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1. You are caring for a patient with a suspected stroke a. start fibrinolytic therapy
whose symptoms started 2 hours ago. The CT was ASAP
normal with no sign of hemorrhage. The patient does
not have any contraindications to fibrinolytic therapy.
Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result
2. For STEMI pt, maximum goal time for ED door-to-bal- 90 mins
loon-inflation time for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins
3. Which is the recommended oral dose of ASA for a pt w/ 160-325 mg
suspected ACS?
a. 81 mg
b. 325-650 mg
c. 160-325 mg
d. 40 mg
4. chest compressions during for adult rate 100-120/min
5. effect of excessive ventilation decreased cardiac output
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return
6. 32-36C
1/9
, ACLS
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temperature to achieve targeted temperature man-
agement after cardiac arrest
7. 3 mins into cardiac arrest resuscitation attempt, one a. chest compression may
member of your team inserts an endotracheal tube not be effective
while another performs chest compressions. Capnog-
raphy shows a persistent waveform & a PETCO2 of
8mmHg. What is the significance of the finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of
efforts
8. Your patient is in cardiac arrest and has been intubat- monitor the patient's PET-
ed. to assess CPR quality, you should CO2
9. In addition to clinical assessment, which is the most re- continous waveform
liable method to confirm & monitor correct placement capnography
of an endotracheal tube?
10. A 45M had coronary artery stents placed 2 days ago. answer has to do with
Today he is in severe distress and reporting "crushing" acute coronary syndrome
chest discomfort. He is pale, diphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is
64/40, respiratory is 28 bpm/min and O2 set is 89% on
room air.
11. A 45M had coronary artery stents placed 2 days ago. a. chest compression
Today he is in severe distress and reporting "crushing"
chest discomfort. He is pale, diphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is
64/40, respiratory is 28 bpm/min and O2 set is 89%
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