ACLS WRITTEN EXAM (ACTUAL
EXAM)
A forty nine-year-vintage man has retrosternal chest pain radiating into the left arm. The
patient is diaphoretic, with associated shortness of breath. The blood stress is one hundred
thirty/88 mm Hg, the heart fee is a hundred and ten/min, the breathing fee is 22 breaths/min,
and the heartbeat oximetry price is ninety five%. The patient's 12-lead ECG indicates
ST-segment elevation in the anterior leads. First responders administered one hundred sixty
mg of aspirin, and there may be a patent peripheral IV. The ache is defined as an eight on a
scale of 1 to 10 and is unrelieved after three doses of nitroglycerin. What is the following
action? - ANS-Administer 2 to four mg of morphine by gradual IV bolus.
A 49-yr-antique female arrives inside the emergency department with chronic epigastric
pain. She had been taking oral antacids for the past 6 hours because she notion she had
heartburn. The initial blood strain is 118/seventy two mm Hg, the heart price is 92/min and
regular, the nonlabored breathing price is 14 breaths/min, and the heartbeat oximetry
studying is ninety six%. Which is the most appropriate intervention to carry out next? -
ANS-Obtain a 12 lead ECG.
A fifty three-year-antique man has shortness of breath, chest discomfort, and weak point.
The patient's blood pressure is 102/fifty nine mm Hg, the heart fee is 230/min, the respiratory
rate is 16 breaths/min, and the heartbeat oximetry studying is 96%. The lead II ECG is
displayed underneath. A patent peripheral IV is in location. What is the next movement? -
ANS-Vagal maneuvers
A fifty six-yr-old man reviews that he has palpitations however no longer chest ache or
problem respiratory. The blood pressure is 132/68 mm Hg, the heartbeat is 130/min and
everyday, the respiration price is 12 breaths/min, and the pulse oximetry analyzing is ninety
five%. The lead II ECG shows a extensive-complex tachycardia. What is the next motion
after organising an IV and acquiring a 12-lead ECG? - ANS-Seeking expert session
A sixty two-12 months-old guy inside the emergency branch says that his coronary heart is
thrashing fast. He says he has no chest ache or shortness of breath. The blood stress is
142/ninety eight mm Hg, the heartbeat is 200/min, the respiration rate is 14 breaths/min, and
pulse oximetry is ninety five% on room air. What intervention need to you carry out next? -
ANS-Obtain a 12 lead ECG.
A sixty eight-yr-vintage woman skilled a surprising onset of right arm weak spot. EMS
personnel degree a blood stress of 140/90 mm Hg, a heart price of 78/min, a nonlabored
breathing rate of 14 breaths/min, and a pulse oximetry studying of ninety seven%. The lead
II ECG displays sinus rhythm. What is the most appropriate movement for the EMS group to
carry out subsequent? - ANS-Cincinnati Prehospital Stroke Scale evaluation
, A monitored patient inside the ICU developed a unexpected onset of narrow-complex
tachycardia at a rate of 220/min. The affected person's blood strain is 128/fifty eight mm Hg,
the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular get
entry to at the left internal jugular vein, and the affected person has no longer been given
any vasoactive pills. A 12-lead ECG confirms a supraventricular tachycardia with out a proof
of ischemia or infarction. The coronary heart price has no longer spoke back to vagal
maneuvers. What is the subsequent encouraged intervention? - ANS-Adenosine 6mg IV
push
A patient has a witnessed lack of recognition. The lead II ECG famous this rhythm:
What is the perfect next intervention? - ANS-Defibrillation
A affected person has unexpected onset of dizziness. The patient's heart rate is 180/min,
blood pressure is one hundred ten/70 mm Hg, respiratory fee is eighteen breaths/min, and
pulse oximetry reading is ninety eight% on room air. The lead II ECG is proven underneath: -
ANS-Vagal manuever.
A affected person in respiratory misery and with a blood pressure of 70/50 mm Hg affords
with the subsequent lead II ECG rhythm:
What is the proper subsequent intervention? - ANS-Synchronized cardioversion
A affected person in respiratory failure turns into apneic however keeps to have a robust
pulse. The heart price is dropping unexpectedly and now suggests a sinus bradycardia at a
rate of 30/min. What intervention has the highest precedence? - ANS-Simple airway
manuevers and assisted ventilations.
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine has
been given. Which is the subsequent drug to expect to administer? - ANS-amiodarone 300
mg
A patient is in refractory ventricular traumatic inflammation and has acquired more than one
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an preliminary dose of 300
mg amiodarone IV. The patient is intubated. A 2nd dose of amiodarone is now called for. The
advise 2nd dose of amiodarone is ? - ANS-one hundred fifty mg IV push
A patient is in refractory ventricular traumatic inflammation. High CPR is in progress and
shocks were given. One dose of epinephrine turned into given after the second surprise. An
anti arrhythmic drug changed into given immediately after the the 1/3 shock. What drug
should the crew leader request to be prepared for management subsequent? - ANS-2nd
dose of epinephrine 1 mg
A affected person presents to the emergency department with new onset of dizziness and
fatigue. On exam, the patient's coronary heart price is 35/min, the blood stress is 70/50 mm
Hg, the respiration charge is 22 breaths/min, and the oxygen saturation is 95%. What is the
perfect first medicine? - ANS-Atropine 0.5mg
EXAM)
A forty nine-year-vintage man has retrosternal chest pain radiating into the left arm. The
patient is diaphoretic, with associated shortness of breath. The blood stress is one hundred
thirty/88 mm Hg, the heart fee is a hundred and ten/min, the breathing fee is 22 breaths/min,
and the heartbeat oximetry price is ninety five%. The patient's 12-lead ECG indicates
ST-segment elevation in the anterior leads. First responders administered one hundred sixty
mg of aspirin, and there may be a patent peripheral IV. The ache is defined as an eight on a
scale of 1 to 10 and is unrelieved after three doses of nitroglycerin. What is the following
action? - ANS-Administer 2 to four mg of morphine by gradual IV bolus.
