NEW! ACLS & PALS Quiz: Test Your Cardiac Knowledge
In celebration of national high blood pressure education month this May, we’ve prepared a new cardiac-themed ACLS & PALS quiz to help you prep for your next recertification exam. Answer the questions below, then immediately check your answers.
QUESTION 1:
Which one of the following interventions is most associated with overall survival from sudden cardiac arrest?
A. I.V. atropine
B. I.V. epinephrine
C. Early defibrillation
D. Early use of transcutaneous cardiac pacing (TCP)
The best answer is C.
Here's Why: All peer-reviewed studies relating to survival of sudden cardiac arrest identify electrical therapy (early defibrillation) as the most successful intervention associated with overall response and survival.
QUESTION 2:
Which of the following statements about atropine is true?
- Stimulates beta1 adrenergic receptors
- May speed heart rate in some patients with bradycardia
- May cause unwanted tachycardia
- Is a parasympatholytic amine
A. (1,2 only)
B. (1,3 only)
C. (2,3,4 only)
D. (All of the above)
The best answer is C.
Here's Why: Atropine does not affect adrenergic receptors like catecholamine drugs (epinephrine, dopamine, etc.) do. Atropine is a parasympatholytic agent that may speed heart rate due to its effect on the vagas nerve. Reasonable caution should be used when administering atropine as unwanted tachycardia can occur. Not all patients with symptomatic bradycardias will respond to atropine due to infra-nodal lesions or ventricular escape mechanisms.
QUESTION 3:
A common response to low arterial oxygen tensions (hypoxemia) in young children is:
A. Diarrhea
B. Vomiting
C. Bradycardia
D. Diuresis
The best answer is C.
Here's Why: The most reproducible response of young children to clinically significant hypoxemia is worsening bradycardia. Bradycardia in unstable pediatric patients should always be first addressed by providing an open airway and supplemental oxygen with assisted ventilation if required.
QUESTION 4:
Which of the following atrioventricular blocks would most often require placement of a permanent cardiac pacemaker?
A. Sinus bradycardia
B. 1st degree AV block
C. 2nd degree AV block type I
D. 2nd degree AC block type II
The best answer is D.
Here's Why: Changes at the sinus node, 1st degree AVB, 2nd degree AVB type I (AV node level lesions) are most often caused by transient and reversal events. 2nd degree AVB type II is most commonly caused by an infranodal lesion and is most often organic in nature. Infranodal lesions typically require placement of transcutaneous (emergency) or transvenous cardiac pacemakers.
QUESTION 5:
High concentrations of inhaled oxygen must be given to any patient suspected of having a stroke or heart attack.
A. True
B. False
The best answer is B.
Here's Why: According to the most recent recommendations of the International Liaison Committee on Resuscitation (ILCOR), oxygen should only be administered to these patients if there is any sign of respiratory difficulty or hypoxemia. Patients who have stable Sa02’s with no signs of hypoxemia should not receive “prophylactic oxygen therapy.”
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- Online Review with Practice Questions
- Review and Retake of Exam
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- Online Review with Practice Questions
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