AMLS Cardiac Emergencies 2

Question 1

Which medication is the first-line antiplatelet agent given to patients with suspected ACS?

Accepted Answer

Aspirin 324 mg chewed

Answer

Aspirin 324 mg chewed is the first-line antiplatelet agent in suspected ACS due to its rapid absorption and thromboxane inhibition.

Question 2

A patient with wide-complex tachycardia and a pulse is hemodynamically unstable. What is the priority intervention?

Accepted Answer

Synchronized cardioversion

Answer

Hemodynamically unstable tachycardia requires immediate synchronized cardioversion to restore organized rhythm.

Question 3

What does a Killip Class IV classification indicate in a myocardial infarction patient?

Accepted Answer

Cardiogenic shock with high mortality

Answer

Killip Class IV indicates cardiogenic shock, associated with the highest mortality among MI patients.

Question 4

Which finding differentiates pericarditis from MI on an ECG?

Accepted Answer

Diffuse saddle-shaped ST elevation across multiple leads

Answer

Pericarditis causes diffuse saddle-shaped ST elevation in most leads, unlike the localized ST elevation seen in MI.

Question 5

Which vasopressor is preferred in cardiogenic shock when systolic BP is below 70 mmHg?

Accepted Answer

Norepinephrine

Answer

Norepinephrine is the preferred vasopressor in severe cardiogenic shock with profound hypotension due to its alpha and beta effects.

AMLS - Advanced Medical Life Support Practice Test