1 E C C American Heart Association Advanced Cardiovascular Life Support Written Precourse Self-Assessment Contents: Precourse Self-Assessment Memo Support Help for CD and FAQs Answer Sheet Self-Assessment Answer Key October 2006
2 Using the print version of the ACLS Precourse Self-Assessment Purpose Precourse preparation is essential to the success of students coming to an ACLS course. With the release of the 2006 ACLS materials, tools were provided to assist students in this preparation. The Precourse Selfassessment included on the Student CD is the desired method of preparation, giving the student the challenge and opportunity to repeatedly review and test themselves. Students are to be encouraged to use this tool if at all possible. Additional guidance for opening and using the CD have been provided. Course directors are asked encourage students to use the CD, and to look for options for computer use such as local libraries. Using the Printed Self-Assessment When all options to use the Student CD with the ACLS Precourse Selfassessment have been exhausted, this alternative Written Precourse Self- Assessment can be used. It is not intended to be sent with every precourse package. It is not a pretest. Students are asked to bring the completed materials only to encourage preparation, not to determine a specific grade or score.
3 Support Help for ACLS Student CD and Frequently Asked Questions What system requirements do I need to use this CD? Your computer system must meet the software and hardware system requirements for: Instructions: This CD-ROM will auto-launch when the CD has been inserted. If Autorun has been disabled on your computer, you can right mouse click on the CD drive and choose Explore (Windows PC user). Double click on PC_start.exe to launch the CD. For the Mac user, find and click on index.html to start. Precourse Self-Assessment Test is PC compatible only and requires Adobe Flash Player 8.0 or later, which can be downloaded from System Requirements: Windows Pentium III 550 MHz processor or equivalent AMD processor (Pentium 4 recommended) Microsoft TM Windows 98, Windows NTTM 4.0, Windows 2000, Windows XP Professional or Home Edition 64 MB of RAM (128 MB recommended) 150 MB of available hard-disk space Internet Explorer 6.0 Web browser or later Minimum screen resolution of 800 x 600 or higher CD-ROM drive (8x or faster) Sound card and speakers Macintosh: Processor PowerPC imac, ibook, G3, G4 or faster Mac OS 9, OS X or later 64 MB of RAM (128 MB recommended) 150 MB of available hard-disk space Safari/Netscape 4.0 web browser or later Minimum screen resolution of 800 x 600 or higher CD-ROM drive Sound card and speakers This CD-ROM contains Adobe Acrobat (PDF) and video (MPG) files and a Precourse Self-Assessment program that requires Adobe Flash Player 8.0 or later, which can be downloaded from If you do not own Adobe Acrobat, you can download, for free, Adobe Acrobat Reader from Adobe s Web site:
4 The CD will not start. What do I do? 1. Make sure your computer meets the system requirements noted above. 2. The CD is set to start automatically when inserted, but Autorun may be disabled on your computer. Try one of the following options: o If you use a PC (Windows operating system), right click on the CD drive and select Explore. Double click on PC_start.exe to start the CD. o If you use a Mac, find and click on Mac_start. Remove the CD from the tray. You may need to close all applications. Open Internet Explorer first, and then insert the CD. 3. Try to run another CD. If you can run another disc, the problem is with the CD you received. If you cannot run another CD, the problem is likely related to the computer settings. 4. Make sure the window is open and maximized. Look for the BLS window at the bottom of the screen. Right click on it to maximize. 5. If you have problems loading the CD on a Mac, hold down the Command, Option, and I keys when inserting the disc. The CD plays, but it doesn t work right. What do I do? There are thousands of answers to this question. Here are some basic troubleshooting steps to help you track down problems such as jerky playback, pauses, and error messages. 1. Update your drivers. Driver bugs are the biggest cause of playback problems. These problems range from freezes to bogus error messages about regions. Go to the support section on the website of your software manufacturer, such as Microsoft, and make sure you have the latest decoder drivers. Also make sure you have the latest drivers for your graphics adapter. 2. Empty your Temporary Internet Files folder. Go to Internet Explorer > Tools > Internet Options > General > Delete Files. Click on OK. 3. Turn off programs running in the background. In Windows, close or exit applets in the system tray (the icons in the lower right corner). In Mac OS, turn off AppleTalk, file sharing, and virtual memory. I am using the ACLS Student CD and I cannot access the ACLS Precourse Self-Assessment Test or make the Self Assessment Test work properly. 1. Internet Explorer must be open before the CD is inserted. Remove the CD from the tray; close all other applications, then insert the CD. 2. Download Adobe Flash Player from if you do not have it already installed on your computer. Restart the computer after you have installed the Adobe Flash Player 3. If you have a pop-up blocker, remove the CD from the tray, re-insert the CD while holding down the Ctrl key so Macromedia Flash can run. OR you can go to My Computer > Right Click On the CD-ROM drive > Explore> Double Click on PC_Start or MAC_Start 4. Make sure you are using Internet Explorer 6.0 or higher (Not AOL, FireFox, Mozilla or Netscape) 5. Check to make sure Active X Controls are enabled by going to Internet Explorer> Tools> Internet Options> Security Tab> Custom Level> Active X Controls and Plug-ins> Enable 6. Check to make sure Allow Active Content CDs to run on my Computer is checked by going to Tools>Internet Options> Advanced Tab> Security 7. If you are in the Self Assessment and it will not allow you to choose an answer: 8. The bubbles before each answer are not active; click on the answer, not the bubble, to choose each answer and proceed with the test.
