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17 Cards in this Set

  • Front
  • Back
In regards to Cardiac Arrest, which of the following Compression rates is incorrect for ALS ?
A. Child 11 years old : rate 100 /min
B. Child 7 years old : rate 100 /min.
C. Hypothermia -Adult : 100 / min
D. Pregnancy : 100 / min.
B. Only with ETT
Rate 75 / min with Bag-Valve-Mask (BVM) or LMA
Rate 100 /min with ETT
Which is correct regarding The Adult Cardiac Arrest Algorithm?
A. Adrenaline is given after the first shock, and every second cycle thereafter (every 4 minutes )
B. Defibrillation is with 150 Joules.
C. The compression :Ventilation ratio is 15:2
D. The ventilation rate is 6-10 / min.
D.

A = Adrenaline after second shock-then every second cycle
B = 200 joules
C = 30:2
In regards to Paediatric Arrest, which is correct?
A. The BLS Compression rate is 100/min
B. The ALS compression rate is 75 / min with BVM /LMA.
C. The compression:ventilation ratio is 30:2
D. The defibrillation setting is 2J/kg
B.

A = 75/min
C = 15:2
D = 4 J/kg
In regards to Arrest in Pregnancy, which of the following is correct?
A. Aortocaval decompression is only achieved with Left lateral tilt with wedging.
B. The Compression:Ventilation ratio is 15:2
C. The ventilation rate is 6-10/min
D. The Compression rate is 75/min
C.

A = Manual left uterine displacement * or with spinal board tilt
B = 30:2
D = 100/min
In regards to Arrest in Hypothermia, which is correct?
A. Intubation is not safe with Temperature < 30 degrees.
B. Drug dosage intervals are doubled when the temperature is < 32 degrees.
C. With unsuccessful initial defibrillation at 200 Joules, repeat shocks occur only for each 1 degree increase in temperature.
D. Oxygen and fluid is warmed to 35 degrees.
C.

A =it is (it does not precipitate VF )
B = Withhold drugs when T emp. < 30 degrees
Double the interval between doses when Temp 30 -35.
Standard protocol when Temp > 35.
D. Fluid and oxygen warmed to 40 degrees.
In regards to Arrest Algorithms, which of the following is correct?
A. In the Paediatric BLS algorithm, there are 5 cycles per minute.
B. In Adult arrest, there are 5 cycles per minute.
C. In Paediatric Arrest (ALS) there are 5 cycles per minute
D. In Pregnant arrest, there are 5 cycle per minute .
C. 5 cycle of 15:2 per minute

A = 5 cycle per 2 minutes
B = 5 cycles per 2 minutes
D = 5 cycle per 2 minutes
In regards to The Arrest Algorithm in Adults, which of the following is incorrect?
A. IVLE (intravenous Lipid Emulsion Therapy) is administered with the second dose of adrenaline at the 4 minute mark.
B. Adrenaline is administered immediately with non-shockable rhythms.
C. Adrenaline is administered after the first shock in shockable rhythms.
D. Amiodarone is administered after the 3rd shock.
C. After second shock
In regards to the Neonatal Arrest algorithm, which of the following is correct?
A. Adrenaline is given IV / IO at 0.01 mL/kg of 1:10,000
B. With initial Heart rate below 100 and apnoea, Positive pressure ventilation with 100% oxygen at a rate of 30 /minute is administered.
C. Chest compressions are commenced at a rate of 100/minute.
D. The compression :ventilation ratio is 3:1
D.

A = adrenaline 0.1 mL/kg 1:10,000
( 10-30 ug/kg ; 0.1 -0.3 mL/kg 1:10,000)
B = PPV with room air at rate of 40-60/min
C = Compressions at rate 120/min
Define the APGAR Scoring system .
- Performed at 1 and 5 minutes
- scores 0,1,2
- Minimum 0 and maximum 10.

A = Activity ( Absent to active)
P = Pulse ( absent , < or > 100)
G = Grimace ( Nil, grimace, Pulls away)
A = Appearance ( Cyanosed--> pink )
R = Respiration (Absent --> Crying)
According to the 2010 AHA Guidelines for CPR, what are the 4 key features of "High Quality CPR ? "
1. Compressions of adequate rate and depth
2. Allowing complete recoil between compressions
3. Minimizing interruptions in compressions
4. Avoiding excessive ventilation
( 2012 AHA CPR / ECC Guidelines)
Which arrest / malignant cardiac rhythm does not require HIGH-ENERGY UNSYNCHRONISED SHOCKS (Defibrillation) ?
A. Polymorphic VT
B. VF
C. Stable Monomorphic VT
D. Pulseless VT
C. At initial energy of 100 Joules
Which is not a reported complication of precordial thump?
A. Sternal fracture
B. Triggering of malignant arrhythmia (VF)
C. Stroke
D. Osteomyelitis
They all are !
(2010 AHA CPR Guidelines)
What are the 5 parts of the "Adult Chain of Survival" in CPR ?
1. Immediate recognition of cardiac arrest
AND activation of Emergency Response System
2. Early CPR - emphasis on chest compressions
3. Rapid defibrillation
4. Effective Advance Life Support (ALS)
5. Integrated Post arrest Care
- Therapeutic Hypothermia
- Angioplasty (PCI)
Which is correct regarding Therapeutic hypothermia in Potst-arrest care :
A. Pregnancy and Pediatrics are not contraindications.
B. Cooling should be initiated within 12 hours post-arrest
C. Cooling should be instituted before transfer to the Cath Lab for PCI.
D. The NNT for a beneficial outcome is 6.
D.

A = both contraindicated
B = Cooling should be initiated within 4-6 hours of arrest onset.
C = Cooling should not delay Cath Lab transfer.
In regards to Therapeutic Hypothermia, which is incorrect?
A. The 2 Landmark studies were Prospective, randomised / Pseudo-randomised and Multicentre.
B. It improves Survival and Neurological outcome in Comatose out-of-Hospital VF arrests.
C. Cooling is to 30-32 degrees for 12-24 hours.
D. Bradycardia and Coagulopathy are recognised side effects.
C.
( 2010 AHA CPR Guidelines )
Which is incorrect regarding the correct depth of compressions in arrest?
A. Infants = 2 cm
B. Adults = > 5 cm
C. Children = 5 cm
D. Depth > 1/3 of AP chest diameter.
A. Depth = 4 cm
(AHA 2010 CPR Guidelines )
Which of the following is correct ?
A. For an adult / Child not breathing, a pulse should not be checked, and CPR should be commenced immediately.
B. For arrested infants, an adult AED should not be used.
C. A-B-C is the correct Arrest sequence for Adults, Children and infants.
D. Rescue breaths can be given after the first 30 compressions (Approximately 18 seconds) in BLS Arrest.
D.

A = CPR can be commenced after a pulse is not detected within 10 seconds by a HealthCare Provider.
B = It can be used if no Paediatric dose attenuator AED is unavailable.
C = C-A-B