ACLS 2010 Guidelines Quiz

1. The links in the adult Chain of Survival represent:
a. Recognition of cardiac arrest and activation of the EMS.
b. Early CPR with two rescue breaths delivered early.
c. Effective advanced life support.
d. a and c
e. all of the above
Source: AHA ACLS Provider Manual (2010), p. 26
2. Quality assessment relies on valid assessment of resuscitation performance and outcome, These measures are often made by tools such as
a. The Utstein Guidelines for core performance measures.
b. the Briggs Myers Test
c. Measuring improved CPR performance
d. data should be both externally and internally compared for performance.
e. All of the above.
f. A,C,D
Source: AHA ACLS Provider Manual (2010), p. 27
3. Some areas identified in resuscitation as needing improvement included:
a. Increased bystander CPR response rates.
b, completing CPR before defibrillation
c. less frequent training programs for healthcare professionals
d. more frequent programs for citizen education and training.
e. d and a are correct
Source: AHA ACLS Provider Manual (2010), p. 27
4. To continue to improve care,
a. leaders must assess the overall system.
b. Many hospitals have implemented the use of medical Emergency Teams.
c. grants should be written to increase training opportunities.
d. individuals and groups must continue to work together.
e. b and d
f. a, b. and c
Source: AHA ACLS Provider Course (2010), p. 26 AHA ACLS Provider Manual (2010), p. 27
5. Post cardiac arrest care should:
a. be fluid.
b. be able to address therapeutic hypothermia.
c. should include titration of FiO2 after ROSC.
d. should include reliable PCI strategy at a center equipped to provide it.
e. all of the above
f. b, c, e
Source: AHA ACLS Provider Manual (2010), p. 28
6. Concurrent PCI and the decision to induce hypothermia should not be made planned for synchronous occurrence.
a. true
b. false
Source: AHA ACLS Provider Manual (2010), p. 28
7. Possible hemodynamic effects of increased or excessive ventilation of a patient after the initial resusciation include:
a. potential complications of oxygen toxicity.
b. pneumothorax.
c. increase in intrathoracic pressures
d. potential decrease in cerebral blood flow due to low PaCO2.
e. all of the above
Source: AHA ACLS Provider Manual (2010), p. 28.
8. The primary goals of therapy for patients with ACS include:
a. reduce the risk of stroke.
b. treat acute, life-threatening arrhythmias of ACS, such as VF and pulseless VT.
c. preventing heart failure
d. b and c
Source: AHA ACLS Provider Manual (2010), p. 29
9. EMS Components of care for patients with ACS include:
a. diagnostic phone call
b. prehospital ecg
c. begin tPA in case of a STEMI.
d. administer antiarrhythmic infusions to suppress PVCs.
Source: AHA ACLS Provider Manual (2010), p. 29
10. Hospital based components of treatment of ACS include all of the following except:
a. cardiology protocols
b. emergency physician can select the most appropriate reperfusion strategy
c. hospital leadership involvement
d. activation of the cardiac catheterization laboratory
Source: AHA ACLS Provider Manual (2010), p. 29
11. The following are true statements about acute stroke care:
a. The National Institute of Neurological Disorders and Strokes recombinant tissue plasminogen activator trial highlighted a need for stroke care at tertiary care hospitals.
b. EMS personal are integrated into regional stroke models by having access to stroke expertise via telemedicine.
c. Patient education efforts have been largely a failure.
d. All of the above.
Source: AHA ACLS Provider Manual (2010), p. 30
12. The chain of survival is:
a. an ACLS algorithm for treatment of cardiac arrest.
b. a metaphor to describe time sensitive coordinated actions necessary to maximize survival from cardiac arrest.
c. a description of the activities of the pre-hospital period.
d. is a metaphor used to describe team effort in stroke care.
Source: AHA ACLS Provider Manual (2010), p. 30
13. The average survival rate from in hospital cardiac arrest:
a. remains high.
b. is approximately 21%.
c. is particularly poor for rhythms of VF and VT.
d. is 80% for those patients who make it to the ICU.
Source: AHA ACLS Provider Manual (2010), p. 30
14. Examples of physiologic criteria utilized in the decision to call a rapid response team may include:
a. threatened airway
b. seizure
c. significant decrease in urine output
d. all of the above.
Source: AHA ACLS Provider Manual (2010), p. 31
15. Rapid response teams have been designed at hospitals in several countries to identify cardiac arrest and to respond.
a. true
b. false
Source: AHA ACLS Provider Manual (2010), p 31
16. Rapid response teams:
a. react to event detection
b. have a planned response
c. may react to a SBP < 90 mm Hg
d. All of the above.
Source: AHA ACLS Provider Manual (2010), p. 31
17. Studies of rapid response teams have documented benefits including:
a. 85% drop in the rate of cardiac arrests
b. decreased ICU and total hospital length of stay.
c. stable levels of mortality from cardiac arrest.
d. a difference between composite primary outcome (cardiac arrest, unexpected death)
e. all of the above
Source: AHA ACLS Provider Manual (2010), p. 32
18. In a case of respiratory arrest, the following drugs are used:
a. oxygen
b. carbon dioxide
c. albuterol
d. all of the above
Source: AHA ACLS Provider Manual (2010), p. 34
19. In the case of a person in respiratory arrest with a pulse:
a. give 20 breaths per minute.
b. give one breath every 5 to 6 seconds.
c. give 6 breaths per minute.
d. first establish an advanced airway.
Source: AHA ACLS Provider Manual (2010), p. 34
20. When you come upon an unconscious adult patient in respiratory arrest with a pulse, you should:
a. begin the BLS actions
b. give one breath every 5 to 10 seconds.
c. begin chest compressions and breaths at a rate of 15:2
d. establish an advanced airway first.
Source: AHA ACLS Provider Manual (2010) p. 34
21. Ventilations rates:
a. are 2 ventilations every 15 compressions with a BVM during cardiac arrest.
b. are 2:30 with a BVM during respiratory arrest
c. are 1 ventilation every 6 to 8 seconds with any advanced airway during cardiac arrest.
d. are 12 breaths per minute during respiratory arrest.
Source: AHA ACLS Provider Manual (2010) p. 36
22. During airway management in respiratory arrest in the ACLS algorithm:
a. insertion of an advanced airway should not be deferred.
b. you should be able to insert an endotracheal tube or an LMA.
c. placement of an endotracheal tube should be reconfirmed frequently.
d. a BVM should not be used if an advanced airway is available.
Source: AHA ACLS Provider Manual (2010), p. 36
This is the question. The answer is #3.
a. true
b. false
Source: AHA ACLS Provider Manual (2010), p. 36
24. Chest compressions should be interrupted briefly for insertion of an advanced airway.
a. true
b. false
An advanced airway can be placed while chest compressions continue. Source: AHA ACLS Provider Manual (2010), p. 36
25. In the ACLS Survey in Respiratory Arrest:
a. evaluation of the airway includes determination of tube placement.
b. evaluation of circulation includes determination of the need for medications.
c. differential diagnosis evaluation should include a search for reversible causes.
d. b and c are correct.
e. all of the above.
 
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