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Your patient has been intubate. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route of administration? (reference ACLS instructor manual) |
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| Epinephrine, vasopressin, amiodarone |
| Vasopressin, amiodarone, lidocaine |
| Amiodarone, lidocaine, epinephrine |
| Lidocaine, epinephrine, vasopressin |
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A patient has a rapid regular wide complex tachycardia. The ventricular rate is 178. He is asymptomatic with a blood pressure of 110/70 mmHg. He has a history of angina. Which of the following actions is recommended? (reference ACLS instructor manual) |
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| Give adenosine 6 mg IV bolus |
| Give lidocaine 1 to 1.5 mg IV bolus |
| Immediate synchronized cardio version |
| Amiodarone 150mg IV over 10 minutes |
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A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. Of the following, which drug and dose should be administered first by the IV/IO route? (reference ACLS instructor manual) |
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| Sodium bicarbonate 50 mEq |
| Atropine 1 mg |
| Epinephrine 1 mg |
| Vasopressin 20 U |
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Which of the following statements about the use of magnesium in cardiac arrest is most accurate? (reference ACLS instructor manual) |
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| Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine |
| Magnesium is indicated for shock refractory monomorphic VT |
| Magnesium is indicated in VF/pulseless VT associated with torsades de pointes |
| Magnesium is contraindicated in VT associated with a normal QT interval |
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A patient is in cardiac arrest. High quality chest compressions are being given. The patient is intubated and an IV has been started. The rhythm is a systole. The first drug/dose to administer is? (reference ACLS instructor manual) |
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| Epinephrine 3 mg via Endotracheal tube (ET) |
| Epinephrine 1 mg or Vasopressin 40 U IV or IO |
| Atropine 0.5 mg IV or IO |
| Atropine 1 mg IV or IO |
| Dopamine 2 to 20 mg/kg per minute IV or IO |
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A patient is in pulseless ventricular tachycardia. Two shocks and one dose of epinephrine have been given. The next drug/dose to anticipate administering is? (reference ACLS instructor manual) |
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| Epinephrine 3 mg |
| Vasopressin 40 U |
| Amiodarone 150 mg |
| Amiodarone 300 mg |
| Lidocaine 0.5 mg/kg |
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A patient is in refractory ventricular fibrillation. High quality CPR is in progress and shocks has been given. One dose of epinephrine was given after the second shock. An antiarrhythmia drug was given immediately after the third shock. What drug should the team leader request be prepared for administration next? (reference ACLS instructor manual) |
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| Second dose of epinephrine 1 mg |
| Escalating dose epinephrine 3 mg |
| Repeat the antiarrhythmia drug |
| Sodium bicarbonate 50 mEq |
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You arrive on scene with the Code Team. High quality CPR is in progress. An AED has previously advised "no shock indicated". A rhythm check now finds asystole. The next action you would take is to? (reference ACLS instructor manual) |
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| Call for a pulse check |
| Place a Combitube or laryngeal mask airway |
| Place IV or IO access |
| Attempt Endotracheal intubation with minimal CPR interruption |
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A 35 year old woman has palpitations, lightheadedness and a stable tachycardia. The monitor shows a regular narrow complex QRS at a rate of 180 per minute. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. What drug should be administered IV? (reference ACLS instructor manual) |
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| Atropine 0.5 mg |
| Lidocaine 1 mg/kg |
| Adenosine 6 mg |
| Epinephrine 2 to 10 mg/kg per minute |
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A 57 year old woman has palpitations, chest discomfort and tachycardia. The monitor shows a regular wide complex QRS at a rate of 180 per minute. She becomes diaphoretic and blood pressure is 80/60 mmHg. The next action is to? (reference ACLS instructor manual) |
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| Obtain 12 lead electrocardiograms |
| Establish IV and give sedation for electrical cardio version |
| Perform immediate electrical cardio version |
| Give amiodarone 300 mg IV push |
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A bradycardia rhythm is treated when: (reference ACLS instructor manual) |
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| Heart rate is less than 60 per minute with or without symptoms |
| Blood pressure is less than 100 mmHg systolic with or without symptoms |
| Chest pain or shortness of breath is present |
| The patient has an MI on the 12 lead electrocardiograms |
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Which drug(s) are not considered an antiarrhythmics? (reference ACLS instructor manual) |
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| Amiodarone |
| lidocaine |
| magnesium |
| calcium Chloride |
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How effective is the Biphasic defibrillator of converting VT//VF into a non leathal rhythm? (reference ACLS instructor manual) |
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| 100% |
| 90% |
| 80% |
| 75% |
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What is the maximum accumulated dose of Atropine that can be given during a COR? (reference ACLS instructor manual) |
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| 1mg |
| 2mg |
| 3mg |
| 5mg |
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Atropine affects the sympathetic nervous system (reference ACLS instructor manual) |
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| True |
| False |
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It is recommended to give Atropine for a second degree type II Heart block that is Bradycardia? |
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| (reference ACLS instructor manual) |
| True |
| False |
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What drug causes Inotropy, Chronotropy and is a smooth muscle relaxant under low doses? (reference ACLS instructor manual) |
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| Levophed |
| Epinepherine |
| Norepinepherine |
| Dobutamine |
| Dopamine |
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| Ventricular Tachycardia |
| Ventricular Fibrillation |
| Atrial Fibrillation |
| Atrial Flutter |
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| 1st Degree |
| 2nd Degree type 1 |
| 2nd Degree type 2 |
| 3rd degree complete block |
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| 1st Degree |
| 2nd Degree type 1 |
| 2nd Degree type 2 |
| 3rd degree complete block |
| 2nd Degree type 3 /c incomplete atrial ventricular response |
