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MICN LA COUNTY FINAL EXAM LATEST 2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Treatment for prolonged QT intervals for suspected drug
ingestion/agitated delirium? - ANSWER-CONTACT BASE if QRS
>0.12 seconds, QT >500ms, or HR >150 <50 and consider
Sodium Bicarb 50mEq IV with base physician (may repeat x1 if
QRS remains >0.12)
Treatment for mental health crisis? - ANSWER-Olanzapine 10mg
ODT x1 (no base contact required) and Midazolam 5mg IV/IM/IN
(base contact required) max 20mg
Cardiac arrest in PEA treatment - ANSWER-CPR! Epi (0.1mg/ml
1ml) ASAP and can repeat Q5 min max 3mg, NS 1L rapid
If suspected hyperkalemia= 1g Ca chloride and Sodium Bicarb
50mEq
Cardiac arrest V.Fib/pulseless V. Tach treatment? - ANSWER-
CPR! Defib @200J (repeat Q2 min)! Epi (0.1mg/ml 1ml, max 3
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ml) after 2nd defib, amnioderone 300 after 3rd fefib, amnioderone
150mg after 5th, NS 1L rapid
ROSC obtained on scene- when and where do we transport? -
ANSWER-After 5 minutes- to SRC
Do we transport medical cardiac arrests? - ANSWER-No- only
penetrating traumatic! Best thing for medical cardiac arrest is high
quality CPR with minimal interruptions. Cant do that in the
ambulance/transporting.
Treatment post ROSC with cardiogenic shock? - ANSWER-If SBP
<90 NS 1L and push dose epi if no response after 250ml NS
What is the first priority for a cardiac arrest patient? - ANSWER-
CPR!
What is the preferred advanced airway for cardiac arrest patients?
- ANSWER-SGA/iGel- do not have interrupt CPR to place and can
monitor capnography throughout
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Normal ETCO2 during CPR? - ANSWER->10 with box shaped
waveforms
An increase in ETCO2= ROSC
Can you do CPR on LVAD patient? - ANSWER-Yes- note no
pulse and no BP
Can you do CPR on a TAH patient? - ANSWER-No! No epi, no
defib, no cpr- will destroy that artificial heart
When would you hold nitro? - ANSWER-SBP <100 or sexually
enhancing drugs within the last 48 hours
CANT GIVE IF LVAD
Cardiac chest pain treatment? - ANSWER-O2 PRN, EKG, ASA
325mg (hold if GI Bleed), Nitro if chest pain 0.4mg (may repeat for
total 3 doses), IV, NS 1L if poor perfusion, zofran 4mg if nausea
MICN LA COUNTY FINAL EXAM LATEST 2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Treatment for prolonged QT intervals for suspected drug
ingestion/agitated delirium? - ANSWER-CONTACT BASE if QRS
>0.12 seconds, QT >500ms, or HR >150 <50 and consider
Sodium Bicarb 50mEq IV with base physician (may repeat x1 if
QRS remains >0.12)
Treatment for mental health crisis? - ANSWER-Olanzapine 10mg
ODT x1 (no base contact required) and Midazolam 5mg IV/IM/IN
(base contact required) max 20mg
Cardiac arrest in PEA treatment - ANSWER-CPR! Epi (0.1mg/ml
1ml) ASAP and can repeat Q5 min max 3mg, NS 1L rapid
If suspected hyperkalemia= 1g Ca chloride and Sodium Bicarb
50mEq
Cardiac arrest V.Fib/pulseless V. Tach treatment? - ANSWER-
CPR! Defib @200J (repeat Q2 min)! Epi (0.1mg/ml 1ml, max 3
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ml) after 2nd defib, amnioderone 300 after 3rd fefib, amnioderone
150mg after 5th, NS 1L rapid
ROSC obtained on scene- when and where do we transport? -
ANSWER-After 5 minutes- to SRC
Do we transport medical cardiac arrests? - ANSWER-No- only
penetrating traumatic! Best thing for medical cardiac arrest is high
quality CPR with minimal interruptions. Cant do that in the
ambulance/transporting.
Treatment post ROSC with cardiogenic shock? - ANSWER-If SBP
<90 NS 1L and push dose epi if no response after 250ml NS
What is the first priority for a cardiac arrest patient? - ANSWER-
CPR!
What is the preferred advanced airway for cardiac arrest patients?
- ANSWER-SGA/iGel- do not have interrupt CPR to place and can
monitor capnography throughout
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Normal ETCO2 during CPR? - ANSWER->10 with box shaped
waveforms
An increase in ETCO2= ROSC
Can you do CPR on LVAD patient? - ANSWER-Yes- note no
pulse and no BP
Can you do CPR on a TAH patient? - ANSWER-No! No epi, no
defib, no cpr- will destroy that artificial heart
When would you hold nitro? - ANSWER-SBP <100 or sexually
enhancing drugs within the last 48 hours
CANT GIVE IF LVAD
Cardiac chest pain treatment? - ANSWER-O2 PRN, EKG, ASA
325mg (hold if GI Bleed), Nitro if chest pain 0.4mg (may repeat for
total 3 doses), IV, NS 1L if poor perfusion, zofran 4mg if nausea
