EXAM QUESTIONS AND 100 % CORRECT ANSWERS ( VERIFIED
ANSWERS ) ALREADY GRADED A+.
When are medication administered during a resuscitation
attempt? - ANSWER-at
any time during the 2 min cycle following defibrillation
as long as the
administration does not disrupt compressions or interfere
with a rhythm check
How far should the endotracheal tube be inserted past the vocal
cords before the
stylet is removed? After the stylet is removed? - ANSWER-
until the balloon
disappears past the vocal folds into the trachea, then remove
the stylet and
advance the tube until the balloon is 3-4 cm beyond
the vocal cords
,After the endotracheal tube has been properly inserted, the
endotracheal balloon should be inflated to the minimum
pressure required to prevent air leaks during tidal volume
ventilation with a bag, which usually requires less than how
many cc's of air? - ANSWER-10
When should the assistant stop holding cricoid pressure in the
setting of control
endotracheal intubation (not ACLS)? - ANSWER-after
placement of the
endotracheal tube is
confirmed
Where should the tip of the endotracheal tube be located? -
ANSWER-mid-
trachea, 3-7cm above the
carina
What is a good rule of thumb to check if the endotracheal tube
is in the correct
position in the trachea? - ANSWER-22cm at the teeth for the
average sized adult
If using an end-tidal CO2 detector that is attached to the
endotracheal tube and the ventilation bag, carbon dioxide
,should be detected within the first _____ breaths of an
endotracheal intubation (except in some cases of cardiac arrest,
when gas exchange may not be occurring properly) - ANSWER-6
Ideally, how long should it take for a CT to be obtained in a
suspected stroke
patient? - ANSWER-25
minutes
Ideally, how long should it take for a CT scan to be interpreted
for a suspected
stroke patient? - ANSWER-45
minutes
Ideally, how long should it take for a ischemic stroke patient (who
is candidate) to
receive fibrinolytic therapy from ED arrival? -
ANSWER-60 minutes
Ideal timeframe to administer fibrinolytic therapy for a stroke
patient timed from
the onset of symptoms - ANSWER-3 hours (or 4.5 in
selected patients)
, Major complication of fibrinolytic therapy in the setting
of acute stroke -
ANSWER-intracranial
hemorrhage
Exclusion criteria for rtPA - ANSWER--significant head trauma or
prior stroke in previous three months
-symptoms suggestive of subarachnoid hemorrhage
-arterial puncture at noncompressible site in previous 7 days
-history or previous intracranial hemorrhage
-elevated BP (systolic >185 or diastolic >110)
-active internal bleeding
-acute bleeding diathesis (platelet count <100,000; heparin in the
previous 48 hours, INR >1.7 or PT>15, direct thrombin inhibitors)
-blood glucose concentration <50
-CT showing multilobar infarction
If a stroke patients SBP is >185 or DBP is >110, what
antihypertensive
medication is recommended? -
ANSWER-labetalol
(nicradipine, or other agents such as hydralazine can
also be used)