5 How do I find out what version of Internet Explorer I have? 1. Open Internet Explorer. 2. Click on Help > About Internet Explorer. The display box will show the version and any updates. How do I find out if I have the correct service pack? 1. Open Internet Explorer. 2. Click on Help > About Internet Explorer. The display box will show the service pack you have. Service pack is abbreviated SP and is followed by the version number (1 or 2). How do I obtain Adobe Reader? The CD contains Adobe Acrobat (PDF) files. You need Adobe Reader to open these files. To download a free copy of Adobe Reader, go to Can I use another browser, such as Mozilla Firefox? No, the CD works with Internet Explorer only. I can t hear any sound. What do I do? 1. Make sure the speakers are turned on and the volume is turned up. 2. Check the Volume and Mute settings on your computer. Make sure Mute is not checked, and adjust Volume as needed. There are multiple ways to check these settings: o Click on the speaker icon in your system tray. o Go to Start >Settings>Control Panel>Sounds and Audio Devices>Volume. Make sure Mute is not checked. Then go to Advanced. Adjust Volume if needed and make sure Mute is not checked. o Go to Start > Programs > Accessories > Entertainment > Volume Control. 3. Make sure the volume on the video clip is turned up. The Volume Control button is located at the bottom of the screen on the left. Please note that the Heartsaver Student CD intentionally does not have sound. There is nothing wrong with your computer or the CD if you do not hear sound. The video clip on the CD doesn t play. What do I do? 1. Verify that your computer has a media player that is compatible with the file type on the CD. Refer to system requirements for more information. 2. Check whether Active X control is blocked: o o o o o o o Open Internet Explorer. Choose Tools, then Internet Options. Select the Security tab. Choose Internet. Got to Custom Level Check the Setting for Active X controls or plug ins. This can be changed to enable or disable depending on requirement. Click Okay. 3. If the video clips still will not play, check with your security administrator. Your system security settings or virus protection software may be the problem.
6 I cannot open any PDF files on the CD. What do I do? Make sure you have Adobe installed on your computer, otherwise download Adobe Acrobat Reader from I cannot play the CD or components of the CD more than two, three, four times. What do I do? 1. Delete "Temp Files" Internet Explorer > Tools > Internet Options > General > Delete Files. Click on OK 2. Close other programs running in the background 3. Restart the Computer If prompted, should I select Windows Media Player or QuickTime? If you are using a PC with Windows or Windows XP, select Windows Media Player. If you are using a Mac, select QuickTime. I received a warning message when I inserted the CD. What do I do? You may receive the following warning: To help protect your computer security, Internet Explorer has restricted this file from showing active content that could access your computer. Click here for options. This warning alerts you that the file contains content that may harm your computer or disclose personal information. If you want to continue running the CD, click on the window and select allow blocked content. Another window will pop up. Check the source of the CD. If you trust the source, click yes to access the blocked content. I received a message box asking What do you want Windows to do? Which action do I choose? 1. Select Play using Windows Media Player. 2. Click on OK I see menu information on the screen, but nothing has opened. What do I do? Select the item you want to open. Hold the cursor over the topic and right click to select. How do I copy files from this CD onto my computer? 1. Double click on My Computer. 2. Right click on this CD and click Explore. 3. Double click on the Contents folder. 4. Highlight or select files needing to be copied. 5. Drag the contents to your desktop. I cannot download or open files on the CD. What do I do? You must have the proper software to open the files. Check the system requirements on the CD for the minimum requirements. If the file name ends in.doc, you need MS Word. If the file name ends in.pdf, you need Adobe Reader. For a free copy of Adobe Reader, go to When I open the document, it is too small. How do I make it bigger? Locate the Zoom button on your toolbar. This button shows the size (or percentage of full size) of the document on your screen. Click on the arrow to access the menu, and select a higher percentage. You can also specify your own size (e.g., 75%). Highlight the current size, enter a new one, and press Enter. How do I fast forward, rewind, etc? Use the buttons in your media player to control the CD. Windows Media Player has 6 control buttons (from left to right): Pause, Stop, Previous, Next, Mute, and Volume.
