DAANCE Emergency Drugs and ACLS 2

Question 1

The first drug administered during pulseless ventricular fibrillation (VF) cardiac arrest, following defibrillation, is:

Accepted Answer

Epinephrine 1 mg IV every 3 to 5 minutes

Answer

Lidocaine 1.5 mg/kg IV

Answer

Amiodarone 300 mg IV

Answer

Atropine 1 mg IV

Question 2

Diphenhydramine (Benadryl) is used in anaphylaxis management primarily to:

Accepted Answer

Block H1 receptors and reduce urticaria and pruritus

Answer

Reverse bronchospasm rapidly

Answer

Increase blood pressure through vasoconstriction

Answer

Prevent delayed biphasic reactions

Question 3

When administering epinephrine for anaphylaxis in the dental office, the preferred route is:

Accepted Answer

Intramuscular injection into the anterolateral thigh

Answer

Subcutaneous injection into the abdomen

Answer

Intravenous bolus into a peripheral vein

Answer

Sublingual tablet

Question 4

Glucagon is used to treat refractory hypotension in anaphylaxis for patients who are:

Accepted Answer

On beta-blockers, which blunt the response to epinephrine

Answer

Diabetic and cannot tolerate epinephrine

Answer

Pregnant, as it is safer than epinephrine in that population

Answer

Hypertensive and at risk of epinephrine-induced stroke

Question 5

The recommended compression-to-ventilation ratio during two-rescuer adult CPR is:

Accepted Answer

30:2

Answer

15:2

Answer

5:1

Answer

15:1

Question 6

Nitroglycerin (sublingual) is indicated for an emergency involving:

Accepted Answer

Suspected acute myocardial ischemia with chest pain in a normotensive patient

Answer

Hypoglycemia causing altered mental status

Answer

Asthmatic bronchospasm unresponsive to albuterol

Answer

Anaphylactic shock with severe hypotension