CCS Emergency Procedures & Response 5

Question 1

After successful resuscitation from cardiac arrest, the post-ROSC 12-lead ECG shows STEMI. The recommended next step is:

Accepted Answer

Emergent coronary angiography with intent to perform PCI

Answer

Post-cardiac arrest STEMI patients should undergo emergent coronary angiography and PCI regardless of neurological status, per current guidelines.

Question 2

Which of the following correctly describes pulsus paradoxus in cardiac tamponade?

Accepted Answer

A fall in systolic BP of >10 mmHg during inspiration

Answer

Pulsus paradoxus is an exaggerated fall in systolic BP (>10 mmHg) during inspiration, caused by increased right heart filling compressing the left ventricle.

Question 3

A patient develops cardiogenic shock post-MI with a BP of 72/40 mmHg. After initial stabilization, which mechanical support device provides the highest cardiac output augmentation?

Accepted Answer

Impella 5.5

Answer

The Impella 5.5 provides up to 5.5 L/min of cardiac output support, the highest among current percutaneous ventricular assist devices.

Question 4

When using an automated external defibrillator (AED) on a patient with a permanent pacemaker, electrode pads should be placed:

Accepted Answer

At least 1 inch away from the pacemaker device

Answer

AED pads should be placed at least 1 inch (2.5 cm) from implanted devices to prevent current channeling and device damage.

Question 5

A patient on heparin infusion develops acute HIT (heparin-induced thrombocytopenia) with signs of arterial thrombosis. The correct action is:

Accepted Answer

Stop heparin and start a direct thrombin inhibitor such as argatroban

Answer

All heparin must be stopped immediately in HIT, and an alternative anticoagulant such as argatroban (a direct thrombin inhibitor) must be started.

(CCS) Certified Cardiovascular Specialist Practice Test

(CCS) Certified Cardiovascular Specialist Practice Test

CCS Emergency Procedures & Response 5