7 When I click on Stop I get a menu. What do I do? Below is an explanation of each option. (You can also click on Help to access this menu.) Stop automatically returns to the Main Title Menu Exit leaves the application without ejecting the CD Resume starts the clip from the point where it was stopped Eject opens the tray to the CD drive Settings manages your CD settings Why does the picture alternate between light and dark? This variation may be an effect of Macrovision copy protection. It also could be due to the type of connection you have. There is nothing wrong with your CD. The video clip often pauses or freezes for a few seconds. Why does this happen, and what do I do? A frequent cause of pauses and freezes is temporary Internet files. These files often are large. When many are stored on your computer, they can slow down your system. If a pause or freeze continues, empty your Temporary Internet Files folder. Go to Internet Explorer > Tools > Internet Options > General > Delete Files. Click on OK. A pause or freeze may also be due to the type of media player or the layout of the disc and is not caused by a defect. When I click on Eject, the screen stays on my display. What do I do? Click Exit to close the window. Is the CD closed captioned? No, the CD is not closed captioned. How do I care for my CD? CDs are read by a laser, so they are resistant to a point to fingerprints, dust, smudges and scratches. But surface contaminants and scratches can cause data errors, so it's a good idea to take care of your discs. Handle only at the hub (inner circle) or rim (outer edge). Do not touch the shiny surface with greasy fingers. Store in a protective case when not in use. Do not bend the disc when removing it from the case. Be careful not to scratch the disc when placing it in the case or the tray. Make sure the disc is properly seated in the tray before closing. Keep away from radiators, heaters, hot equipment surfaces, direct sunlight (near a window or in a car), and other heat sources. If you notice problems when playing a disc, try cleaning it. Follow these tips: Do not use strong cleaners, abrasives, solvents, or acids. Use a soft, lint-free cloth, and wipe gently from the hub (inner circle) to the rim (outer edge). The data is arranged circularly on the disc. By wiping from hub to rim, any scratches you create will cross more error correction blocks and be less likely to cause irreversible errors. Do not use canned or compressed air. This kind of air can be very cold and may damage the disc. To remove stubborn dirt or gummy adhesive, use water, water with mild soap, or isopropyl alcohol. As a last resort, try peanut oil. Let it sit for about a minute before wiping it off. Commercial cleaning products are available. Choose a product labeled for use on CDs. These products can help protect from dust, fingerprints, and scratches. How do I replace a defective CD? If your CD needs to be replaced, contact the location where you purchased it, such as your training center or distributor. If you still have problems after trying these steps, and believe the problem is with the CD and not your computer, call AHA-4CPR ( ) between 8:30 a.m. and 5:00 p.m. Monday through Friday, for additional assistance. Please contact your computer manufacturer for assistance with issues related to your computer.
8 E C C American Heart Association Advanced Cardiovascular Life Support Written Precourse Self-Assessment October 2006
9 ACLS Provider Course Written Precourse Self-Assessment Answer Sheet Name Date Circle the correct answers. Question Answer Question Answer 1. a b c d 16. a b c d 2. a b c d 17. a b c d 3. a b c d 18. a b c d 4. a b c d 19. a b c d 5. a b c d 20. a b c d 6. a b c d 21. a b c d 7. a b c d 22. a b c d 8. a b c d 23. a b c d 9. a b c d 24. a b c d 10. a b c d 25. a b c d 11. a b c d 26. a b c d 12. a b c d 27. a b c d 13. a b c d 28. a b c d 14. a b c d 29. a b c d 15. a b c d 30. a b c d Please fill in the correct rhythm for questions
10 ACLS Written 2006 Precourse Self-Assessment 1. Ten minutes after an 85-year-old woman collapses, paramedics arrive and start CPR for the first time. The monitor shows fine (low-amplitude) VF. Which of the following actions should they take next? a. Perform at least 5 minutes of vigorous CPR before attempting defibrillation b. Insert an endotracheal tube, administer 2 to 2.5 mg epinephrine in 10 ml NS through the tube and then defibrillate c. Deliver up to 3 precordial thumps while observing the patient s response on the monitor d. Deliver about 2 minutes or 5 cycles of CPR, and deliver a 360-J monophasic or equivalentcurrent biphasic shock 2. A cardiac arrest patient arrives in the ED with PEA at 30 bpm. CPR continues, proper tube placement is confirmed, and IV access is established. Which of the following medications is most appropriate to give next? a. Calcium chloride 5 ml of 10% solution IV b. Epinephrine 1 mg IV c. Synchronized cardioversion at 200 J d. Sodium bicarbonate 1 meq/kg IV 3. Which of the following actions helps deliver maximum current during defibrillation? a. Place alcohol pads between the paddles and skin b. Reduce the pressure used to push down on the defibrillator paddles c. Apply conductive paste to the paddles d. Decrease shock energy after the 2nd shock 4. Which of the following actions is NOT performed when you clear a patient just before defibrillator discharge? a. Check the person managing the airway: body not touching bag mask or tracheal tube, oxygen not flowing directly onto chest b. Check yourself: hands correctly placed on paddles, body not touching patient or bed c. Check monitor leads: leads disconnected to prevent shock damage to monitor d. Check others: no one touching patient, bed, or equipment connected to patient ACLS Precourse Written Self-Assessment 2
