Cpr Multiple Choice Questions and Answer

1. Which of the following regarding rescue breaths is incorrect:

1. Deliver each rescue breath over 1 second
2. Give a sufficient tidal volume to produce visible chest rise
3. Rescue breaths are given at rate of 6-8 breaths per minute
4. Use a compression to ventilation ratio of 30 chest compressions to 2 ventilations

1. High quality CPR does not include:

1. Minimize interruptions
2. Allow complete chest recoil
3. Avoid excessive ventilation
4. Check pule for 10 seconds

1. Not included in ‘5 H’ reversible cause of cardiac arrest:

1. Hypoxia
2. Hypovolemia
3. Hypoglycaemia
4. Hydrogen ions

1. You are team leader of ACLS team resuscitating an adult cardiac arrest patient due to ventricular fibrillation. Your team has just delivered second defibrillating dose of shock. Next immediate step will be:

1. Check for pulse
2. Insertion of advanced airway
3. Atropine 1mg iv
4. Resume CPR with chest compressions for 2 minutes

1. You are team leader of ACLS team resuscitating an adult cardiac arrest patient. You check the rhythm and find following ECG. Next immediate step will be[pic 1]

1. Check for pulse
2. Defibrillation
3. Resume CPR with chest compressions for 2 minutes
4. Insertion of advanced airway

1. ACLS team is resuscitating an adult cardiac arrest patient due to ventricular fibrillation. Rhythm check yields following ECG. Next immediate step will be:

[pic 2]

1. Check for pulse
2. Epinephrine 1 mg intravenous
3. Defibrillation
4. Resume CPR with chest compressions for 2 minutes

1. Which of the following indicates low quality of CPR:

1. Avoid excessive ventilation
2. Rotate compressors every 2 minutes
3. Waveform capnograpy shows PETCO2 of 18
4. Intra-arterial relaxation phase pressure 18 mm Hg

1. CPR should not be started in following situations except:         

1. Valid DNAR status
2. Threat to safety of CPR providers
3. Signs irreversible of death
4. Gasping patient with no pulse

1. An unconscious patient with no breathing but definite pulse is found. Which of the following is true regarding patient’s further management:

1. CPR should be started with chest compression
2. Intravenous naloxone can be given to this patient if there is known or suspected opioid addiction
3. Intramuscular/intranasal naloxone can be given to this patient if there is known or suspected opioid addiction
4. Rescue breaths should be given at rate of 6 breaths per minute

1. Correct about changes in 2015 CPR guidelines:

1. After return of spontaneous circulation, all patients should be cooled to temperature between 32°C and 36°C, for at least 24 hours
2. Correct rate for chest compression is at least 100/minute
3. Vasopressin has been removed from ACLS cardiac arrest algorithm
4. Check pulse for at least 10 seconds

1. A conscious adult patient is having pulse rate of 45 per minute and BP of 85/40. His mental status is altered. Most appropriate action will be to:

1. Monitor and observe
2. Dopamine infusion 2-10 microgram/kg per minute
3. Injection atropine 0.5 mg iv bolus
4. Transcutaneous pacing

1. A conscious adult patient is having pulse rate of 45 per minute and BP of 110/70. His mental status is normal, has no signs of shock or chest pain and has no signs of heart failure. Most appropriate action will be to:

1. Monitor and observe
2. Injection atropine 0.5 mg iv bolus
3. Transcutaneous pacing
4. Dopamine infusion 2-10 microgram/kg per minute

1. A conscious adult patient is having pulse rate of 45 per minute and BP of 75/40. His mental status is altered. Atropine 3 mg and dopamine and epinephrine infusion had no effect on pulse rate and BB. Most appropriate action will be to:

1. Monitor and observe
2. Transcutaneous pacing
3. Transvenous pacing
4. Beta blocker therapy

1. Your team is called to manage a patient with tachycardia(Heart rate:155/min). [pic 3]

 This is his ECG. The patient is having BP of 120/76 and no other significant symptoms. Which of the following is not recommended:

1. Synchronised cardioversion
2. Intravenous Adenosine
3. Vagal maneuvers
4. Beta blockers
5. Calcium channel blocker

1. A patient is having tachycardia with heart rate of 160/min and BP of 85/40. ECG shows narrow complex regular tachycardia. Which is the most appropriate next step:

1. Synchronised cardioversion
2. Intravenous Adenosine
3. Vagal maneuvers
4. Beta blockers
5. Calcium channel blocker

1. What is the mode of administering aspirin in patients having suspected MI?

1. Subcutaneous
2. Intravenous
3. Oral
4. Intramuscular

1. Nitroglycerine is contraindicated in:

1. Inferior wall MI
2. Anterior wall MI
3. Posterior wall MI
4. None of the above

1.  Question to be asked before administering aspirin in patient with myocardial infarction :

1. History of oral anticoagulant therapy
2. Duration of fasting
3. History of recent gastrointestinal bleed
4. Previous history of chest pain.

1. Fibrinolytic therapy should preferably be administered within………….of onset of symptoms.

1. 2hours
2. 24hours
3. 3 hours
4. 12 hours

1. All are contraindications of fibrinolytic  therapy except:

1.  History of major surgery in last 14 days
2. Patient on oral anticoagulants therapeutic dose
3. History of intracranial hemorrhage in last 3years.
4. History of haematemesis one year back

1. Agents considered in ischemic chest discomfort routinely are all except:

1. Oxygen
2. Nitroglycerine
3. Nitroprusside
4. Morphine

1. Which of the following cardiac rhythm is shockable?

1. Asystole
2. PEA
3. Ventricular Tachycardia
4. Supraventricular Tachycardia

1. Accurate first dose of Amiodarone during CPR is-

1. 500mg
2. 300mg
3. 750mg
4. 250mg

1. During CPR Epinephrine should be repeated at every-

1. 10 min
2. 7 min.
3. 5 min.
4. 2 min.

1. Which of the following is not a reversible cause of cardiac arrest-

1. Hyperkalemia
2. Hypokalemia
3. Hyperbilirubin
4. Hypoxia

1. In condition of cardiac arrest, energy dose of monophasic defibrillation shock should be-

1. 300 J
2. 500 J
3. 360 J
4. 700 J

1. Correct depth of chest compression according to 2015 CPR guidelines is:

1. 5 cm to 6 cm
2. Greater than 5 cm
3. 2 inches
4. 2 cm to 2.4 cm

1. Correct rate for chest compression according to 2015 CPR guidelines is:

1. Greater than 100 per minute
2. 100-120 per minute
3. 100 per minute
4. None of the above

1. Devices for airway management in ACLS are all except:

1. Laryngeal tube
2. Laryngeal Mask Airway
3. Endotracheal tube
4. None of the above

1. Where should you attempt to perform a pulse check in a child from 1 year of age to puberty?

1.  Carotid or Femoral artery
2.  Ulnar artery
3.  Brachial artery
4.  Temporal artery