advancedlifesupportmcq

Airway Management

Posted by advancedlifesupportmcqon 28/06/201930/06/2019in ALS 7. Airway Management, Content

You are called to assist with the emergency care of a 45 year-old gentleman who underwent an urgent surgical tracheostomy two days previously for airway obstruction due to laryngeal cancer. The tracheostomy was performed because of a failed intubation performed by an experienced anaesthetist. On your arrival, the patient had a respiratory rate of 35 breaths per minute, a see-saw respiratory pattern and SaO2 of 86% on FiO2 0.5. Which is/are the best management option/s?:

a) Deflate the cuff of the tracheostomy and reposition the tracheostomy tube: TRUE/FALSE.

b) Provide oxygen via facemask and via tracheostomy tube: TRUE/FALSE.

c) Assess tracheostomy patency removing the inner tube: TRUE/FALSE.

d) Remove the tracheostomy tube and re – intubate in a standard fashion: TRUE/FALSE.

ALS – Amiodarone

Posted by advancedlifesupportmcqon 08/05/201930/06/2019in Apendix A - Drugs in Cardiac Arrest, Apendix B - Drugs in Peri - arrest

Regarding Amiodarone, which of the following are characteristic of this drug?:

a) Has a long half life: TRUE/FALSE.

b) It is highly irritating through peripheral vein: TRUE/FALSE.

c) Rapid infusion can cause hypertension: TRUE/FALSE.

d) It shortens the action potential and refractory period: TRUE/FALSE.

ALS Torsade de Pointes

Posted by advancedlifesupportmcqon 19/09/201830/06/2019in 9. Defibrillation

Which of the following treatments can reverse a Torsade de Pointes?:
a) Non synchronised cardioversion: TRUE/FALSE.

b) Magnesium: TRUE/FALSE.

c) Amiodarone: TRUE/FALSE.

d) Verapamil: TRUE/FALSE.

ALS new myocardial infarction definition

Posted by advancedlifesupportmcqon 27/08/201830/06/2019in Content

The term acute myocardial infarction should be used when there is acute myocardial injury with clinical evidence of acute myocardial ischaemia and with detection of a rise and/or fall of cTn (Troponin) values with at least one value above the 99th percentile URL and any of the following:

a) New ischaemic ECG changes: TRUE / FALSE.

b) Development of pathological Q waves: TRUE / FALSE.

c) Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality: TRUE / FALSE.

d) Identification of a coronary thrombus: TRUE / FALSE.

European Heart Journal, ehy462, https://doi.org/10.1093/eurheartj/ehy462

ALS death

Posted by advancedlifesupportmcqon 04/08/201830/06/2019in 16. Decisions Relating to Resuscitation, Content

In the diagnosis of death:

A) After a cardiorespiratory arrest, death can be diagnosed without attempting to auscultate heart sounds: TRUE / FALSE.

B) Irreversible cardiorespiratory arrest can be concluded after a minimum of 5 minutes of observation: TRUE / FALSE.

C) CPR should never be started in recognition of life extinct (ROLE) situations: TRUE / FALSE.

D) Brainstem death testing should be performed with core temperature greater than 34ºC and potassium > 3 mmol/l: TRUE / FALSE.