Comatose patients with a ROSC (return of spontaneous
circulation) who are candidates for targeted temperature management
should be:
Cooled to between 32°C and 36°C for at least 24 hrs
Cooled to between 32°C and 36°C for no longer than 24
hrs
Cooled to between 30°C and 34°C for at least 24 hrs
Cooled to between 32°C and 34°C for no longer than 24
hrs
You are performing CPR on your patient. Quantitative waveform
capnography shows a PETCO2 level of 5 mm Hg. Your next intervention
is to:
Improve the quality of CPR
Increase the amount of oxygen being delivered
Decrease the amount of oxygen being delivered
Do nothing; this is a normal reading
Which drug is considered first-line treatment for asystole or
PEA?
Epinephrine
Atropine
Sodium bicarbonate
Magnesium
The correct sequence for basic life support is:
ABC – Airway, Breathing, Compressions
ACB – Airway, Compressions, Breathing
BCA – Breathing, Compressions, Airway
CAB – Compressions, Airway, Breathing
Your patient’s heart monitor shows ventricular fibrillation.
His peripheral pulses are strong; respirations are even and
non-labored; pulse oximetry is 98%. You should:
Give epinephrine and repeat every 3-5 minutes
Give atropine
Defibrillate immediately at 120 to 200 joules
Check the monitor leads
In optimal post-cardiac arrest care, what is the mean arterial
blood pressure threshold below which hypotension should be
treated?
35
65
90
120
A patient with this rhythm is unresponsive. Of the following,
which is the best initial intervention?
Give epinephrine
Give atropine
Defibrillate
Synchronized cardioversion
The two most common reversible causes of PEA are:
Hypovolemia and trauma
Hypovolemia and hypoxia
Hypovolemia and tamponade
Thrombosis and toxins
Which pressor has been removed from the Adult Cardiac Arrest
Algorithm in 2015?
Dopamine
Dobutamine
Norepinephrine
Vasopressin
You are the paramedic on an ambulance transporting a
65-year-old female. The patient is connected to the monitor and you
see this rhythm; she has a palpable pulse. What is the
rhythm?
Sinus bradycardia
Sinus rhythm
PEA
2nd degree heart block
Your patient is unresponsive and you see a slow, regular
rhythm at a rate of 28 beats per minute on the monitor; you feel
for a pulse and cannot find one. You know that this rhythm is most
likely:
Sinus bradycardia
Sinus rhythm
PEA
2nd degree heart block
The patient presents to the ED with complaint of rapid heart
rate. You connect him to the cardiac monitor and see this rhythm.
What is the most likely cardiac rhythm?
Sinus rhythm
Sinus tachycardia
Supraventricular tachycardia
Ventricular tachycardia
A patient walks into the ED with complaints of headache, rapid
heartbeat, and tiredness. You connect him to the monitor and see
the rhythm below; his systolic blood pressure is 80 mm Hg. What is
this cardiac rhythm?
Unstable tachycardia
Stable tachycardia
Sinus rhythm
Ventricular tachycardia
This rhythm is characterized by a complete dissociation
between the P wave and the QRS:
1st degree AV block
2nd degree AV block (Type I)
2nd degree AV block (Type II)
3rd degree AV block
This rhythm (also called Wenckebach) is characterized by
progressive prolongation of the PR interval until a QRS complex is
“dropped” and there is no contraction of the ventricles:
1st degree AV block
2nd degree AV block (Type I)
2nd degree AV block (Type II)
3rd degree AV block
This rhythm is characterized by constant PR and R to R
intervals but unexpected non-conducted atrial impulses:
1st degree AV block
2nd degree AV block (Type I)
2nd degree AV block (Type II)
3rd degree AV block
This rhythm is characterized by a regular, but prolonged PR
interval:
1st degree AV block
2nd degree AV block (Type I)
2nd degree AV block (Type II)
3rd degree AV block