ACLS 2021 Exam-Questions and Answers-100% Verified
ACLS 2021 Exam-Questions and Answers100% Verified
Which class of medications commonly given to
... [Show More] patients with acute coronary
syndromes may be adversely affected by morphine administration
A. Phosphodiesterase inhibitors
B. Oral antiplatelet medications
C. Beta blockers
D. Calcium channel blockers
Oral antiplatelet medications
What is a benefit of morphine when given for the management of acute coronary
syndromes?
A. Central nervous system analgesia
B. Increases systemic vascular resistance
C. Increases left ventricular preload
D. Vasoconstriction
A. Central nervous system analgesia
You obtain a 12-lead ECG in a patient with restrosternal chest pain.
Which ECG finding is suggestive of high risk non ST segment elevation acute
coronary syndromes
A. ST depressions less than 0.5mm
B. Dynamic T-wave inversion
C. ST-segment elevation
D. New bundle branch block
B. Dynamic T-wave inversion
Upon reviewing a patient's 12 lead ECG, you note ST-segment elevation of 2mm
in leads II,III, and aVF
How would you classify the electrocardiographic findings
A. Normal
B. STEMI
C. Non-STEMI
D. Non-diagnostic
b. STEMI
What happens when teams rapidly assess and intervene when patients have
abnormal vital signs
The number of in hospital cardiac arrests decreases
What is the goal for first medical contact-to-ballon inflation time for a patient
receiving PCI
90 minutes
What is the longest acceptable emergency department door-to-needle time when
fibrinolysis is the intended reperfusion strategy
30 minutes
What is the time goal for how quickly you should complete a fibronolytic checklist
once the patient arrives in the emergency department
10 minutes
What is the recommended time window after symptom onset for early fibronolytic
therapy or direct catheter-based reperfusion for patients with STEMI and no
contraindication
Within 12 hours
a 49 yo says that he has had chest discomfort and excessive sweating for the past
25 minutes. Within the first 10 minutes, on the basis of the patient showing
symptoms suggestive of MI, what will your first actions include?
Provide prehospital notification to the receiving hospital
Administer aspirin
if considering prehospital fibrinolysis, use the fibrinolytic checklist
assess ABC
Obtain EKG
consider oxygen, nitroglycerin, and morphine if needed
His initial vital signs are HR 120/min BP 135/88 RR 23 O2 87%
When considering oxygen saturation, what is your course of actions?
Start oxygen at 4L
What additional questions help you determine next steps
When did the symptoms start
Do you take any medication
Do you have any allergies
Your patient continues to say that he has chest discomfort
What treatment can you repeat as long as it is not contraindicated by vital signs
Nitroglycerin sublingual every 3-5min
What is your interpretation of the patient's EKG tracing
STEMI in V2-6
Anterior STEMI
With the possible diagnosis of STEMI, what is the most probable treatment
Admission for PCI/fibrinolysis
After you give report to the hospital, staff advise you to proceed to the cath lab for
PCI
What is the goal for PCI when treating this patient
First medical contact to balloon inflation time of 90 minutes
Which action is part of the secondary assessment of a conscious patient
Formulate a differential diagnosis
What is the most common type of stroke
Ischemic stroke
What is the recommended time window after symptom onset for early fibrinolytic
therapy or direct catheter based reperfusion for patients with STEMI and no
contraindications
12 hours
What validated, abbreviated out of hospital neurologic evaluation tool contains 3
components: facial droop, arm drift, and abormal speech test
Cincinnati Prehospital Stroke scale
What is the estimated probability of the CPSS with 1 abnormal finding when
scored by prehospital providers [Show Less]