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1. A 57 year old woman has palpitations. Chest discomfort and tachycardia. The monitor shows a regular wide – complex QRS at a rate of 180x/min. She becomes diaphoretic and BP is 80/60mmHg. The next action is to: a. b. c. d. e. Give amiodarone 300mg IV push Obtain 12 lead ECG Establish IV and give sedation for electrical cardioversion Perform immediate electrical cardioversion Give dopamine 2-20 mcg/kg/min 2. A patient is in refractory ventricular fibrillation. High quality CPR is in progress
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  1.A 57 year old woman has palpitations. Chest discomfort and tachycardia. The monitorshows a regular wide – complex QRS at a rate of 180x/min. She becomes diaphoretic andBP is 80/60mmHg. The next action is to:a.Give amiodarone 300mg IV pushb.Obtain 12 lead ECGc.Establish IV and give sedation for electrical cardioversiond.Perform immediate electrical cardioversione.Give dopamine 2-20 mcg/kg/min 2. A patient is in refractory ventricular fibrillation. High quality CPR is in progress and shockshave been given . one dose of epinephrine was given after 2 nd shock. An antiarhythmiadrug was given immediately after 3 rd shock . what drug should the leam teader request beprepared for administration next?a.Escalating dose epinephrine 3mgb.Second dose of epinephrine 1mgc.Repeat antiarrhythmia drugd.Sodium bicarbonate 50 mEge.Atropine 1mg IV 3. Which of the following statements about the use of magnesium in cardiac arrest is mostaccurate? (b)a.Mg is indicated for VF refractory to shock and amiodarone or lidocaineb.Mg is indicated in VF/ pulseless Vt associated with torsades de pointesc.Mg is contraindicated in VT associated with a normal QT interval d. Mg is indicated for shock – refractory monomorphic VT 4.  You arrive on scene with the code team. High quality CPR is in progress. An AED haspreviously advised no shock indicated. A rhythm check now find asystole. The next actionyou should take is to: (C)a.Call for a pulse checkb.Place combitube or laryngeal mask airwayc.Place IV or IO accessd.Attempt ETT intubation 5. A bradycardia rhythm is treated when (b)  a.BP is < 100mmHg systolic with or without symptomsb.Chest pain or shortness of breath is presentc.HR < 60/min with or without symptomsd.The patient has an MI on the 12-lead ECG 6. A 35 yo woman has palpitations, lightheadedness and a stable tachycardia. The monitorshows a regular narrow complex QRS at a rate of 180/min. vagal maneuvers have not beeneffective in terminating the rhythm. An IV access has been established. What drug shouldshould be administered IV? (b)a.Lidocaine 1mg/kgb.Adenosine 6mgc.Epinephrine 3-10 mcg/kg/mind.Atropine 0.5 mg 7. A patient with a possible ST elevation MI has ongoing chest discomfort. Which of thefollowing would be a contraindication of administration of nitrates? (c)a.Left ventricular infarct with bilateral ralesb.BP > 180mmHgc.Use of phosphodiesterase inhibitor within 12 hrsd.HR 90/min 8. A patient has sinus bradycardia with a rate of 36x/min. atropine has been administered toa total dose of 3,g/ a transcutaneous pacemaker has failed to capture. The patient isconfused and BP is 100/60mmHg. Which of the following is now indicated? (c)a.Give normal saline bolus 250mL to 500mLb.Give additional 1mg atropinec.Start dopamine 10-20mcg/kg/mind.Start epinephrine 2-10 mcg/min 9. A patient is in cardiac arrest. V. Fibrillatio has been refractory to an initial shock of thefollowing, which drug and dose should be administered first by IV/IO route? (b)a.Vasopressin 20Ub.Epinephrine 1mgc.Atropine 1mg  d.Sodium bicarbonate 50 mEg 10. Which of the following is most accurate regarding the administration of vasopressingduring cardiac arrest? (d)a.Vasopressin is indicated for VF and pulseless CT prior to to the delivery of firstshock.b.Vasopressin is recommended instead of epinephrine for the treatment of asystolec.Vasopressin can be administered twice during cardiac arrestd.The correct dose of Vasopressin in 40 U administered IV or IQ. 11. A patient has a rapid irregular wide-complex tachycardia.The ventricular rate is 138.He isasymptomatic with a blood pressure of 110/70 mmHg.He has a history of angina.Which of the following actions is recommended? (a)a.Give lidocaine 1 to 1.5 mg IV bolusb.Give adenosine 6 mg IV bolusc.Immediate synchronized cardioversiond.Seek expert consultation 12. A patient with possible ACS and bradycardia of 42 per minute has ongoing chestdiscomfort.What in the initial dose of atropine? (c)a.Atropine 1mgb.Atropine 3 mgc.Atropine 0.5mgd.Atropine 0.1mg 13.  Your patients has been intubated. IV/IO access is not available. Which combination of drugscan be administered by the ETT route of administration? (d)a.Vasopressin, amiodarone, lidocaineb.Amiodarone, lidocaine, epinephrinec.Epinephrine, vasopressine, amiodaroned.Lidocaine, epinephrine, vasopressin 14. A patient is in refractory ventricular fibrillation and has received multiple appropriatedefibrillations, epinephrine 1mg twice, and an initial dose of lidocaine IV. The patient isintubated. A second dose of lidocaine is now called for. The recommended second dose of   lidocaine is: (c)a.Give ETT dose 2-4mg/kgb.2-3 mg/kg IV pushc.0.5 – 0.75mg/kgIV pushd.Start IV 1-2 mg/mine.1mg/kg IV push 15. A patient with a possible ACS has ongoing chest discomfort unresponsive to 3 syblingualnitroglycerin tablets. There are no contraindications to 4mg of morphine sulfate wasadministered. Shortly, BP falls to 88/60mmHg and the patient complains of increased chestdiscomfort. You would: (a) a. Start dopamine at 2 mcg/kg/min and titrate to BP 100mmHg systolicb.Give normal saline 250-500 mL fluid bolusc.Give an additional 2mg of morphine sulfated.Give nitroglycerine 0.4mg sublingually 16. A patient is in pulseless ventricular tachycardia. 2 shocks and 1 dose of epinephrine havebeen given. The next drug/dose to anticipate to administer is: (b)a.Vasopressin 40U b. Amiodarone 300mgc.Lidocaine 0.5mh/kgd.Epinephrine 3mge.Amiodarone 150mg 17. A patient is in cardiac arrest. High quality chest compression are being given. The patientis intubated and IV has been started. The rhythm is asystole. The first drug/dose toadminister is: (E)a.Dopamine 2-20 mcg/kg/min IV/IOb.Epinephrine 3mg via ETTc.Atropine 1mg IV/IOd.Atropine 0.5mg IV/IOe.Epinephrine 1mg or vasopressing 40U IU/IO

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