Regarding CPR in adult cardiac arrest for advanced life support providers, which one

of the following is correct?

a) The chest compression ratio is 30:2 if one rescuer present & 15:2 if more than
one rescuer present
b) The internipple line is a reliable landmark for hand placement during chest
compressions
c) Chest compression depth should be at least of the depth of adult chest
d) When using an advanced airway , ventilation should be delivered during the
relaxation phase of a chest compression
Regarding defibrillation with a manual biphasic defibrillator using pads in patients
with cardiac arrest , which one of the following is true?
a) For rescuer safety ,chest compressions should briefly stopped while charging
the defibrillator in preparation for delivery of a shock
b) After delivery of a shock , onr should check for the presence of a pulse before
restarting chest compression
c) Three stack shock, should be initially be delivered in all patients suffering
from a ventricular fibrillation arrest
d) The default energy level for adults should be set at 200J for all stocks
When comparing monophasic & biphasic defibrillators , all of the following
statements are correct regarding biphasic defibrillators except
a) They are more effective at terminating ventricular arrhythmias at lower
energy levels
b) They are more effective for cardioversion at atrial fibrillation
c) They have greater first shock efficacy for long duration VT/VF
d) They are associated with a butter survival to hospital discharge outcome
A 63 year old male suffered a VF cardiac arrest and the first shock was delivered on
arrival in the emergency y department .after a further 2 minutes of CPR, he was
noted to be still in VF on the monitor. What is the next most appropriate step to
take?
a)
b)
c)
d)

Feel for the presence or absence of a pulse

Give adrenaline 1 ml of 1:1000 intravenously
Deliver a second shock at 200J
Give amiodarone 300mg intravenously

A 70 year old male suffered an OPD cardiac arrest. On arrival ED CPR is in progress
and a laryngeal mask airway is in situ.IV access was not obtained prehospital. Initial
rhythm on arrival ED showed a pulseless electrical activity at 30 bpm. What is the
most appropriate next step to be performed?
a) Confirm correct placement of LMA & adequacy of chest compression
b) High dose adrenaline should be administer via LMA

c) Establish IV access and give 1ml of adrenaline

d) Establish IV access and give 1ml of atropine
Regarding use of vassopressors during cardiac arrest in adults with a shockable
rhythm, which one of the following is true?
a) It improves return of spontaneous circulation and survival to hospital
discharge
b) Current evidence suggest that the optimal dose of adrenaline is 1 mg given
after the second shock and then every cycle if there is no response to
defibrillation
c) High dose adrenaline has shown improvement in ROSC but no change in
survival outcome compared with standard dose adrenaline
d) Vasopressin is associate with a better neurological outcome compared with
adrenaline
Which one of the following statements statement is true regarding post cardiac
arrest care in adults?
a) Provide 100% oxygen in all cases after ROSC
b) Maintain a systolic BP > 90mmHg
c) Maintained a tight glucose control with blood sugar level between 4 and 6
mmol/L
d) Immediate emergent angiography and PCI should be considered even in he
absence of ST elevation or LBBB on ECG