11 5. A woman with a history of narrow-complex PSVT arrives in the ED. She is alert and oriented but pale. HR is 165 bpm, and the ECG documents SVT. BP is 105/70 mm Hg. Supplemental oxygen is provided, and IV access has been established. Which of the following drug-dose combinations is the most appropriate initial treatment? a. Adenosine 6 mg rapid IV push b. Epinephrine 1 mg IV push c. Synchronized cardioversion with 25 to 50 J d. Atropine 1 mg IV push 6. Which of the following facts about identification of VF is true? a. A peripheral pulse that is both weak and irregular indicates VF b. A sudden drop in blood pressure indicates VF c. Artifact signals displayed on the monitor can look like VF d. Turning the signal amplitude ( gain ) to zero can enhance the VF signal 7. Endotracheal intubation has just been attempted for a patient in respiratory arrest. During bag-mask ventilation you hear stomach gurgling over the epigastrium but no breath sounds, and oxygen saturation (per pulse oximetry) stays very low. Which of the following is the most likely explanation for these findings? a. Intubation of the esophagus b. Intubation of the left main bronchus c. Intubation of the right main bronchus d. Bilateral tension pneumothorax 8. Which of these statements about IV administration of medications during attempted resuscitation is true? a. Give epinephrine via the intracardiac route if IV access is not obtained within 3 minutes b. Follow IV medications through peripheral veins with a fluid bolus c. Do not follow IV medications through central veins with a fluid bolus d. Run normal saline mixed with sodium bicarbonate (100 meq/l) during continuing CPR 9. A 60-year-old man (weight = 50 kg) with recurrent VF has converted from VF again to a widecomplex nonperfusing rhythm after administration of epinephrine 1 mg IV and a 3 rd shock. Which of the following drug regimens is most appropriate to give next? a. Amiodarone 300 mg IV push b. Lidocaine 150 mg IV push c. Magnesium 3 g IV push, diluted in 10 ml of D 5 W d. Procainamide 20 mg/min, up to a maximum dose of 17 mg/kg ACLS Precourse Written Self-Assessment 3
12 10. While treating a patient in persistent VF arrest after 2 shocks, you consider using vasopressin. Which of the following guidelines for use of vasopressin is true? a. Give vasopressin 40 U every 3 to 5 minutes b. Give vasopressin for better vasoconstriction and β-adrenergic stimulation than that provided by epinephrine c. Give vasopressin as an alternative to a first or second dose of epinephrine in shock-refractory VF d. Give vasopressin as the first-line pressor agent for clinical shock caused by hypovolemia 11. Which of the following causes of PEA is most likely to respond to immediate treatment? a. Massive pulmonary embolism b. Hypovolemia c. Massive acute myocardial infarction d. Myocardial rupture 12. Which of the following drug-dose combinations is recommended as the initial medication to give a patient in asystole? a. Epinephrine 3 mg IV b. Atropine 3 mg IV c. Epinephrine 1 mg IV d. Atropine 0.5 mg IV 13. A patient with a heart rate of 40 bpm is complaining of chest pain and is confused. After oxygen, what is the first drug you should administer to this patient while a transcutaneous pacer is brought to the room? a. Atropine 0.5 mg b. Epinephrine 1 mg IV push c. Isoproterenol infusion 2 to 10 μg/min d. Adenosine 6 mg rapid IV push 14. Which of the following statements correctly describes the ventilations that should be provided after endotracheal tube insertion, cuff inflation, and verification of tube position? a. Deliver 8 to 10 ventilations per minute with no pauses for chest compressions b. Deliver ventilations as rapidly as possible as long as visible chest rise occurs with each breath c. Deliver ventilations with a tidal volume of 3 to 5 ml/kg d. Deliver ventilations using room air until COPD is ruled out ACLS Precourse Written Self-Assessment 4
13 15. A patient in the ED reports 30 minutes of severe, crushing, substernal chest pain. BP is 110/70 mm Hg, HR is 58 bpm, and the monitor shows regular sinus bradycardia. The patient has received aspirin 325 mg PO, oxygen 4 L/min via nasal cannula, and 3 sublingual nitroglycerin tablets 5 minutes apart, but he continues to have severe pain. Which of the following agents should be given next? a. Atropine 0.5 to 1 mg IV b. Furosemide 20 to 40 mg IV c. Lidocaine 1 to 1.5 mg/kg d. Morphine sulfate 2 to 4 mg IV 16. Which of the following agents are used frequently in the early management of acute cardiac ischemia? a. Lidocaine bolus followed by a continuous infusion of lidocaine b. Chewable aspirin, sublingual nitroglycerin, and IV morphine c. Bolus of amiodarone followed by an oral ACE inhibitor d. Calcium channel blocker plus IV furosemide 17. A 50-year-old man who is profusely diaphoretic and hypertensive complains of crushing substernal chest pain and severe shortness of breath. He has a history of hypertension. He chewed 2 baby aspirins at home and is now receiving oxygen. Which of the following treatment sequences is most appropriate at this time? a. Morphine then nitroglycerin, but only if morphine fails to relieve the pain b. Nitroglycerin then morphine, but only if ST elevation is >3 mm c. Nitroglycerin then morphine, but only