Deck 14: Resuscitation

Question 1

In Australia, what is the most common model of rapid response team used?

A) Medical Emergency Team (MET)
B) Australian Resuscitation Council (ARC)
C) Australian Rescue Team (ART)
D) All are correct

Answer 1

Medical Emergency Team (MET)

Question 2

A term to describe the failure of the respiratory system to promote adequate perfusion:

A) Shock
B) Sepsis
C) Arrest
D) Peripheral shut down

Answer 2

Shock

Question 3

Which of the following is an early recognition sign for shock?

A) Longer capillary refill time
B) Pyrexia
C) Polyuria
D) Bradycardia

Answer 3

Longer capillary refill time

Question 4

In all emergency situations, all of the following are considered, EXCEPT for:

A) Assessing the situation
B) Sending for help
C) Calling for the family members first
D) Ensuring safety of personnel

Question 5

What is the most common technique to establish a patent airway in an unconscious patient?

A) Head tilt and lifting chin
B) Position in the side
C) Recovery position
D) All are correct

Question 6

When is CPR indicated?

A) When the patient is unconscious and has shallow breathing
B) When the patient is unresponsive and not breathing
C) When the patient is unresponsive and has a weak pulse
D) All are correct

Question 7

Which of the following is an indication of a partial airway obstruction?

A) Efforts to breathe noted
B) No sounds can be heard
C) Noisy breathing like snoring
D) All are correct

Question 8

What is the current guideline for compression and ventilation ration?

A) 30:2
B) 15:1
C) 30:1
D) None are correct

Question 9

One of the theories on how chest compression generates blood flow through pressure exerted on the intrathoracic compartment:

A) Thoracic pump
B) Cardiac pump
C) Skeletal pump
D) All are correct

Question 10

The application of an electric shock through the chest with the aim of producing simultaneous depolarisation is called:

A) Fibrillation
B) Defibrillation
C) ECG
D) All are correct

Question 11

The most common presenting arrhythmia in out-of-hospital cardiac arrest is:

A) Ventricular fibrillation
B) Polymorphic ventricular tachycardia
C) Asystole
D) Pulseless electrical activity

Question 12

Pharmacological agents commonly used in the management of out-of-hospital cardiac arrest that have shown an improved survival to hospital discharge include:

A) Lignocaine
B) Amiodarone
C) Adrenaline
D) No pharmacological agent has demonstrated an improved survival to hospital discharge for out-of-hospital cardiac arrest

Question 13

Regarding external cardiac compressions in the management of cardiac arrest, which of the following statements is INCORRECT?

A) Chest compressions should be performed over the middle of the sternum
B) The depth of chest compressions should be one-third the depth of the chest
C) Compressions should be performed at a rate of 100 per minute
D) There should be equal time spent with compression and release

Question 14

Anaphylaxis is a form of which category of shock?

A) Cardiogenic shock
B) Hypovolaemic shock
C) Obstructive shock
D) Distributive shock

Question 15

In the management of the cardiac arrest patient, which of the following best reflects the priorities of care?

A) Commencing cardiopulmonary resuscitation with an emphasis on optimal chest compressions and establishing intravenous access
B) Commencing cardiopulmonary resuscitation with an emphasis on optimal chest compressions and early defibrillation of shockable rhythm/s
C) Commencing cardiopulmonary resuscitation with an emphasis on optimal chest compressions and securing an advanced airway such as a supraglottic airway or endotracheal intubation
D) Early defibrillation of shockable rhythm\s and administration of drugs

Question 16

In patients whose cardiac arrest is due to ventricular fibrillation the chances of survival decrease by what % for every minute that defibrillation is delayed:

A) 5%
B) 10%
C) 15%
D) 20%

Question 17

While managing a patient in cardiac arrest you elect to secure the airway with an endotracheal tube. In the cardiac arrest patient the most reliable method for confirming endotracheal tube placement is:

A) Visualising the endotracheal tube pass through the vocal cords during laryngoscopy
B) Auscultation of bi-lateral breath sounds during ventilation
C) Continuous waveform capnography
D) Pulse oximetry

Question 18

In relation to defibrillation, and using a biphasic defibrillator in the adult cardiac arrest patient, which of the following statements is INCORRECT?

A) Once the defibrillation pads are attached to the patient and the rhythm is confirmed as ventricular fibrillation three stacked shocks should be delivered followed by immediate resumption of chest compressions
B) The recommended energy settings for biphasic defibrillation is 200j
C) Following the delivery of a shock, chest compressions should be immediately re-commenced without checking for the presence of a pulse or assessing for rhythm reversion
D) To minimise interruptions to chest compressions the defibrillator should be charged in preparation for defibrillation while chest compressions are continued

Question 19

Regarding post resuscitation care of the cardiac arrest patient, which of the following statements is INCORRECT?

A) Systolic blood pressure should be maintained at ?3? 100 mmHg by the judicious use of intravenous fluids and vasopressors
B) A 12-lead ECG should be recorded and in the presence of ECG changes consistent with STEMI the patient should receive appropriate reperfusion therapy, preferably pPCI if it can be achieved within 90 minutes
C) The patient should be hyper-ventilated to improve cerebral oxygen delivery and reduce the risk of raised intracranial pressure from hypoxic-ischaemic injury sustained during the intra-arrest period
D) Blood glucose levels should be checked and either hypo or hyperglycaemia treated to maintain normal blood glucose levels