
wavefom and a PETCOs of 8mm Hg Which is the significance of
this finding?
31. Which is the recommended oral dose of aspirin for a patient
160 mg to 325 mg
with a suspected acute coronary syndrome?
32. A team member is unable to perform an assigned task be-
cause it is beyond the team member's scope of practice. Which Ask for a new task or role
action shoudd the team member take?
33. As the team leader, when do you tell the chest compressors
About every 2 minutes
to switch?
34. You are performing chest compressions during an adult re-
suscitation attempt. Which rate should you Use to perform the 100-120/min
compressions?
35. A patient is being rosuscitated in a very noisy environment. A
team momber thinks he heard an order for 500 mg of amiodarone I have an order to give 500 mg of amiodarone IV. Is this correct?
IV. Which is the best response from the team member?
36. A patent in stable narrow-complex tachycardia with a periph-
eral IV in place is refractory to dose of adenosine. Which dose 12 mg
would you administer next?

37. A patient has a witnessed loss of consciousness. The lead II Defibrillation

ECG reveals this rhythm. Which is the appropriate treatment?

38. Which of these tests should be performed for a patient with

Noncontrast CT scan of the head
suspected stroke within 25 minutes of hospital arival?

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39. What is the minimum systolic blood pressure one should
attempt to achieve with fluild administration or vasoactive agents
90 mm Hg
in a hypotensive post-cardiac arest patient who achieves return of
spontaneous circulation?
40. You have completed 2 minutes of CPR. The ECG monitor dis-
plays the lead Il rhythem shown here, and the patient has no pulse. Give epinephrine 1 mg IV
Another member of your team resumes chest comprossions, and
an IV is in place Which do you do next?
41. Based on this pationt's initial presentation which condition do
Acute coronary syndrome
you suspect led to the cardiac arrest?
42 In addition to defibrilation, which intervention should be per-
Chest coompressions
formed immediately
43. Despite 2 defibriliation attempts, the pationt remains in ven-
tricular fibrillation Which drug and dose should you administer first Epinephrine 1 mg
to this patient?
44. Despite the dnug provided above and continued CPR, the
patient remains in ventricular fibrillation Which other drug should Amiodarone 300 mg
be administened next?
45. The patient has relurn of spontanoous cration and is not
able to follow commandsWhich immedite post-cardiac amest care Initiate targeted tomperture management
intervention do you choose for this patient?
46. Which would you have done fist if the patient had not gone into
Performed synchronized cardioversion
ventricular fibrulaiition?

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