if nitroglycerin fails to relieve the pain d. Nitroglycerin only, because chronic hypertension contraindicates morphine 18. A 50-year-old man has a 3-mm ST elevation in leads V 2 to V 4. Severe chest pain continues despite administration of oxygen, aspirin, nitroglycerin SL 3, and morphine 4 mg IV. BP is 170/110 mm Hg; HR is 120 bpm. Which of the following treatment combinations is most appropriate for this patient at this time (assume no contraindications to any medication)? a. Calcium channel blocker IV + heparin bolus IV b. ACE inhibitor IV + lidocaine infusion c. Magnesium sulfate IV + enoxaparin (Lovenox) SQ d. Fibrinolytic + heparin bolus IV 19. A 70-year-old woman complains of a moderate headache and trouble walking. She has a facial droop, slurred speech, and difficulty raising her right arm. She takes several medications for high blood pressure. Which of the following actions is most appropriate to take at this time? a. Activate the emergency response system; tell the dispatcher you need assistance for a woman who is displaying signs and symptoms of an acute subarachnoid hemorrhage b. Activate the emergency response system; tell the dispatcher you need assistance for a woman who is displaying signs and symptoms of a stroke c. Activate the emergency response system; have the woman take aspirin 325 mg and then have her lie down while both of you await the arrival of emergency personnel d. Drive the woman to the nearby ED in your car ACLS Precourse Written Self-Assessment 5
14 20. Within 45 minutes of her arrival in the ED, which of the following evaluation sequences should be performed for a 70-year-old woman with rapid onset of headache, garbled speech, and weakness of the right arm and leg? a. History, physical and neurologic exams, noncontrast head CT with radiologist interpretation b. History, physical and neurologic exams, noncontrast head CT, start of fibrinolytic treatment if CT scan is positive for stroke c. History, physical and neurologic exams, lumbar puncture (LP), contrast head CT if LP is negative for blood d. History, physical and neurologic exams, contrast head CT, start fibrinolytic treatment when improvement in neurologic signs is noted 21. Which of the following rhythms is a proper indication for transcutaneous cardiac pacing? a. Sinus bradycardia with no symptoms b. Normal sinus rhythm with hypotension and shock c. Complete heart block with pulmonary edema d. Asystole that follows 6 or more defibrillation shocks 22. Which of the following causes of out-of-hospital asystole is most likely to respond to treatment? a. Prolonged cardiac arrest b. Prolonged submersion in warm water c. Drug overdose d. Blunt multisystem trauma 23. A 34-year-old woman with a history of mitral valve prolapse presents to the ED complaining of palpitations. Her vital signs are as follows: HR = 165 bpm, resp = 14 per minute, BP = 118/92 mm Hg, and O 2 sat = 98%. Her lungs sound clear, and she reports no shortness of breath or dyspnea on exertion. The ECG and monitor display a narrow-complex, regular tachycardia. Which of the following terms best describes her condition? a. Stable tachycardia b. Unstable tachycardia c. Heart rate appropriate for clinical condition d. Tachycardia secondary to poor cardiovascular function 24. A 75-year-old man presents to the ED with a 1-week history of lightheadedness, palpitations, and mild exercise intolerance. The initial 12-lead ECG displays atrial fibrillation, which continues to show on the monitor at an irregular HR of 120 to 150 bpm and a BP of 100/70 mm Hg. Which of the following therapies is the most appropriate next intervention? a. Sedation, analgesia, then immediate cardioversion b. Lidocaine 1 to 1.5mg/kg IV bolus c. Amiodarone 300 mg IV bolus d. Seek expert consultation ACLS Precourse Written Self-Assessment 6
15 25. You prepare to cardiovert an unstable 48-year-old woman with tachycardia. The monitor/defibrillator is in synchronization mode. The patient suddenly becomes unresponsive and pulseless as the rhythm changes to an irregular, chaotic, VF-like pattern. You charge to 200 J and press the SHOCK button, but the defibrillator fails to deliver a shock. Why? a. The defibrillator/monitor battery failed b. The sync switch failed c. You cannot shock VF in sync mode d. A monitor lead has lost contact, producing the pseudo-vf rhythm 26. Vasopressin can be recommended for which of the following arrest rhythms? a. VF b. Asystole c. PEA d. All of the above 27. Effective bag-mask ventilations are present in a patient in cardiac arrest. Now, 2 minutes after epinephrine 1 mg IV is given, PEA continues at 30 bpm. Which of the following actions should be done next? a. Administer atropine 1 mg IV b. Initiate transcutaneous pacing at a rate of 60 bpm c. Start a dopamine IV infusion at 15 to 20 μg/kg per minute d. Give epinephrine (1 ml of 1: solution) IV bolus 28. The following patients were diagnosed with acute ischemic stroke. Which of these patients has NO stated contraindication for IV fibrinolytic therapy? a. A 65-year-old woman who lives alone and was found unresponsive by a neighbor b. A 65-year-old man presenting approximately 4 hours after onset of symptoms c. A 65-year-old woman presenting 1 hour after onset of symptoms d. A 65-year-old man diagnosed with bleeding ulcers 1 week before onset of symptoms 29. A 25-year-old woman presents to the ED and says she is having another episode of PSVT. Her medical history includes an electrophysiologic stimulation study (EPS) that confirmed a reentry tachycardia, no Wolff-Parkinson-White syndrome, and no preexcitation. HR is 180 bpm. The patient reports palpitations and mild shortness of breath. Vagal maneuvers with carotid sinus massage have no effect on HR or rhythm. Which of the following is the most appropriate next intervention? a. DC cardioversion b. IV diltiazem c. IV propranolol d. IV adenosine ACLS Precourse Written Self-Assessment 7
