FISDAP Cardiac Emergencies 3

Question 1

A patient in wide-complex tachycardia is hemodynamically unstable with a BP of 70/40 mmHg. What is the immediate treatment?

Accepted Answer

Immediate synchronized cardioversion

Answer

Hemodynamic instability with wide-complex tachycardia mandates immediate synchronized cardioversion regardless of the underlying rhythm.

Question 2

During a cardiac arrest resuscitation, what is the recommended dose and frequency of epinephrine administration?

Accepted Answer

1 mg IV every 3-5 minutes

Answer

The standard dose of epinephrine during cardiac arrest is 1 mg IV/IO administered every 3-5 minutes throughout the resuscitation.

Question 3

Which of the following best describes the role of the precordial thump in cardiac arrest management?

Accepted Answer

Only considered for witnessed monitored pulseless VT when a defibrillator is not immediately available

Answer

The precordial thump may be considered only for witnessed, monitored pulseless VT when defibrillation is not immediately available, as its benefit is uncertain.

Question 4

A 45-year-old patient presents with acute pulmonary edema secondary to CHF. His BP is 160/100 and SpO2 is 82% on room air. Which intervention is the HIGHEST priority?

Accepted Answer

CPAP or BiPAP therapy

Answer

CPAP/BiPAP is the highest-priority intervention as it immediately improves oxygenation by increasing mean airway pressure and reducing pulmonary edema.

Question 5

Atropine is indicated for symptomatic bradycardia. What is the initial adult dose?

Accepted Answer

0.5 mg IV

Answer

The initial dose of atropine for symptomatic bradycardia is 0.5 mg IV, which may be repeated every 3-5 minutes to a maximum of 3 mg.

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

FISDAP Cardiac Emergencies 3