GRADED A LATEST VERSION 250
QUESTIONS AND ANSWERS GRADED
A+ {with practice exams}EXAM
ERABORATION
True or False? Severe respiratory acidosis is a cause of cardiac arrest
that requires immediate treatment. - CORRECT ANSWER True
True or False? Succinylcholine is a depolarizing neuromuscular
blocking agent used as a continuous infusion to facilitate mechanical
ventilation in patients with acute respiratory distress syndrome. -
CORRECT ANSWER False
Which of the following is the best explanation of the mechanism of
succinylcholine, a depolarizing neuromuscular blocking agent?
A. It breaks down and inactivates acetylcholine.
B. It competes with acetylcholine for the nicotinic receptors at the
neuromuscular junction.
C. It causes depolarization at the motor endplate so receptors cannot
react with acetylcholine. - CORRECT ANSWER It causes
depolarization at the motor endplate so receptors cannot react with
acetylcholine
Which medication therapy administered during a cardiac arrest can be
administered and absorbed via the endotracheal tube?
,A. Atropine
B. Epinephrine
C. Lidocaine
D. All of these are correct. - CORRECT ANSWER All of these are
correct
A patient in intensive care is mechanically ventilated and has required
high-dose propofol for sedation for 2 weeks. The patient acutely
develops bradycardia, metabolic acidosis, and high triglycerides.
Which of the following adverse reactions is this patient experiencing?
A. Neuroleptic malignant syndrome
B. Propofol-related infusion syndrome
C. Shock
D. Pancreatitis - CORRECT ANSWER Propofol-related infusion
syndrome
Which of the following adverse reactions can occur with the use of
neuromuscular blocking agents over several weeks?
A. Myopathy
B. Pain
C. Hypotension
D. Hyperkalemia - CORRECT ANSWER Myopathy
You are responding to a cardiac arrest in the emergency department.
The physician asks for epinephrine administration via the
endotracheal tube. The intravenous dose is 1 mg. What dose should
be administered via the endotracheal tube?
A. 4 mg
B. 1 mg
,C. 10 mg
D. 2 mg - CORRECT ANSWER 2 mg
Which of the following sedative agents would be safe to use in a
patient who is hypotensive and requiring intubation?
A. Etomidine
B. Dexmedetomidine
C. Vecuronium
D. Propofol - CORRECT ANSWER Etomidine
Which of the following is an acceptable method of decreasing heart
rate in a patient who has supraventricular tachycardia?
A. Adenosine and epinephrine
B. Adenosine
C. Epinephrine
D. Adenosine and the Valsalva maneuver
E. Valsalva maneuver - CORRECT ANSWER Adenosine and the
Valsalva maneuver
Which of the following is the appropriate order of medication
administration for rapid sequence intubation?
A. Succinylcholine, fentanyl, propofol
B. Fentanyl, etomidate, succinylcholine
C. Lidocaine, vecuronium, propofol
D. Rocuronium, fentanyl, ketamine - CORRECT ANSWER Fentanyl,
etomidate, succinylcholine
Which of the following could lead to death if not initiated in a patient
receiving a neuromuscular blocking agent?
, A. Sedation
B. Analgesia
C. Bronchodilator
D. Intubation and mechanical ventilation - CORRECT ANSWER
Intubation and mechanical ventilation
Which of the following types of shock is mediated by
immunoglobulin-E release due to a severe allergic reaction?
A. Neurogenic
B. Cardiogenic
C. Septic
D. Anaphylactic - CORRECT ANSWER Anaphylactic
Which of the following sedatives has both sedative and analgesic
properties?
A. Midazolam
B. Etomidine
C. Propofol
D. Ketamine - CORRECT ANSWER Ketamine
Which of the following antiarrhythmic agents is recommended in the
treatment of ventricular fibrillation after defibrillation and
epinephrine?
A. Adenosine
B. Lidocaine
C. Atropine
D. Amiodarone - CORRECT ANSWER Amiodarone