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ACLS 2022/2023. Top Exam Questions and answers, 100% Accurate, rated A+
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ACLS 2022/2023. Top Exam Questions and answers, 100% Accurate, rated A+ Which class of medications commonly given to patients with acute coronary syndromes may be adversely affected by morphine administration A. Phosphodiesterase inhibitors B. Oral antiplatelet medications C. Beta blockers ...

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  • February 16, 2023
  • 22
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • acls 20222023 top exam questions and answers
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  • rated a which class of medications commonly given to patients with acute coronary syndromes may be adversely affected by morphine admi

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ACLS 2022/2023. Top Exam Questions
and answers, 100% Accurate, rated A+

Which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration

A. Phosphodiesterase inhibitors

B. Oral antiplatelet medications

C. Beta blockers

D. Calcium channel blockers - ✔✔-Oral antiplatelet medications



What is a benefit of morphine when given for the management of acute coronary syndromes?

A. Central nervous system analgesia

B. Increases systemic vascular resistance

C. Increases left ventricular preload

D. Vasoconstriction - ✔✔-A. Central nervous system analgesia



You obtain a 12-lead ECG in a patient with restrosternal chest pain.



Which ECG finding is suggestive of high risk non ST segment elevation acute coronary syndromes

A. ST depressions less than 0.5mm

B. Dynamic T-wave inversion

C. ST-segment elevation

D. New bundle branch block - ✔✔-B. Dynamic T-wave inversion



Upon reviewing a patient's 12 lead ECG, you note ST-segment elevation of 2mm in leads II,III, and aVF



How would you classify the electrocardiographic findings

,A. Normal

B. STEMI

C. Non-STEMI

D. Non-diagnostic - ✔✔-b. STEMI



What happens when teams rapidly assess and intervene when patients have abnormal vital signs - ✔✔-
The number of in hospital cardiac arrests decreases



What is the goal for first medical contact-to-ballon inflation time for a patient receiving PCI - ✔✔-90
minutes



What is the longest acceptable emergency department door-to-needle time when fibrinolysis is the
intended reperfusion strategy - ✔✔-30 minutes



What is the time goal for how quickly you should complete a fibronolytic checklist once the patient
arrives in the emergency department - ✔✔-10 minutes



What is the recommended time window after symptom onset for early fibronolytic therapy or direct
catheter-based reperfusion for patients with STEMI and no contraindication - ✔✔-Within 12 hours



a 49 yo says that he has had chest discomfort and excessive sweating for the past 25 minutes. Within
the first 10 minutes, on the basis of the patient showing symptoms suggestive of MI, what will your first
actions include? - ✔✔-Provide prehospital notification to the receiving hospital



Administer aspirin



if considering prehospital fibrinolysis, use the fibrinolytic checklist



assess ABC

, Obtain EKG



consider oxygen, nitroglycerin, and morphine if needed



His initial vital signs are HR 120/min BP 135/88 RR 23 O2 87%



When considering oxygen saturation, what is your course of actions? - ✔✔-Start oxygen at 4L



What additional questions help you determine next steps - ✔✔-When did the symptoms start



Do you take any medication



Do you have any allergies



Your patient continues to say that he has chest discomfort



What treatment can you repeat as long as it is not contraindicated by vital signs - ✔✔-Nitroglycerin
sublingual every 3-5min



What is your interpretation of the patient's EKG tracing



STEMI in V2-6 - ✔✔-Anterior STEMI



With the possible diagnosis of STEMI, what is the most probable treatment - ✔✔-Admission for
PCI/fibrinolysis



After you give report to the hospital, staff advise you to proceed to the cath lab for PCI

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