16 30. A patient with an HR of 30 to 40 bpm complains of dizziness, cool and clammy extremities, and dyspnea. He is in third-degree AV block. All treatment modalities are present. What would you do first? a. give atropine 0.5 to 1 mg IV b. give epinephrine 1 mg IV push c. start dopamine infusion 2 to 10 μg/min d. begin immediate transcutaneous pacing, sedate if possible Identify the Following Rhythms 31. Normal Sinus Rhythm Sinus Tachycardia Sinus Bradycardia Atrial Fibrillation Atrial Flutter Reentry Supraventricular Tachycardia Monomorphic Ventricular Tachycardia Polymorphic Ventricular Tachycardia Ventricular Fibrillation Second-Degree Atrioventricular Block Third-Degree Atrioventricular Block ACLS Precourse Written Self-Assessment 8
22 ACLS Written 2006 Precourse Self-Assessment Answer Key 1. The correct answer is d. See ACLS Provider Manual, pages 38 and The correct answer is b. See ACLS Provider Manual, page The correct answer is c. See ACLS Provider Manual, page The correct answer is c. See ACLS Provider Manual, page The correct answer is a. See ACLS Provider Manual, page The correct answer is c. See ACLS Provider Manual, page The correct answer is a. See ACLS Student CD, pages The correct answer is b. See ACLS Provider Manual, page The correct answer is a. See ACLS Provider Manual, page The correct answer is c. See ACLS Provider Manual, page The correct answer is b. See ACLS Provider Manual, page The correct answer is c. See ACLS Provider Manual, page The correct answer is a. See ACLS Provider Manual, page The correct answer is a. See ACLS Provider Manual, page The correct answer is d. See ACLS Provider Manual page 72. See ACLS Student CD, ACLS Core Drugs 16. The correct answer is b. See ACLS Provider Manual, page 74 ACLS Precourse Written Self-Assessment 14
23 17. The correct answer is c. See ACLS Provider Manual page The correct answer is d. See ACLS Provider Manual, page 76 and The correct answer is b. See ACLS Provider Manual, page The correct answer is a. See ACLS Provider Manual, pages 106 and The correct answer is c. See ACLS Provider Manual, page The correct answer is c. See ACLS Provider Manual, page The correct answer is a. See ACLS Provider Manual, page The correct answer is d. See ACLS Provider Manual, pages The correct answer is c. See ACLS Provider Manual, pages and The correct answer is d. See ACLS Provider Manual, pages , 53 and The correct answer is a. See ACLS Provider Manual, page The correct answer is c. See ACLS Provider Manual, page The correct answer is d. See ACLS Provider Manual, page The correct answer is d. See ACLS Provider Manual, pages 83 and Normal Sinus Rhythm See ACLS Student CD Nonarrest Rhythms 32. Second Degree Atrioventricular Block See ACLS Student CD Nonarrest Rhythms 33. Sinus Bradycardia See ACLS Student CD Nonarrest Rhythms 34. Arial Flutter See ACLS Student CD Nonarrest Rhythms 35. Sinus Bradycardia See ACLS Student CD Nonarrest Rhythms ACLS Precourse Written Self-Assessment 15
24 36. Third Degree Atrioventricular Block See ACLS Student CD Nonarrest Rhythms 37. Atrial Fibrillation See ACLS Student CD Nonarrest Rhythms 38. Monomorphic Ventricular Tachycardia See ACLS Student CD Nonarrest Rhythms 39. Polymorphic Ventricular Tachycardia See ACLS Student CD Nonarrest Rhythms 40. Ventricular Fibrillation See ACLS Student CD Core Arrest Rhythms ACLS Precourse Written Self-Assessment 16
ADVANCED CARDIAC LIFE SUPPORT (ACLS) RECERTIFICATION EXAMINATION 1. Ten minutes after an 85 year old woman collapses, paramedics arrive and start CPR for the first time. The monitor shows fine (low amplitude)
E C C Heart and Stroke Foundation of Canada Advanced Cardiovascular Life Support Written Precourse Self-Assessment May 2011 2011 ACLS Written Precourse Self-Assessment 1. Ten minutes after an 85-year-old
E C C American Heart Association Advanced Cardiovascular Life Support Written Precourse Self-Assessment May 2011 2011 American Heart Association 2011 ACLS Written Precourse Self-Assessment 1. Ten minutes
This is a SAMPLE of the pretest you can access with your AHA PALS Course Manual at Heart.org/Eccstudent using your personal code that comes with your PALS Course Manual The American Heart Association strongly
American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in
American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in
E C C American Heart Association ACLS Provider Written Examinations Contents: Examination Memo Version A Answer Sheet Version A Exam Version A Answer Key Version A Annotations Version B Answer Sheet Version
LT Kenneth Stearns PGY-1 Pharmacy Resident Claremore Indian Hospital 1 Objectives To list the medications administered within ACLS protocol To differentiate which arrhythmias require medication administration
Advanced Cardiovascular Life Support Case Scenarios ACLS Respiratory Arrest Case Out-of-Hospital Scenario You are a paramedic and respond to the scene of a possible cardiac arrest. A young man lies motionless
ACLS Megacode Case 1: Sinus Bradycardia (Bradycardia VF/Pulseless VT Asystole Out-of-Hospital Scenario You are a paramedic and arrive on the scene to find a 57-year-old woman complaining of indigestion.
