Question

1. Individuals experiencing a suspected ACS should be transported to:
   • An appropriate center for triage
   • A center that has a dedicated stroke team
   • A facility with trauma care
   • A facility that performs PCI
2. In a bradycardic individual who is symptomatic and does not respond to atropine, the next treatment to consider is:
   • Analgesics
   • Transcutaneous pacing
   • Sedatives
   • Amiodarone
3. If an individual suffering from tachycardia loses their pulse, the following should be done:
   • Administer atropine
   • Immediately resume CPR and switch to ACLS cardiac arrest algorithm
   • CPR until pulse is detectable
   • Immediate defibrillation
4. Cardioversion should not be delayed if:
   • A. The individual suddenly deteriorates
   • B. Tachycardia is causing the instability
   • C. The individual becomes pulseless
   • D. Both A and B
5. For appropriate treatment, it is vital to discern if the QRS wave is ___________in a tachycardic individual.
   • Positive or negative
   • Right or left
   • Wide or narrow
   • Present or absent
6. After arrival of an acute stroke individual in the ED, in what time frame should an assessment and an order for a CT scan be received?
   • 30 minutes
   • 60 minutes
   • 90 minutes
   • 10 minutes
7. Which of the following is/are correct regarding individuals with acute stroke ?
   • Hemorrhagic stroke is caused by the rupture of a blood vessel.
   • Ischemic stroke is caused by the occlusion of an artery.
   • Time between symptoms onset and time of arrival at an ED are critical to individual's survival.
   • All of the above
8. Which of the following is the primary treatment in management of ventricular fibrillation?
   • Carotid massage
   • Sedatives
   • All of the above
   • Defibrillation
9. Why should therapeutic hypothermia be considered in an adult comatose person during the post-cardiac arrest period?
   • To prevent sepsis
   • To re-establish circulation
   • To prevent tachycardia
   • To protect the brain/organs
10. All of the following statements regarding asystole are correct EXCEPT:
    • All heart tissue immediately dies when an individual enters asystole.
    • A pulse will not be present in an asystolic individual.
    • Asystolic rhythms can result in severe myocardial ischemia.
    • Vital organs can be permanently damaged.

Answer 1

1. The correct option is d) A facility that performs PCI

Individuals experiencing a suspected ACS should be transported to a facility that performs PCI because if the MI is due to narrowed arteries then we can do the procedure immediately .

2. The correct option is b) transcutaneous pacing .

In a bradycardic individual who is symptomatic and does not respond to atropine, the next treatment to consider is dopamine , adrenaline and transcutaneous pacing .

3. The correct option is b) Immediately resume CPR and switch to ACLS cardiac arrest algorithm.

If an individual suffering from tachycardia loses their pulse , immediately CPR should be started to reactivate the heart .

4. The correct option is b) if tachycardia is causing the instability cardioversion should not be delayed . Synchronised cardioversion is used in cases of supraventricular tachycardia .