ACLS 2022 EXAM QUESTIONS AND
THEIR REVIEWED ANSWERS
What is the most serious potential complication of
nasopharyngeal airway insertion into a patient with
facial trauma?
Misplacent into the cranial cavity
First 10 minutes of ischemic chest pain patient
arrival?
ABCs
ASA
IV access
O2 if less than 90%
EKG
Activate STEMI team
Consider NTG, morphine, P2Y inhibitor
For ACLS, at what O2 sat should you put a patient on
O2?
Less than 90%
What is the dose and administration frequency of NTG
for ACS?
1 sublingual or "translingual" tablet every 3-5 minutes up
to three times.
What do a patient's BP and HR need to be to receive
NTG?
BP >90 systolic and HR >50 and <100 bpm
NTG is contraindicated if a patient is taking what
medication?
, Phosphodiesterase inhibitors: sildenafil (24 hours),
tadalafil (48 hours)
How quickly does the chance of survival decline for
every minute of defibrillation delay in patients with V-
fib who do not receive CPR?
7-10%
What is the goal time for PCI for a STEMI patient (first
medical contact to balloon time)?
First medical contact to balloon time in 90 minutes or less.
What is the first step in the use of an oropharyngeal
airway?
Clear the mouth and pharynx
What is the recommended time window after symptom
onset for early fibrinolytic therapy or direct catheter
based reperfusion for STEMI patients?
Within 12 hours
At what glucose level do we need to give IV insulin for
an ischemic stroke patient?
180 mg/dL or higher
What is the most reliable method of confirming and
monitoring ET tube placement?
Quantitative waveform capnography
Name the rhythm: more P waves than QRS
complexes, and absence of relationship between P
waves and QRS complexes.
Third degree AV block
Patient with difficulty breathing loses consciousness.
Initial actions?
Check for responsiveness
Call for help
ABCs
THEIR REVIEWED ANSWERS
What is the most serious potential complication of
nasopharyngeal airway insertion into a patient with
facial trauma?
Misplacent into the cranial cavity
First 10 minutes of ischemic chest pain patient
arrival?
ABCs
ASA
IV access
O2 if less than 90%
EKG
Activate STEMI team
Consider NTG, morphine, P2Y inhibitor
For ACLS, at what O2 sat should you put a patient on
O2?
Less than 90%
What is the dose and administration frequency of NTG
for ACS?
1 sublingual or "translingual" tablet every 3-5 minutes up
to three times.
What do a patient's BP and HR need to be to receive
NTG?
BP >90 systolic and HR >50 and <100 bpm
NTG is contraindicated if a patient is taking what
medication?
, Phosphodiesterase inhibitors: sildenafil (24 hours),
tadalafil (48 hours)
How quickly does the chance of survival decline for
every minute of defibrillation delay in patients with V-
fib who do not receive CPR?
7-10%
What is the goal time for PCI for a STEMI patient (first
medical contact to balloon time)?
First medical contact to balloon time in 90 minutes or less.
What is the first step in the use of an oropharyngeal
airway?
Clear the mouth and pharynx
What is the recommended time window after symptom
onset for early fibrinolytic therapy or direct catheter
based reperfusion for STEMI patients?
Within 12 hours
At what glucose level do we need to give IV insulin for
an ischemic stroke patient?
180 mg/dL or higher
What is the most reliable method of confirming and
monitoring ET tube placement?
Quantitative waveform capnography
Name the rhythm: more P waves than QRS
complexes, and absence of relationship between P
waves and QRS complexes.
Third degree AV block
Patient with difficulty breathing loses consciousness.
Initial actions?
Check for responsiveness
Call for help
ABCs
