RCP 500
ADVANCED RESPIRATORY THERAPY
ADVANCED CARDIAC CARE TEST = ; &n= bsp; = ; NAME____________________________
DECEMBER 8, 2008
ANSWER THE FOLLOWING MULTIPLE CHOICE QUESTIONS WITH TH= E BEST ANSWER ON THE ANSWER SHEET PROVIDED. (2 PTS EACH)
1. &n= bsp; The “ability to respond to an electrical impulse with a physical contraction” is known as:
= A) conductivity
= B) automaticity
= C) contractility
= D) excitability
2. &n= bsp; The “ability to initiate an electrical impulse” is known as:
= A) automaticity
= B) excitability
= C) conductivity
= D) contractility
3. &n= bsp; Which of the following P-R intervals would be considered normal?
= I. = 0.16 seconds
= II. = 0.20 seconds
= III. = 0.24 seconds
= IV. = 0.28 seconds
= A) I only
= B) IV only
= C) I and II
= D) I, II and III
4. &n= bsp; Which of the following QRS intervals would be considered normal?
= I. = 0.08
= II. = 0.16
= III. = 0.20
= IV. = 0.24
= A) I only
= B) II and III
= C) III and IV
= D) I, II and III
5. &n= bsp; You are asked to do a 12-lead ECG on a patient. The paper speed you should use is:=
= A) 10 mm/sec
= B) 25 mm/sec
= C) 50 mm/sec
= D) 100 mm/sec
6. &n= bsp; If the ECG paper speed is set correctly how many large blocks should be in a s= ix second strip?
= A) 10
= B) 20
= C) 30
= D) 60
7. &n= bsp; If the ECG paper speed is set correctly how many small blocks would comprise 0= .20 seconds?
= A) 1
= B) 3
= C) 5
= D) 10
8. &n= bsp; With premature atrial complexes the p wave/QRS waves are in what ratio?
= A) 1:2
= B) 1:1
= C) 1:2
= D) 1:3
9. &n= bsp; Which of the following ventricular rates would indicate bradycardia in an adult?<= /p>
= I. = 40
= II. = 50
= III. = 60
= IV. = 70
= A) I only
= B) I and II
= C) I, II and III
= D) I, II, III and IV
10. &= nbsp; Which of the following ventricular rates would indicate tachycardia in an adult?<= /p>
= I. = 90
= II. = 100
= III. = 110
= IV. = 120
= A) IV only
= B) III and IV
= C) II, III and IV
= D) I, II, III and IV
11. &= nbsp; In which of the following rhythms are p waves present without QRS complexes?
= I. = 1st degree AV block
= II. = 2nd degree AV block Mobitz I
= III. = 2nd degree AV block Mobitz II
= IV. = 3rd degree AV block
= A) II and IV
= B) III and IV
= C) II, III and IV
= D) I, II, III and IV
12. &= nbsp; Which of the following dysrhythmias are potentially life-threatening and need to = be addressed quickly?
= I. = premature atrial complexes
= II. = ventricular tachycardia
= III. = ventricular fibrillation
= IV. = 3rd degree AV block
= A) II and III
= B) III and IV
= C) II, III and IV
= D) I, II, III and IV
13. &= nbsp; Which of the following ventricular rates would indicate controlled atrial fibrillation?
= I. = 80
= II. = 90
= III. = 110
= IV. = 130
= A) I only
= B) IV only
= C) I and II
= D) I, II and III
14. &= nbsp; Which of the following dysrhythmias will usually have an irregular ventricular ra= te?
= I. = ventricular tachycardia
= II. = sinus tachycardia
= III. = atrial fibrillation
= IV. = 2nd degree AV block Mobitz II
= A) I and III
= B) III and IV
= C) I, II and IV
= D) II, III and IV
15. &= nbsp; Epinephrine would be used in the treatment of:
= I. = bradycardia
= II. = asystole
= III. = pulseless electrical activity
= IV. = premature ventricular complexes
= A) I and II
= B) I, II and III
= C) II, III and IV
= D) I, II, III and IV
16. &= nbsp; The definitive treatment for ventricular fibrillation is:
= A) epinephrine
= B) atropine
= C) cardioversion
= D) defibrillation
17. &= nbsp; A precordial thump may be used in:
= A) 3rd degree AV block
= B) sinus tachycardia
= C) asystole
= D) witnessed ventricular fibrillation
18. &= nbsp; Which of the following are treated with synchronized cardioversion?
= I. = ventricular fibrillation
= II. = pulseless ventricular tachycardia
= III. = atrial fibrillation
= IV. = atrial flutter
= A) I and II
= B) I and III
= C) II and IV
= D) III and IV
19. &= nbsp; Levophed is the trade name for:
= A) amiodarone
= B) atropine
= C) propanolol
= D) norepinephrine
20. &= nbsp; Which of the following is potentially seen with diuretic therapy?
