Emergency MedicineCardiac Resuscitation
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Advanced Cardiac Life Support (ACLS) Scenarios and Management Quiz

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#1

What is the first step in the ACLS algorithm for adult cardiac arrest?

Assess the patient's responsiveness
Explanation

Assess responsiveness to determine immediate action.

#2

Which rhythm is shockable according to ACLS guidelines?

Ventricular fibrillation (VF)
Explanation

Shockable rhythm requiring defibrillation.

#3

Which of the following rhythms indicates a non-shockable rhythm in ACLS?

Asystole
Explanation

Absence of discernible cardiac activity.

#4

What medication is typically given during ACLS for the treatment of ventricular fibrillation?

Amiodarone
Explanation

Antiarrhythmic medication for VF treatment.

#5

In ACLS, what is the recommended compression-to-ventilation ratio for adult CPR?

30:2
Explanation

Compression-ventilation cycle ratio during CPR.

#6

What is the recommended depth of chest compressions during adult CPR according to ACLS guidelines?

2 inches
Explanation

Sufficient depth for effective compression.

#7

In ACLS, what is the initial dose of epinephrine for adult cardiac arrest?

1 mg every 3-5 minutes
Explanation

Standard dose interval for sustained effect.

#8

What is the recommended compression rate during adult CPR according to ACLS guidelines?

100-120 compressions per minute
Explanation

Optimal rate for effective chest compressions.

#9

What is the recommended dose of aspirin for patients with suspected acute coronary syndrome (ACS) in the ACLS algorithm?

162-325 mg
Explanation

Standard antiplatelet dose for ACS management.

#10

During ACLS, what is the purpose of administering epinephrine?

To increase heart rate and blood pressure
Explanation

Augments cardiac output and perfusion.

#11

Which of the following is a potential complication of administering amiodarone during ACLS?

Hypotension
Explanation

Possible adverse effect on blood pressure.

#12

In ACLS, what is the recommended initial dose of amiodarone for the treatment of pulseless ventricular tachycardia (VT) or ventricular fibrillation (VF) in adult patients?

150 mg IV bolus over 10 minutes
Explanation

Initial dosage for antiarrhythmic effect.

#13

Which of the following is a component of the H's and T's reversible causes of cardiac arrest in ACLS?

Hyperkalemia
Explanation

Correctable electrolyte imbalance.

#14

Which of the following is a potential complication of administering adenosine during ACLS?

Bradycardia
Explanation

Can cause transient slowing of heart rate.

#15

During ACLS, what is the recommended dose of atropine for symptomatic bradycardia in adults?

0.25 mg IV push
Explanation

Dose to alleviate bradycardic symptoms.

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