Paramedics Exam Cardiology and Resuscitation 3

Question 1

A patient presents with a regular narrow-complex tachycardia at 160 bpm and is hemodynamically stable. Vagal maneuvers failed. What is the next appropriate treatment?

Accepted Answer

Adenosine 6 mg rapid IV push followed by 20 mL saline flush

Answer

Adenosine 6 mg rapid IV push is the first-line drug for stable SVT after failed vagal maneuvers, as it transiently blocks AV node conduction.

Question 2

During post-resuscitation care after ROSC, what is the target oxygen saturation range to avoid hyperoxia?

Accepted Answer

94-99%

Answer

Post-ROSC care targets SpO2 of 94-99% to prevent reperfusion injury from hyperoxia while ensuring adequate oxygenation.

Question 3

A 45-year-old female presents with syncope and the following ECG findings: prolonged QT interval and a twisting pattern around the baseline. What rhythm is this?

Accepted Answer

Torsades de Pointes

Answer

Torsades de Pointes is a polymorphic VT characterized by QRS complexes that twist around the isoelectric baseline, associated with a prolonged QT interval.

Question 4

For a witnessed, monitored VF arrest in a patient with an implanted pacemaker, how should defibrillator pads be positioned?

Accepted Answer

At least 8 cm away from the pacemaker generator

Answer

Defibrillator pads should be placed at least 8 cm from an implanted device to prevent damage to the pacemaker and ensure effective current delivery.

Question 5

What is the recommended IV dose of epinephrine during cardiac arrest in an adult patient?

Accepted Answer

1 mg every 3-5 minutes

Answer

The standard ACLS dose of epinephrine in adult cardiac arrest is 1 mg IV/IO every 3-5 minutes.

Paramedics Exam Practice Test

Paramedics Exam Practice Test

Paramedics Exam Cardiology and Resuscitation 3