American Heart Association Advanced Cardiovascular Life Support Exams A and B © 2016 American Heart Association Contents  Student Answer Sheet  Exam A  Exam A Answer Key  Exam A Annotated Answer Key  Exam B  Exam B Answer Key  Exam B Annotated Answer Key lOMoAR cPSD|3013804 Student Answer Sheet Advanced Cardiovascular Life Support Exam Name: Date: Version: Question Answer 1. A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D 7. A B C D 8. A B C D 9. A B C D 10. A B C D 11. A B C D 12. A B C D 13. A B C D 14. A B C D 15. A B C D 16. A B C D 17. A B C D 18. A B C D 19. A B C D 20. A B C D 21. A B C D 22. A B C D 23. A B C D 24. A B C D 25. A B C D lOMoAR cPSD|3013804 26. A B C D 27. A B C D 28. A B C D 29. A B C D 30. A B C D 31. A B C D 32. A B C D 33. A B C D 34. A B C D 35. A B C D 36. A B C D 37. A B C D 38. A B C D 39. A B C D 40. A B C D 41. A B C D 42. A B C D 43. A B C D 44. A B C D 45. A B C D 46. A B C D 47. A B C D 48. A B C D 49. A B C D 50. A B C D lOMoAR cPSD|3013804 American Heart Association Advanced Cardiovascular Life Support Exam A © 2016 American Heart Association lOMoAR cPSD|3013804 Advanced Cardiovascular Life Support Exam A (50 questions) Please do not mark on this exam. Record the best answer on the separate answer sheet. 1. Which type of atrioventricular block best describes this rhythm? A. First-degree B. Second-degree type I C. Second-degree type II D. Third-degree 2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? A. Monitor the patient’s PETCO2 B. Obtain a 12-lead ECG C. Check the patient’s pulse D. Obtain a chest x-ray 3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field? A. Comprehensive stroke care unit B. Acute rehabilitation care unit C. Acute long-term care unit D. Coronary reperfusion–capable medical center 4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? A. Slow, weak pulse rate B. Cyanosis C. Agonal gasps D. Irregular, weak pulse rate 2 Advanced Cardiovascular Life Support Exam A © 2016 American Heart Association lOMoAR cPSD|3013804 5. Which type of atrioventricular block best describes this rhythm? A. Third-degree atrioventricular block B. Second-degree atrioventricular block type I C. First-degree atrioventricular block D. Second-degree atrioventricular block type II 6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? A. Once every 3 to 4 seconds B. Once every 5 to 6 seconds C. Once every 10 seconds D. Once every 12 seconds 7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal tube? A. Arterial blood gases B. Chest radiography C. Continuous waveform capnography D. Hemoglobin levels 8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment approach is best for this patient? A. Hold fibrinolytic therapy for 24 hours B. Start fibrinolytic therapy as soon as possible C. Order an echocardiogram before fibrinolytic administration D. Wait for the results of the MRI 3 Advanced Cardiovascular Life Support Exam A © 2016 American Heart Association lOMoAR cPSD|3013804 9. Which best describes this rhythm? A. First-degree atrioventricular block B. Second-degree atrioventricular block type I C. Second-degree atrioventricular block type II D. Third-degree atrioventricular block 10. What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest? A. 26°C to 28°C B. 29°C to 31°C C. 32°C to 36°C D. 35°C to 37°C 11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? A. 100 mg B. 150 mg C. 250 mg D. 300 mg 12. Which is the primary purpose of a medical emergency team or rapid response team? A. Improving care for patients admitted to critical care units B. Improving patient outcomes by identifying and treating early clinical deterioration C. Providing diagnostic consultation to emergency department patients D. Providing online consultation to EMS personnel in the field 13. Which is the recommended next step after a defibrillation attempt? A. Check the ECG for evidence of a rhythm B. Open the patient’s airway C. Determine if a carotid pulse is present D. Resume CPR, starting with chest compressions