= A) hypokalemia and metabolic alkalosis
= B) hypokalemia and metabolic acidosis
= C) hyperkalemia and metabolic alkalosis
= D) hyperkalemia and metabolic acidosis
21. &= nbsp; Which of the following drugs is a beta blocker?
= A) isoproterenol
= B) propanolol
= C) procainamide
= D) epinephrine
22. &= nbsp; Which of the following drugs would be used in the treatment of ventricular fibrillation?
= I. = amiodarone
= II. = magnesium sulfate
= III. = procainamide
= IV. = digitalis
= A) II and III
= B) I, II and III
= C) II, III and IV
= D) I, II, III and IV
23. &= nbsp; Which of the following would be used in the treatment of a serious bradycardia?
= I. = isoproterenol
= II. = atropine
= III. = digitalis
= IV. = pacemaker
= A) II and IV
= B) I, II and IV
= C) I, III and IV
= D) II, III and IV
24. &= nbsp; Which of the following are used as the first drug used in the treatment of ventricular fibrillation?
= A) epinephrine or vasopressin
= B) atropine or isoproterenol
= C) dopamine or dobutamine
= D) amiodarone or digoxin
25. &= nbsp; Which of the following drugs has been shown to cause pulmonary fibrosis?
= A) nitroprusside
= B) nitroglycerin
= C) procainamide
= D) amiodarone
ANSWER THE FOLLOWING QUESTIONS WITH A CONCISE ANSWER.<= /p>
26. On the diagram below, illustrate where you would place ECG patches for Lead II standard 3-lead ECG. (3 pts)<= /p>
27. &= nbsp; List three causes of premature ventricular complexes. (3 pts)
28. &= nbsp; Compare and contrast cardioversion and defibrillation. (4 pts)
29. &= nbsp; List four potential causes of pulseless electrical activity. (4 pts)
30. You a= re asked to assist in a cardioversion. List four items you would get ready to help with the cardioversion.<= span style=3D'mso-spacerun:yes'> (4 pts)
31. &= nbsp; List three ECG changes that would be seen in a patient that has had a myocardial infarction. (3 pts)
32. &= nbsp; List three enzymes that might be elevated in a patient who has had an MI. (3 pts)
33. &= nbsp; A patient who has had a cardiac arrest has the following ABG’s:
&nbs= p; &= nbsp; &nbs= p; &= nbsp; pH &n= bsp; = ; 7.14
&nbs= p; &= nbsp; &nbs= p; &= nbsp; PaCO2 &= nbsp; &nbs= p; 65
&nbs= p; &= nbsp; &nbs= p; &= nbsp; PaO2 &= nbsp; 88
The patient is intubated an= d is being manually ventilated. Wo= uld you recommend giving this patient sodium bicarbonate? Why or why not? (4 pts)
34. &= nbsp; How much energy should be used for defibrillating adults? (2 pts)
35. &= nbsp; Match the following drugs with the best description of the drug. Each description is used only once= .
&nbs= p; (1 pt each)
&nbs= p; _____amiodarone &= nbsp; &nbs= p; &= nbsp; A. increases heart rate, dilates pupils
&nbs= p; _____dopamine &= nbsp; &nbs= p; &= nbsp; B. treat metabolic acidosis
_____ni= troprusside &= nbsp; &nbs= p; &= nbsp; C. antidiuretic hormone, improves resuscitation with
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; V-fib
&nbs= p; _____dobutamine
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; D. nearly pure beta effects, treat bradycardia
&nbs= p; _____morphine
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; E. = current drug of choice for ventricular ectopy
&nbs= p; _____atropine
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; F. = slows conduction, convert PSVT to NSR
&nbs= p; _____nitroglycerin
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; G. relief of pain, treat pulmonary edema, analgesic
&nbs= p; _____vasopressin
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; H. alpha stimulation, positive inotropic action,
&nbs= p; _____norepinephrine &= nbsp; &nbs= p; &= nbsp; &nbs= p; coronary vasodilation
&nbs=
p; _____adenosine &=
nbsp; &nbs=
p; &=
nbsp;
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; J. &= nbsp; inhibits reabsorption of sodium
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; K. beta stimulation, increases contractility
L. = coronary vasodilation, control pain brought on by angina
&nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; M. peripheral vasodilation, treat hypertensive crisis
FOR QUESTIONS 36-45, IDENTIFY THE RHYTHM AND WRITE YOUR ANSWER UNDER THE RHYTHM STRIP. (2 PTS EACH)
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.