ACLS Test

Which is the max interval you should allow for an interruption in chest compressions

10 seconds

What is the recommended compression rate for high-quality CPR?

100-120 compressions per minute

A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next?

12 mg

What is the recommended dose of aspirin if not contraindicated?

162-325 mg

What is the goal for neurologic assessment by the team or designee and non-contrast CT or MRI performed after hospital arrival?

20 minutes

What is the primary window for the administration of fibrinolytic therapy, timed from the onset of symptoms

3 hours

What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest?

32-36 degrees C

Which best describes the length of time it should take to perform a pulse check during the BLS assessment?

5-10 seconds

A patient without dyspnea has sign an ACS. There are no obvious signs of heart failure. You assess a noninvasively monitored oxyhemoglobin saturation. Which patient should receive supplemental oxygen?

88%

How does complete chest recoil contribute to effective CPR?

Allows maximum blood return to the heart

A patient is in pulseless Ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be

Amiodarone 300 mg

During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range?

At least 24 hours

What stroke screen was used in the stroke video?

CPSS

What is the highest priority once the patient has reached the emergency department?

CT Scan

In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal tube?

Continuous waveform capnography

Which of the following is a responsibility of the CPR coach?

Coordinating compressor switches

What is an effect of excessive ventilation?

Decreased cardiac output

Which is a component of high-quality CPR?

Depth of a least 2 inches

A patient is in cardiac arrest Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first?

Epinephrine 1 mg IV/IO

What is one major sign of a patient having a stroke?

Facial droop

Which action is part of the secondary assessment of a conscious patient?

Formulate a differential diagnosis

A patient has been resuscitated from cardiac arrest. During post ROSC treatment, the patient becomes unresponsive, with a polymorphic ventricular tachycardia on the monitor. Which action is indicated?

Give an immediate unsynchronized high-energy shock (defibrillation dose)

In which situation does bradycardia require treatment?

Hypotension

Which is one of the H's and T's that represent a potentially reversible cause of cardiac arrest and other emergency cardiopulmonary conditions?

Hypothermia

What is the purpose of a rapid response team (RRT) or medical emergency team (MET)?

Identify and treat early clinical deterioration

What is the first step in the systematic approach to patient assesssment?

Initial impression

Which component of high-quality CPR directly affects chest compression fraction?

Interruptions

What is the most common type of stroke?

Ischemic

What are the major types of strokes?

Ischemic and hemorrhagic

Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?

Measure from the corner of the mouth to the angle of the mandible

Which quality improvement component of systems of care best describes the capture and review of data related to resuscitation education, processes, and outcomes?

Measurement

To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag?

Once every 6 seconds

What is the initial drug therapy for ACS?

Oxygen if needed, aspirin, nitroglycerin, morphine

What is a classic symptom of acute ischemic chest discomfort?

Pain radiation down the left arm

A 57- year old women has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180. She becomes diaphoretic and her blood pressure is 80/66. What should you do?

Perform electrical cardioversion

Which is a contraindication to the administration of aspirin for the management of a patient with ACS?

Recent GI Bleed

Why is it important for EMS personnel to alert the receiving facility stroke team as soon as possible?

Reduce the time interval to definitive care

What is an advantage of a systematic approach to patient assessment?

Reduces the changes of missing important signs and symptoms

What is one goal of therapy for patients with ACS?

Relief of ischemic chest discomfort

What is the recommended next step after a defibrillation attempt?

Resume CPR, starting with chest compressions

What is the most common symptom of myocardial ischemia and infarction?

Retrosternal chest pain

What is the difference between stable angina and unstable angina?

Stable angina involved chest discomfort during exertion.

Which one of the following is an interdependent component of systems of care?

Structure

What are the 3 signs of clinical deterioration that would cause activation of a rapid response system?

Symptomatic hypertension, unexplained agitation, and seizure

Which clinical finding represents a contraindication to the administration of nitroglycerin?

Systolic BP of 84

The CPR Coach Role can be blended into which of the following roles?

The monitor/defibrillator

What should be the primary focus of the CPR Coach on a resuscitation team?

To ensure high quality CPR

Which is a sign or symptom of a stroke

Trouble speaking

Which action is likely to cause air to enter the victim's stomach (gastric inflation), during bag-mask ventilation?

Ventilating to quickly