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1. Your patient is in cardiac arrest and has been intubated. To assess CPR
quality, which should you do?: monitor the patient's PETCO2
2. Which facility is the most appropriate EMS destination for a patient with
sudden cardiac arrest who achieved return of spontaneous circulation in the
field?: Coronary reperfusion-capable medical center
3. Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive patient?: Agonal gasps
4. To properly ventilate a patient with a perfusing rhythm, how often do you
squeeze the bag?: Once every 6 seconds
5. In addition to clinical assessment, which is the most reliable method to
confirm and monitor correct placement of an endotracheal tube?: continous
waveform capnography
6. You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy. Which
treatment is best for this patient?: Start fibrinolytic therapy as soon as possible
7. What is the recommended range from which a temperature should be select-
ed and maintained constantly to achieve targeted temperature management
after cardiac arrest?: 32°C to 36°C
8. Which is the recommended first intraveneous dose of amiodarone for a
patient with refractory ventricular fibrillation?: 300mg
9. Which is the primary purpose of a medical emergency team or rapid re-
sponse team?: Improving patient outcomes by identifying and treating early clinical
deterioration
10. Which is the recommended next step after a defibrillation attempt?: Re-
sume CPR, starting with chest compressions
11. EMS providers are treating a patient with a suspected stroke. According
to the Adult Suspected Stroke Algorithm, which critical action performed by
the EMS team will expedite this patient's care on arrival and reduce time to
treatment?: Alert the hospital
12. A responder is caring for a patient with a history of congestive heart failure.
The patient is experiencing shortness of breath, a blood pressure of 68/50, and
a heart rate of 190/min. The patient's lead II ECG is displayed here, Which best
characterizes the patient's rhythm?: Unstable supraventricular tachycardia
13. Your rescue team arrives to find a 59-year-old man lying on the kitchen
floor. You determine that he is unresponsive. Which is the next step in your
assessment and management of this patient?: Check the patient's breathing and
pulse
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14. Which best describes the length of time it should take to perform a pulse
check during the BLS assessment?: 5-10 seconds
15. You instruct a team member to give 1 mg atropine IV. Which response is
an example of closed-loop communication?: "I'll draw up 1 mg atropine"
16. What is an effect of excessive ventilation?: decreased cardiac output
17. If a team member is about to make a mistake during a resuscitation
attempt, which best describes the action that the team leader or other team
members should take?: Address the team member immediately
18. Which best describes this rhythm?: monomorphic ventricular tachycardia
19. For STEMI patients, which describes the recommended maximum goal
time for emergency department door-to-balloon inflation time for percuta-
neous coronary intervention?: 90 min
20. Which is the maximum interval you should allow for an interruption in
chest compressions?: 10 seconds
21. Which is one way to minimize interruptions in chest compressions during
CPR?: Continue CPR while the defibrillator charges
22. Which best describes an action taken by the team leader to avoid ineffi-
ciencies during a resuscitation attempt?: Clearly delegate tasks
23. Which is an acceptable method of selecting an appropriately sized oropha-
ryngeal airway?: Measure from the corner of the mouth to the angle of the mandible
24. You are evaluating a 58-year-old man with chest discomfort. His blood
pressure is 92/50 mm Hg, his heart rate is 92/min, his nonlabored respiratory
rate is 14 breaths/min, and his pulse oximetry reading is 97%. Which assess-
ment step is most important now?: Obtaining a 12 lead ECG.
25. A patient in respiratory distress and with a blood pressure of 70/50 mm Hg
presents with the lead II ECG rhythm shown here. Which is the a ppropriate
treatment?: Performing synchronized cardioversion
26. During post-cardiac arrest care, which is the recommended duration of
targeted temperature management after reaching the correct temperature
range?: at least 24 hours
27. Three minutes into a cardiac arrest resuscitation attempt, one member
of your team inserts an endotracheal tube while another performs chest
compressions. Capnography shows a persistent waveform and a PETCO2 of
8 mm Hg. Which is the significance of this finding?: Chest compressions may
not be effective.
28. Which is the recommended oral dose of aspirin for a patient with a sus-
pected acute coronary syndrome?: 160-325 mg
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