A 49-yr-antique female arrives inside the emergency department with chronic epigastric
pain. She had been taking oral antacids for the past 6 hours because she notion she had
heartburn. The initial blood strain is 118/seventy two mm Hg, the heart price is 92/min and
regular, the nonlabored breathing price is 14 breaths/min, and the heartbeat oximetry
studying is ninety six%. Which is the most appropriate intervention to carry out next? -
ANS-Obtain a 12 lead ECG.
A fifty three-year-antique man has shortness of breath, chest discomfort, and weak point.
The patient's blood pressure is 102/fifty nine mm Hg, the heart fee is 230/min, the respiratory
rate is 16 breaths/min, and the heartbeat oximetry studying is 96%. The lead II ECG is
displayed underneath. A patent peripheral IV is in location. What is the next movement? -
ANS-Vagal maneuvers
A fifty six-yr-old man reviews that he has palpitations however no longer chest ache or
problem respiratory. The blood pressure is 132/68 mm Hg, the heartbeat is 130/min and
everyday, the respiration price is 12 breaths/min, and the pulse oximetry analyzing is ninety
five%. The lead II ECG shows a extensive-complex tachycardia. What is the next motion
after organising an IV and acquiring a 12-lead ECG? - ANS-Seeking expert session
A sixty two-12 months-old guy inside the emergency branch says that his coronary heart is
thrashing fast. He says he has no chest ache or shortness of breath. The blood stress is
142/ninety eight mm Hg, the heartbeat is 200/min, the respiration rate is 14 breaths/min, and
pulse oximetry is ninety five% on room air. What intervention need to you carry out next? -
ANS-Obtain a 12 lead ECG.
A sixty eight-yr-vintage woman skilled a surprising onset of right arm weak spot. EMS
personnel degree a blood stress of 140/90 mm Hg, a heart price of 78/min, a nonlabored
breathing rate of 14 breaths/min, and a pulse oximetry studying of ninety seven%. The lead
II ECG displays sinus rhythm. What is the most appropriate movement for the EMS group to
carry out subsequent? - ANS-Cincinnati Prehospital Stroke Scale evaluation
, A monitored patient inside the ICU developed a unexpected onset of narrow-complex
tachycardia at a rate of 220/min. The affected person's blood strain is 128/fifty eight mm Hg,
the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular get
entry to at the left internal jugular vein, and the affected person has no longer been given
any vasoactive pills. A 12-lead ECG confirms a supraventricular tachycardia with out a proof
of ischemia or infarction. The coronary heart price has no longer spoke back to vagal
maneuvers. What is the subsequent encouraged intervention? - ANS-Adenosine 6mg IV
push
A patient has a witnessed lack of recognition. The lead II ECG famous this rhythm:
What is the perfect next intervention? - ANS-Defibrillation
A affected person has unexpected onset of dizziness. The patient's heart rate is 180/min,
blood pressure is one hundred ten/70 mm Hg, respiratory fee is eighteen breaths/min, and
pulse oximetry reading is ninety eight% on room air. The lead II ECG is proven underneath: -
ANS-Vagal manuever.
A affected person in respiratory misery and with a blood pressure of 70/50 mm Hg affords
with the subsequent lead II ECG rhythm:
What is the proper subsequent intervention? - ANS-Synchronized cardioversion
A affected person in respiratory failure turns into apneic however keeps to have a robust
pulse. The heart price is dropping unexpectedly and now suggests a sinus bradycardia at a
rate of 30/min. What intervention has the highest precedence? - ANS-Simple airway
manuevers and assisted ventilations.
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine has
been given. Which is the subsequent drug to expect to administer? - ANS-amiodarone 300
mg
A patient is in refractory ventricular traumatic inflammation and has acquired more than one
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an preliminary dose of 300
mg amiodarone IV. The patient is intubated. A 2nd dose of amiodarone is now called for. The
advise 2nd dose of amiodarone is ? - ANS-one hundred fifty mg IV push
A patient is in refractory ventricular traumatic inflammation. High CPR is in progress and
shocks were given. One dose of epinephrine turned into given after the second surprise. An
anti arrhythmic drug changed into given immediately after the the 1/3 shock. What drug
should the crew leader request to be prepared for management subsequent? - ANS-2nd
dose of epinephrine 1 mg
A affected person presents to the emergency department with new onset of dizziness and
fatigue. On exam, the patient's coronary heart price is 35/min, the blood stress is 70/50 mm
Hg, the respiration charge is 22 breaths/min, and the oxygen saturation is 95%. What is the
perfect first medicine? - ANS-Atropine 0.5mg
