ACLS REVISED Test Quiz Bank MOD 009 GRADED
A+ Questions & Answers 2023/2024 VERIFIED
Which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration
A. Phosphodiesterase inhibitors
B. Oral antiplatelet medications
C. Beta blockers
D. Calcium channel blockers correct answers Oral antiplatelet medications
What is a benefit of morphine when given for the management of acute coronary syndromes?
A. Central nervous system analgesia
B. Increases systemic vascular resistance
C. Increases left ventricular preload
D. Vasoconstriction correct answers A. Central nervous system analgesia
You obtain a 12-lead ECG in a patient with restrosternal chest pain.
Which ECG finding is suggestive of high risk non ST segment elevation acute coronary syndromes
A. ST depressions less than 0.5mm
B. Dynamic T-wave inversion
C. ST-segment elevation
D. New bundle branch block correct answers B. Dynamic T-wave inversion
Upon reviewing a patient's 12 lead ECG, you note ST-segment elevation of 2mm in leads II,III, and aVF
How would you classify the electrocardiographic findings
A. Normal
B. STEMI
C. Non-STEMI
D. Non-diagnostic correct answers b. STEMI
What happens when teams rapidly assess and intervene when patients have abnormal vital signs correct
answers The number of in hospital cardiac arrests decreases
What is the goal for first medical contact-to-ballon inflation time for a patient receiving PCI correct
answers 90 minutes
,What is the longest acceptable emergency department door-to-needle time when fibrinolysis is the
intended reperfusion strategy correct answers 30 minutes
What is the time goal for how quickly you should complete a fibronolytic checklist once the patient
arrives in the emergency department correct answers 10 minutes
What is the recommended time window after symptom onset for early fibronolytic therapy or direct
catheter-based reperfusion for patients with STEMI and no contraindication correct answers Within 12
hours
a 49 yo says that he has had chest discomfort and excessive sweating for the past 25 minutes. Within the
first 10 minutes, on the basis of the patient showing symptoms suggestive of MI, what will your first
actions include? correct answers Provide prehospital notification to the receiving hospital
Administer aspirin
if considering prehospital fibrinolysis, use the fibrinolytic checklist
assess ABC
Obtain EKG
consider oxygen, nitroglycerin, and morphine if needed
His initial vital signs are HR 120/min BP 135/88 RR 23 O2 87%
When considering oxygen saturation, what is your course of actions? correct answers Start oxygen at 4L
What additional questions help you determine next steps correct answers When did the symptoms start
Do you take any medication
Do you have any allergies
Your patient continues to say that he has chest discomfort
What treatment can you repeat as long as it is not contraindicated by vital signs correct answers
Nitroglycerin sublingual every 3-5min
, What is your interpretation of the patient's EKG tracing
STEMI in V2-6 correct answers Anterior STEMI
With the possible diagnosis of STEMI, what is the most probable treatment correct answers Admission
for PCI/fibrinolysis
After you give report to the hospital, staff advise you to proceed to the cath lab for PCI
What is the goal for PCI when treating this patient correct answers First medical contact to balloon
inflation time of 90 minutes
Which action is part of the secondary assessment of a conscious patient correct answers Formulate a
differential diagnosis
What is the most common type of stroke correct answers Ischemic stroke
What is the recommended time window after symptom onset for early fibrinolytic therapy or direct
catheter based reperfusion for patients with STEMI and no contraindications correct answers 12 hours
What validated, abbreviated out of hospital neurologic evaluation tool contains 3 components: facial
droop, arm drift, and abormal speech test correct answers Cincinnati Prehospital Stroke scale
What is the estimated probability of the CPSS with 1 abnormal finding when scored by prehospital
providers correct answers 72%
Which is a stroke severity tool that helps EMS differentiate large vessel occlusion stroke from non-large
vessel occlusion stroke correct answers Los Angeles Motor Scale
What is the primary advantage of using a stroke severity tool? correct answers It helps ID large vessel
occlusion stroke
During CPR, CCF should be at least ______% and ideally greater than _____% correct answers 60/80
What is an advantage of EMS alerting the receiving facility of the impending arrival of a patient with
suspected acute ischemic stroke correct answers The hospital can perform more efficient evaluation and
management
A+ Questions & Answers 2023/2024 VERIFIED
Which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration
A. Phosphodiesterase inhibitors
B. Oral antiplatelet medications
C. Beta blockers
D. Calcium channel blockers correct answers Oral antiplatelet medications
What is a benefit of morphine when given for the management of acute coronary syndromes?
