1. Therapeutics Tutoring
Sarah Darby
September 27, 2017

2. ACLS Which cardiac rhythm is shockable? Ventricular fibrillation
Pulseless ventricular tachycardia
Pulseless electrical activity
Asystole
A and B
C and D

3. ACLS Identify the rhythm Sinus bradycardia Sinus tachycardia
Ventricular tachycardia
Pulseless electrical activity

4. ACLS Identify the rhythm Asystole Ventricular fibrillation
Ventricular tachycardia
Pulseless electrical activity
Ekg.academy.com

5. ACLS Identify the rhythm Asystole Ventricular fibrillation
Ventricular tachycardia
Pulseless electrical activity
Medlibes.com

6. ACLS Identify the rhythm Sinus bradycardia Sinus tachycardia
Ventricular tachycardia
Pulseless electrical activity
Learningcentral.health.unm.edu

7. ACLS Identify the rhythm Asystole Ventricular fibrillation
Ventricular tachycardia
Pulseless electrical activity
Studentsofmedicineplus.weebly.com

8. ACLS Identify the rhythm Sinus bradycardia Sinus tachycardia
Ventricular tachycardia
Pulseless electrical activity
Lifeinthefastlane.com

9. ACLS Identify the rhythm First degree AV block
Second degree AV block type 1
Second degree AV block type 2
Third degree AV block
Ekgacademy.com

10. ACLS Identify the rhythm Pulseless electrical activity
Ventricular tachycardia
Ventricular fibrillation
Torsades de pointes
Ekgacademy.com

11. ACLS What is the preferred initial catecholamine in ACLS?
Norepinephrine
Epinephrine
Vasopressin
Phenylephrine

12. ACLS
JY is a 65 yo WM (80kg) who was found down at home by his wife. EMS arrived and began CPR. En route to the hospital, the first dose of Epinephrine is given. Which is appropriate?
1mg every 1 minute
1mg every 3 minutes
5mg every 1 minute
5mg every 3 minutes

13. ACLS
How many milliliters of Epinephrine should EMS administer if they have a 30mL vial (1:1000)?
1mL
2mL
5mL
10mL

14. ACLS
How many milliliters of Epinephrine should EMS administer if they are using a prefilled 10ml syringe (1:10,000)?
1mL
2mL
5mL
10mL

15. ACLS Which statement is true about Amiodarone?
It is only used in patients with preserved left ventricular function
The initial bolus dose is 150mg IV or IO
It is a class III antiarrhythmic drug
It has no effect on sodium or potassium channels

16. ACLS Which statement is true about Lidocaine?
It is first line therapy for pVT and VF
It causes less asystole than epinephrine
It is superior to Amiodarone according to the ALIVE trial
It should be dose adjusted in hepatic impairment

17. ACLS
The physician asks you to dose the initial IV lidocaine bolus for a 75kg patient in cardiac arrest. Which is appropriate?
50mg
100mg
150mg
200mg

18. ACLS
Which is the maximum cumulative dose of lidocaine that a 60kg patient can receive?
90mg
100mg
180mg
300mg

19. ACLS Lidocaine is part of the ACLS algorithm for pVT and VF.
True or False.

20. ACLS Which statement is true about magnesium?
It should be given rapid IV push.
It should only be given in Mg deficiency.
It is indicated for drug-induced Torsades.
Mg has no effect on cardiac cell depolarization.

21. ACLS Which statement is true about adenosine?
It is used to treat bradycardia
It has a half life of 5 minutes
It accelerates SA and AV nodal conduction
It is contraindicated in pts with heart blocks

22. ACLS
WT arrives in the ED with an EKG showing SVT and HR of 180. Which dose of adenosine is appropriate for this patient?
6mg rapid bolus
6mg infusion over 10 minutes
12mg rapid bolus
12mg infusion over 10 minutes

23. ACLS
Which of the following side effects do you not expect to see with adenosine?
Chest pain
Flushing
Vomiting
Dyspnea

24. ACLS
What do you recommend for a patient who is taking both adenosine and carbamazepine?
Reduce the initial adenosine dose to 3mg
Increase the initial adenosine dose to 9mg
Reduce the carbamazepine dose
Avoid adenosine altogether

25. ACLS Which statement is not true about atropine?
It can cause tachycardia
It increases sinus node automaticity
It is first line for PEA
Slow infusions should be avoided

26. ACLS
During cardiac arrest, _______ tissue perfusion may lead to acidemia and the need for ____________ therapy.
Poor; sodium bicarbonate
High; sodium bicarbonate
Poor; adenosine
High; adenosine

27. ACLS Which statement is true about sodium bicarbonate?
It improves survival and ROSC
May induce hyponatremia
May potentiate simultaneously administered catecholamines
May help correct an existing metabolic acidosis

28. ACLS
JT is an IV drug user, and the nurse is having trouble getting an IV placed. The nurse convinces the physician to use IO for administration. Which of JT’s meds can NOT be given IO?
Epinephrine
Amiodarone
Adenosine
Magnesium

29. ACLS Remember! IO = MAVEL Magnesium Amiodarone + Atropine Vasopressin
Epinephrine
Lidocaine

30. ACLS Which agent should not be administered down an ET tube? Lidocaine
Amiodarone
Epinephrine
Atropine

31. ACLS Remember! Endotracheal tube = NAVEL Narcan Atropine
Valium/Vasopressin
Epinephrine
Lidocaine

32. ACLS
EB requires epinephrine but has an ET tube. What dose do you recommend?
1mg
2.5mg
5mg
10mg

33. ACLS
Which patient is most likely to be a candidate for therapeutic hypothermia?
Pt who is sitting up in bed talking one day after cardiac arrest
Pt who is unresponsive after achieving ROSC in the ER
Pt who is unresponsive and cannot maintain ROSC
Pt on ventilator but can squeeze your hand when directed

34. ACLS
EMS arrive on scene to find patient down. CPR is immediately started. The EKG shows VF. What is the first time point that epinephrine can be given?
Before the first shock
After the first shock
After the second shock
After the third shock

35. ACLS
EMS arrive on scene to find patient down. CPR is immediately started. The EKG shows VF. What is the first time point that amiodarone can be given?
Before the first shock
After the first shock
After the second shock
After the third shock

36. ACLS
EMS arrive on scene to find patient down. CPR is immediately started. The EKG shows PEA. What is the preferred course of action? (multiple answers)
Administer a shock
Give epinephrine every 3-5 minutes
Give amiodarone after the third shock
Continuous CPR
Assess for reversible causes

37. Therapeutics Tutoring Questions
Sarah Darby
September 27, 2017