\ Official Online ACLS Exam Please fill out this form before you take the exam. Name : Email : Phone : 1. Hypovolemia initially produces which arrhythmia? A. PEA B. Sinus tachycardia C. Symptomatic bradyarrhythmia
ACLS Study Guide The ACLS Provider exam is 50-mutiple choice questions. Passing score is 84%. Student may miss 8 questions. For students taking ACLS for the first time or renewing students with a current
ADVANCED CARDIAC LIFE SUPPORT REFRESHER COURSE 2015 Pre-Course Test (2015 Guidelines) Please read each multiple-choice question carefully. Choose one option that best answers the question. One mark will
IU Health ACLS Study Guide Preparing for your upcoming ACLS Class REVISED SEPTEMBER 2011 ON APRIL 1, 2011 WE BEGAN TEACHING THE 2010 AHA GUIDELINES. WE HIGHLY RECOMMEND REVIEWING THE NEW ALGORYHMS FOUND
Figure 1 : Universal/International ACLS Algithm Adult Cardiac Arrest Adult Cardiac Arrest A A B B C C D D Focus : basic and defibrillation Focus : basic and defibrillation Check responsiveness Check responsiveness
American Heart Links There are several resources available to you on the American Heart Association website at www.americanheart.org. Here are some helpful kinks: You can find information on cardiovascular
2010 Interim Materials ACLS Provider Manual Comparison Chart Based on 2010 AHA Guidelines for CPR and ECC BLS Changes CPR New Old Rationale Chest compressions, Airway, Breathing (C-A-B) New science indicates
ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC CPR Chest compressions, Airway, Breathing (C-A-B) BLS Changes New Old Rationale New science indicates the following order:
E C C American Heart Association Advanced Cardiovascular Life Support Written Exams Contents: Exam Memo Student Answer Sheet Version A Exam Version A Answer Key Version A Reference Sheet Version B Exam
2015 ACLS Review (877) 338-9286 www.cmrcpr.com FL PA NJ DISCLAIMER The following information is provided by the American Heart Association. Monies collected do not represent income for the American Heart
Cardiac Arrest VF/Pulseless VT Learning Station Checklist VF/VT 00 American Heart Association Adult Cardiac Arrest Shout for Help/Activate Emergency Response Epinephrine every - min Amiodarone Start CPR
ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767 Copyright 2010 American Heart Association ACLS Cardiac Arrest Circular Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767
ACLS Arrhythmias and Treatment Modalities Presented by CMR CPR (a division of CMR Medical Supply, LLC) An American Heart Association Affiliated Training Site DISCLAIMER The following information is provided
How to Treat Bradycardia s Table of Contents How to Treat Bradycardia s... 1 Introduction... 3 Sinus Bradycardia... 3 Symptomatic Bradycardia... 3 Bradycardia Algorithm... 3 Transcutaneous pacing (TCP)...
Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble In contrast to cardiac arrest in adults, cardiopulmonary arrest in pediatric
This course is designed to develop ECG recognition skills and drug treatment knowledge. An American Heart Association course completion certificate in ECG & Pharmacology will be awarded at the end of the
Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the
Jordan M. Prutkin, MD, MHS Assistant Professor University of Washington 7/18/2013 What to do Check the patient s pulse Get an ECG Unless there s no pulse. Then call a code and do ACLS Approaching an EKG
Basic Life Support & Automated External Defibrillation Check response Shake gently Ask loudly: Are you all right? If not responsive Open airway & check for breathing If not breathing normally or not breathing
2010 AHA BLS, ACLS & PALS Changes: What s New? Jennifer Murray MSN, RN Critical Care Educator AHA Training i Center Coordinator PALS Regional Faculty ACLS Training Center Faculty Objectives This module
Columbia Medicine House Staff Training Program Simulation Series : Advanced Cardiopulmonary Life Support A.K.A. THE CODE PRIMER Course Objectives Background information on cardiac arrests Code leader /
2005 ACLS OVERVIEW & STUDY GUIDE Vanderbilt Resuscitation Program ACLS is a course dedicated to sharing a core of advanced information regarding respiratory and cardiac emergencies. It is taught according
8 Peri-arrest arrhythmias Introduction Cardiac arrhythmias are relatively common in the peri-arrest period. They are common in the setting of acute myocardial infarction and may precipitate ventricular
1. You are called to help resuscitate an infant with severe symptomatic bradycardia associated with respiratory distress. The bradycardia persists despite establishment of an effective airway, oxygenation,
ACLS Study Guide The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. Please read the below information carefully This letter is to confirm your
The ALIVE Trial: Versus In Pre-Hospital Refractory Ventricular Fibrillation Evaluation Based on preliminary data of Dorian P et al as presented at the 22nd Annual Scientific Sessions of the North American
PURPOSE: To provide guidelines For using the LifePak 20 Defibrillator/Monitor with ADAPITIV Biphasic technology. This device may be used for AED defibrillation, manual defibrillation, synchronized cardioversion,
E C C American Heart Association Pediatric Advanced Life Support Written Precourse Self-Assessment Questions and Answer Key for Students January 2012 PALS Written 2011 Precourse Self-Assessment ECG Rhythm
American Heart Association Basic Life Support for Healthcare Providers Pretest April 2006 This examination to be used only as a PRECOURSE TEST For BLS for Healthcare Providers Courses 2006 American Heart
Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble Survival from cardiorespiratory arrest for patients who present with ventricular fibrillation
Practical ACLS Megacode Testing and Training Scenario Set for SimPad Consolidated Instructor Manual Frances Wickham Lee, DBA Scenario Authors: Frances Wickham Lee, DBA John Walker, BHS John Schaefer, MD
CASSETTE PLAYER WITH MP3 ENCODER INSTRUCTION MANUAL JSCR-75 PLEASE READ THIS INSTRUCTION MANUAL COMPLETELY BEFORE OPERATING THIS UNIT AND RETAIN IT FOR FUTURE REFERENCE. FEATURES Rediscover your old cassette