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| Junctional rhythm |
| Accelerated Junctional rhythm |
| Tachy Junctional rhythm |
| Regular Sinus rhythm with a complete SA node block |
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| Junctional rhythm |
| Accelerated Junctional rhythm |
| Tachyjunctional rhythm |
| Regular Sinus rhythm with a complete SA node block |
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| Junctional rhythm |
| Accelerated Junctional rhythm |
| Tachyjunctional rhythm |
| Regular Sinus rhythm with a complete SA node block |
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| Ventricular Tachycardia |
| Ventricular Fibrillation |
| Atrial fibrillation |
| Atrial Flutter |
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| Sinus Tachycardia |
| Atrial Tachycardia |
| Sinus Tachycardia with rapid Atrial response |
| Supraventricular Tachycardia |
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| Sinus Tachycardia |
| Atrial Tachycardia |
| Sinus Tachycardia with rapid Atrial response |
| Supraventricular Tachycardia |
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| Ventricular Tachycardia |
| Ventricular Fibrillation |
| Torsades De Points |
| Multifocal Ventricular Tachycardia |
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| Ventricular Tachycardia |
| Ventricular Fibrillation |
| Atrial fibrillation |
| Atrial Flutter |
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| Sinus Bradycardia |
| Junctional Rhythm |
| 2nd Degree type 2 |
| 3rd degree complete block |
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| Bradycardia |
| Ventricular Fibrillation |
| Atrial fibrillation with Bigeminy |
| Atrial Flutter |
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| Sinus Bradycardia |
| 1st Degree |
| 2nd Degree type 1 |
| 2nd Degree type 2 |
| 3rd degree complete block |
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| Premature Atrial Contraction |
| Premature Ventricular Contraction |
| Premature Junctional Contraction |
| Sinus rhythm with aberrancy?s |
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| Anterior M.I. as indicated by elevated ST segment |
| Sinus rhythm, presented in Lead III |
| Paced rhythm |
| Run of Premature Ventricular contractions |
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| Sinus rhythm with premature Junctional contraction |
| Sinus rhythm with premature Ventricular contraction |
| Sinus rhythm with premature Atrial contraction |
| Sinus rhythm with Atrial - Ventricular dissociation |
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Does the Status of Course Director transfer from Training Center to Training Center Automatically? (reference Program administation manual) |
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| Yes |
| No |
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What is the dilution ratio of Bleach and water for equipment decontamation? (reference Decontamination equipment) |
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| 1/3 cup liquid house hold bleach per gallon of tap water) for 5 minutes |
| 1/4 cup liquid house hold bleach per gallon of tap water) for 10 minutes |
| 1/4 cup liquid house hold bleach per 1/2 gallon of tap water) for 10 minutes |
| 1/3 cup liquid house hold bleach per gallon of tap water) for 10 minutes |
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What is the dilution ratio of alcohol for cleaning Equipment? (reference Decontamination equipment) |
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| 65% |
| 100% |
| 60% |
| 70% |
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What are the types of alcohol that can be used for cleaning equipment? |
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| Methyl |
| isopropanol |
| ethanol |
| Answer Two and Three |
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Identify the form(s) that need to be signed and other paperwork that needs to be turned in for an ACLS Instructor Class? (reference Program administation manual) |
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| Instructor profile |
| Alignment for their TC or a completion notice |
| A Roster |
| Core Instructor Course |
| Test Score of 90% or better |
| Instructor Canadate Application |
| all the above |
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What form(s) do you need to give to an instructor that has taught, and who is not aligned under your TC? (reference Program administation manual) |
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| Instructor / TCF teaching Activity Notice to Primary TC |
| a copy of the roster with lecture and stations assigned |
| nothing, the instructor is responsible for their teaching |
| Answer 1 or 2 |
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What is the name of the form that an instructor needs to fill out when transfering from one TC to another TC? (reference Program administation manual) |
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| Instructor transfer |
| Instructor records transfer request |
| Training Center record transfer form |
| Training Center request for instructor records |
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What is not part of the Core topics in the ACLS provider Course (reference ACLS Instructor Manual) |
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| Management of Respiratory Arrest learning station |
| BLS and AED learning station |
| Medication |
| Putting it all together learning station |
| Mega code |
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What is not part of the regular equipment needed for an Airway Station? (reference ACLS Instructor Manual) |
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| Pocket mask |
| 1-way valve |
| bag-mask, reservoir, and tubing |
| oral and nasal airway's |
| non-rebreather mask |
| ET tube |
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Are advanced airway skills (ET tube, LMA, Combitube) taught in the ACLS course? (reference ACLS Instructor Manual) |
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| Yes |
| No |
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What is the name of the form used to evaluate an Instructor? (reference Program Administration Manual) |
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| Instructor evaluation Form |
| Instructor Monitor Form |
| Instructor checklist |
| Instructor performance evaluation |
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What is not on the Instructor Renewal checklist? (reference Program Administration Manual) |
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| Provider class successfully demonstrated |
| Provider examination completed with a score of 84% or higher |
| Instructor/TCF updates |
| Instructor /TCF monitor form completed |
| At least four Provider Courses taught in past two years |
| Average evaluation score of all classes taught |
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What is the name of the form used for biannual Instructor evaluations? (reference Program Administration Manual) |
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| Instructor/TCF Renewal Checklist |
| Instructor Monitor Form |
| Instructor evaluation and compliance |
| Instructor Renewal Monitoring Form |
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