Medical Training Flashcards
7 cards from real ACLS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medical Training flashcards as text
A patient has complete heart block with a heart rate of 30 bpm and is severely hypotensive. IV atropine fails to improve the rate. What is the next ACLS intervention?
Answer: Transcutaneous pacing
Transcutaneous pacing is the definitive bridge intervention for symptomatic bradycardia unresponsive to atropine.
What does the 'T' for 'Toxins' in the H's and T's of cardiac arrest management prompt the ACLS provider to consider?
Answer: Identifying and reversing drug overdose or poisoning as a cause of arrest
Toxins as a reversible cause prompts providers to consider drug overdose or poisoning and administer specific antidotes if available.
In the ACLS systematic approach, what does the term 'primary survey' refer to?
Answer: Airway, breathing, circulation, and defibrillation assessment (ABCDs)
The primary survey in ACLS focuses on ABCDs — Airway, Breathing, Circulation, and Defibrillation — to identify and treat life threats rapidly.
How often should epinephrine be administered during cardiac arrest according to current ACLS guidelines?
Answer: Every 3–5 minutes
Epinephrine 1 mg IV/IO is administered every 3–5 minutes throughout a cardiac arrest resuscitation.
A post-cardiac arrest patient is being prepared for targeted temperature management. Which complication should be closely monitored?
Answer: Coagulopathy and shivering
TTM can cause coagulopathy, shivering (which raises temperature and metabolic demand), bradycardia, and electrolyte shifts requiring monitoring.
During ACLS debriefing, which type of feedback is most effective for improving team performance in future codes?
Answer: Structured, objective debriefing focused on systems and behaviors
Structured debriefing that reviews both successes and areas for improvement in a blame-free environment is most effective for team learning.
Which finding on a post-ROSC 12-lead ECG would prompt immediate transfer to the cardiac catheterization lab?
Answer: ST-segment elevation in two contiguous leads
ST-elevation on a post-ROSC ECG suggests STEMI, which requires emergency coronary angiography and intervention.