Bradycardia (Unstable) Protocol revised October 2008 Preamble Occasionally, patients experiencing an acute cardiac event present with bradycardia that is hemodynamically unstable. Under these circumstances,
SMART BOARD USER GUIDE FOR PC What is it? SMART Board is an interactive whiteboard available in an increasing number of classrooms at the University of Tennessee. While your laptop image is projected on
Adult Drug Reference Dopamine Drip Chart Pediatric Drug Reference Pediatric Drug Dosage Charts DRUG REFERENCES ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal
Heart Dysrhythmias Cheat Sheet Arrhythmias Description Causes Treatment Sinus Arrhythmia Irregular atrial and ventricular rhythms. Normal variation of normal sinus rhythm in athletes, children, and the
Asystole No pulse or respirations Confirm cardiac rhythm with combo pads or electrodes Record in two leads to confirm Asystole and to rule out fine V-Fib. Basic assessment and management (up to your scope
Date: May 31, 2012 Page 1 of 5 Cardiac Arrest General This protocol should be followed for all adult cardiac arrests. Medical cardiac arrest patients undergoing attempted resuscitation should not be transported
Contents Important Safety Instructions Page 2 Unit Diagram and Component Names / Functions Page 3 Basic Operation Page 3 Cassette Tape Use Page 4 Listening to a Tape Page 5 Recording to a Tape Page 6 Recording
Emergency Services Advanced Level Competency Checklist EMS Service: Current License in State of Nebraska: # (Copy of license kept in file at station) Date of joining EMS Service: EMS Service Member Name:
ACLS Study Guide This purpose of this study guide is to assist you in successfully completing the AHA ACLS course. It includes sections on: ECG Rhythm Interpretation ACLS Drugs ACLS Algorithms ECG Rhythm
This is a SAMPLE of the pretest you can access with your AHA PALS Course Manual at Heart.org/Eccstudent using your personal code that comes with your PALS Course Manual The American Heart Association strongly
Alabama Medications Christopher J. Colvin p January 2010 Activated Charcoal Used to absorb toxins ingested before they can be absorbed in the GI system. Contraindicated in AMS patients who cannot control
Interactive Functions Manual July, 2011 1 Contents How to use the pen... 3 Use with Windows... 4 Use with Mac OS... 15 Troubleshooting... 22 2 How to use the pen Before using the pen, install the batteries.
CAUSES AND PREVENTION OF CARDIORESPIRATORY ARREST B1 Objectives To understand: The causes of cardiorespiratory arrest in adults How to identify patients at risk The role of a Medical Emergency Team The
A PATIENT S GUIDE TO ELECTROPHYSIOLOGY STUDIES OF THE HEART The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to electrophysiology studies of the heart.
Patient information factsheet Tachyarrhythmias (fast heart rhythms) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? DVM, DACVA Objective: Update on the new Small animal guidelines for CPR and a discussion of the 2012 Reassessment Campaign on
HANDOUT STUDY UNIT 2 ARRHYTHMIA MANAGEMENT (BRADYCARDIA) Bradycardia is defined conservatively as a heart rate below 60 beats per minute, but symptomatic bradycardia generally entails rates below 50 beats
EMT-BASIC EMT-INTERMEDIATE EMT-PARAMEDIC A Ventricular Assist Device, or VAD, is a mechanical device used to substantially support circulation in a patient with significant cardiac ventricular dysfunction.
MEDICATIONS USED IN ADULT CODE BLUE EMERGENCIES Source: ACLS Provider Manual. American Heart Association. 2001, 2002. Updated 2003. 1 ET Administration Atropine o First drug for symptomatic sinus bradycardia
AUSTRALIAN RESUSCITATION COUNCIL GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support) The term cardiac arrhythmia
Flip Video Questions and s 1 How do I save videos on my computer? Page 2 2 I tried to start the Flip Video Program myself, but it won t start. What Page 3 should I do? 3 Why does the camcorder record in
Windows 7 Tutorial GETTING STARTED An operating system, sometimes called an OS, is the main program the computer uses to function properly. Operating systems act as a link between you, the user, and the
Fiery E100 Color Server Welcome 2011 Electronics For Imaging, Inc. The information in this publication is covered under Legal Notices for this product. 45098226 27 June 2011 WELCOME 3 WELCOME This Welcome
2015 Interim Resources for HeartCode ACLS Original Release: November 25, 2015 Starting in 2016, new versions of American Heart Association online courses will be released to reflect the changes published
Legend Indicates General Information and Guidelines Indicates Procedures Indicates Medication Administration Indicates Referral to Other Protocol Indicates Referral to Online Medical Direction Pediatric
ACLS Study Guide 2010 Bulletin: New resuscitation science and American Heart Association treatment guidelines were released October 28, 2010! The new AHA Handbook of Emergency Cardiac Care (ECC) contains
Emergency Cardiac Care: Decision Support Tool #1 RN-Initiated Emergency Cardiac Care Without Cardiac Monitoring/Manual Defibrillator or Emergency Cardiac Drugs Decision support tools are evidence-based
Appendix A. CMS(Client Management Software) A-1. Install CMS for Windows PC CMS is a program for communication between DVR and PC to control signal and video. Insert the enclosed CD, and go to CD-ROM Drive
Nikon Firmware Update for Coolpix 2500 Version 1.1 Notes: 1. It is most important that you follow the supplied directions; failure to follow all of the steps may result in your camera being disabled. 2.
USER GUIDE USB 2.0 TO DVI-I ADAPTER Model: 30535 1 TABLE OF CONTENTS Introduction...2 Features...3 System Requirements...4 Package Contents...5 Device Overview...6 Device Driver Installation on Windows
Care Pathway Triage category ATRIAL FIBRILLATION PATHWAY ACCIDENT AND EMERGENCY DEPARTMENT/CARDIOLOGY AF/ FLUTTER IS PRIMARY REASON FOR PRESENTATION YES NO ONSET SYMPTOMS OF AF./../ TIME DURATION OF AF
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