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ACLS PHARMACOLOGY EXAM 2025
QUESTIONS AND ANSWERS GRADED A+
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 unit per hour are being administered. The patient
did not take aspirin because he has a history of gastritis, which was treated 5 years
ago. What is your next action?
A. give aspirin 160 to 325 mg to chew
B. give clopidogrel 300 mg orally
C. give enteric-coated aspirin 75 mg orally
D. give enteric-coated aspirin 325 mg rectally
A. give aspirin 160 to 325 mg to chew
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next?
A. adenosine 6 mg
B. amiodarone 300 mg
C. epinephrine 3 mg
D. lidocaine 0.5 mg/kg
B. amiodarone 300 mg
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You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT
scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula
at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg.
Which drug do you anticipate giving to this patient?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA
A. aspirin
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 3 mg
B. 0.5 mg
, \
What is the indication for the us of magnesium in cardiac arrest?
A. ventricular tachycardia associated with a normal QT
interval
B. shock-refractory monomorphic ventricular tachycardia
C. pulseless ventricular tachycardia-associated torsades
de pointes
D. shock-refractory ventricular fibrillation
C. pulseless ventricular tachycardia-associated
torsades de pointes
In which situation does bradycardia require treatment?
A. 12-lead ECG showing a normal sinus rhythm
B. hypotension
C. diastolic blood pressure greater than 90 mm Hg
D. systolic blood pressure greater than 100 mm Hg
ACLS PHARMACOLOGY EXAM 2025
QUESTIONS AND ANSWERS GRADED A+
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 unit per hour are being administered. The patient
did not take aspirin because he has a history of gastritis, which was treated 5 years
ago. What is your next action?
A. give aspirin 160 to 325 mg to chew
B. give clopidogrel 300 mg orally
C. give enteric-coated aspirin 75 mg orally
D. give enteric-coated aspirin 325 mg rectally
A. give aspirin 160 to 325 mg to chew
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next?
A. adenosine 6 mg
B. amiodarone 300 mg
C. epinephrine 3 mg
D. lidocaine 0.5 mg/kg
B. amiodarone 300 mg
,\
You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT
scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula
at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg.
Which drug do you anticipate giving to this patient?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA
A. aspirin
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 3 mg
B. 0.5 mg
, \
What is the indication for the us of magnesium in cardiac arrest?
A. ventricular tachycardia associated with a normal QT
interval
B. shock-refractory monomorphic ventricular tachycardia
C. pulseless ventricular tachycardia-associated torsades
de pointes
D. shock-refractory ventricular fibrillation
C. pulseless ventricular tachycardia-associated
torsades de pointes
In which situation does bradycardia require treatment?
A. 12-lead ECG showing a normal sinus rhythm
B. hypotension
C. diastolic blood pressure greater than 90 mm Hg
D. systolic blood pressure greater than 100 mm Hg
