Exam (elaborations)
Advanced Cardiovascular Life Support Exam A | LATEST 2024/25
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Advanced Cardiovascular Life Support Exam A | LATEST 2024/25
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Advanced Cardiovascular Life SupportExam A | LATEST 2024/25
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C. Second-degree type II
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This ECG rhythm strip shows second-degree type II atrioventricular block.
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Which type of atrioventricular block best describes this rhythm?
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A. First-degree
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B. Second-degree type I
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C. Second-degree type II
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D. Third-degree
A. Monitor the patient’s PETCO2
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The AHA recommends using quantitative waveform capnography in intubated patients to
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monitor CPR quality, optimize chest compressions, and detect return of spontaneous
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circulation during chest compressions.
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Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which
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should you do?
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A. Monitor the patient's PETCO2
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B. Obtain a 12-lead ECG
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C. Check the patient's pulse
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D. Obtain a chest x-ray
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D. Coronary reperfusion–capable medical center
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After return of spontaneous circulation in patients in whom coronary artery occlusion is
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suspected, providers should transport the patient to a facility capable of reliably providing
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coronary reperfusion (eg, percutaneous coronary intervention) and other goal-directed
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post–cardiac arrest care therapies.
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Which facility is the most appropriate EMS destination for a patient with sudden cardiac
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arrest who achieved return of spontaneous circulation in the field?
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A. Comprehensive stroke care unit
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B. Acute rehabilitation care unit
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C. Acute long-term care unit
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D. Coronary reperfusion-capable medical center
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C. Agonal gasps ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Agonal gasps are not normal breathing. They are a sign of cardiac arrest. Agonal gasps
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may be present in the first minutes after sudden cardiac arrest.
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Which of the following signs is a likely indicator of cardiac arrest in an unresponsive
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patient?
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A. Slow, weak pulse rate
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B. Cyanosis
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C. Agonal gasps
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D. Irregular, weak pulse rate
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B. Second-degree atrioventricular block type I
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This ECG rhythm strip shows second-degree atrioventricular block type I.
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Which type of atrioventricular block best describes this rhythm?
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A. Third-degree atrioventricular block
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B. Second-degree atrioventricular block type I
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C. First-degree atrioventricular block
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D. Second-degree atrioventricular block type II
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B. Once every 5 to 6 seconds
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For a patient in respiratory arrest with a pulse, deliver ventilations once every 5 to 6
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seconds with a bag-mask device or any advanced airway.
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To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag?
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A. Once every 3 to 4 seconds
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B. Once every 5 to 6 seconds
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C. Once every 10 seconds
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D. Once every 12 seconds
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C. Continuous waveform capnography
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The AHA recommends continuous waveform capnography in addition to clinical
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assessment as the most reliable method of confirming and monitoring correct placement
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of an endotracheal tube.
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In addition to clinical assessment, which is the most reliable method to confirm and monitor
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correct placement of an endotracheal tube?
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A. Arterial blood gases
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B. Chest radiography
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C. Continuous waveform capnography
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D. Hemoglobin levels
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B. Start fibrinolytic therapy as soon as possible
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Start fibrinolytic therapy in appropriate patients (those without contraindications) within 1
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hour of hospital arrival and 3 hours from symptom onset.
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You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago.
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The CT scan was normal, with no signs of hemorrhage. The patient does not have any
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contraindications to fibrinolytic therapy. Which treatment approach is best for this patient?
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A. Hold fibrinolytic therapy for 24 hours
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B. Start fibrinolytic therapy as soon as possible
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C. Order an echocardiogram before fibrinolytic administration
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D. Wait for the results of the MRI
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D. Third-degree atrioventricular block
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This ECG rhythm strip shows third-degree atrioventricular block.
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Which best describes this rhythm?
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A. First-degree atrioventricular block
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B. Second-degree atrioventricular block type I
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C. Second-degree atrioventricular block type II
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D. Third-degree atrioventricular block
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