A. Central nervous system analgesia
B. Increases systemic vascular resistance
C. Increases left ventricular preload
D. Vasoconstriction correct answers A. Central nervous system analgesia
You obtain a 12-lead ECG in a patient with restrosternal chest pain.
Which ECG finding is suggestive of high risk non ST segment elevation acute coronary syndromes
A. ST depressions less than 0.5mm
B. Dynamic T-wave inversion
C. ST-segment elevation
D. New bundle branch block correct answers B. Dynamic T-wave inversion
Upon reviewing a patient's 12 lead ECG, you note ST-segment elevation of 2mm in leads II,III, and aVF
How would you classify the electrocardiographic findings
A. Normal
B. STEMI
C. Non-STEMI
D. Non-diagnostic correct answers b. STEMI
What happens when teams rapidly assess and intervene when patients have abnormal vital signs correct
answers The number of in hospital cardiac arrests decreases
What is the goal for first medical contact-to-ballon inflation time for a patient receiving PCI correct
answers 90 minutes
,What is the longest acceptable emergency department door-to-needle time when fibrinolysis is the
intended reperfusion strategy correct answers 30 minutes
What is the time goal for how quickly you should complete a fibronolytic checklist once the patient
arrives in the emergency department correct answers 10 minutes
What is the recommended time window after symptom onset for early fibronolytic therapy or direct
catheter-based reperfusion for patients with STEMI and no contraindication correct answers Within 12
hours
a 49 yo says that he has had chest discomfort and excessive sweating for the past 25 minutes. Within the
first 10 minutes, on the basis of the patient showing symptoms suggestive of MI, what will your first
actions include? correct answers Provide prehospital notification to the receiving hospital
Administer aspirin
if considering prehospital fibrinolysis, use the fibrinolytic checklist
assess ABC
Obtain EKG
consider oxygen, nitroglycerin, and morphine if needed
His initial vital signs are HR 120/min BP 135/88 RR 23 O2 87%
When considering oxygen saturation, what is your course of actions? correct answers Start oxygen at 4L
What additional questions help you determine next steps correct answers When did the symptoms start
Do you take any medication
Do you have any allergies
Your patient continues to say that he has chest discomfort
What treatment can you repeat as long as it is not contraindicated by vital signs correct answers
Nitroglycerin sublingual every 3-5min
, What is your interpretation of the patient's EKG tracing
STEMI in V2-6 correct answers Anterior STEMI
With the possible diagnosis of STEMI, what is the most probable treatment correct answers Admission
for PCI/fibrinolysis
After you give report to the hospital, staff advise you to proceed to the cath lab for PCI
What is the goal for PCI when treating this patient correct answers First medical contact to balloon
inflation time of 90 minutes
Which action is part of the secondary assessment of a conscious patient correct answers Formulate a
differential diagnosis
What is the most common type of stroke correct answers Ischemic stroke
What is the recommended time window after symptom onset for early fibrinolytic therapy or direct
catheter based reperfusion for patients with STEMI and no contraindications correct answers 12 hours
What validated, abbreviated out of hospital neurologic evaluation tool contains 3 components: facial
droop, arm drift, and abormal speech test correct answers Cincinnati Prehospital Stroke scale
What is the estimated probability of the CPSS with 1 abnormal finding when scored by prehospital
providers correct answers 72%
Which is a stroke severity tool that helps EMS differentiate large vessel occlusion stroke from non-large
vessel occlusion stroke correct answers Los Angeles Motor Scale
What is the primary advantage of using a stroke severity tool? correct answers It helps ID large vessel
occlusion stroke
During CPR, CCF should be at least ______% and ideally greater than _____% correct answers 60/80
What is an advantage of EMS alerting the receiving facility of the impending arrival of a patient with
suspected acute ischemic stroke correct answers The hospital can perform more efficient evaluation and
management
