2025 Actual Exam with 125 Questions and 100%
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A 35-year-old woman presents with a chief complaint of palpitations. She has no chest
discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78 mm
Hg. Which intervention is indicated first? - CORRECT ANSWER: Vagal maneuvers
A 45-year-old woman with a history of palpitations develops light headedness and
palpitations. She has recieved adenosine 6 mg IV for the rhythm shown here, without
conversion of the rhythm. She is now extremely apprehensive. Her blood pressure is
128/70 mm Hg. What is the next appropriate intervention? - CORRECT ANSWER:
Administer adenosine 12 mg IV
A patient becomes unresponsive. You are uncertain if a faint pulse is present. The
rhythm shown here is seen on the cardiac monitor. An IV is in place. Which action do
you take next? - CORRECT ANSWER: Start high-quality CPR
A patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the
patient becomes unresponsive, with the rhythm shown here. Which action is indicated
next? - CORRECT ANSWER: give an immediate un-synchronized high energy shock
(defibrillation dose)
A patient was in refractory ventricular fibrillation. A third shock has just been
administered. Your team looks to you for instructions. What is your next action? -
CORRECT ANSWER: Resume high-quality chest compressions
A patients 12-lead ECG is transmitted by the paramedics and shows a STEMI. When
the patient arrives in the emergency department, the rhythm shown here is seen on the
cardiac monitor. The patient has resolution of moderate (5/10) chest pain after 3 doses
of sublingual nitroglycerin. Blood pressure is 104/70 mm hg. Which intervention is most
important in reducing this patient's in hospital and 30 day mortality rate? - CORRECT
ANSWER: Reperfusion therapy