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WorksheetsShock & Resuscitation
Total questions: 23
Worksheet time: 12mins
Name
Class
Date
1.
You've got a pt. in shock, you're going to give a fluid bolus.
a)
20ml/kg bolus targeting a systolic pressure around 90
b)
10ml/kg bolus targeting a systolic pressure around 90
2.
What is the ejection fraction when the ventricle fills with 100ml and ejects 60ml?
a)
40%
b)
60%
c)
Not enough info
d)
?????????????????????
3.
The most common cause of cardiogenic shock
a)
Sepsis
b)
PE
c)
Heart Attack
d)
Congestive Heart Failure
4.
Critical elements of running a cardiac arrest include:
a)
Early administration of epi
b)
Successful intubation
c)
Rapid transportation
d)
Clear and effective code leader
5.
Hyperventilation of patients in cardiac arrest
a)
Is in some cases indicated
b)
Reduces coronary blood flow
c)
is not a big deal
d)
What's hyperventilation?
6.
Which one of the following is not typically a sign of cardiogenic shock?
a)
pedal edema
b)
pulmonary edema
c)
hypotension
d)
tachycardia
7.
Adult AED pads can be used on children and infants
a)
True
b)
False
8.
The ratio of fluid to blood is generally considered to be
a)
2:1
2:1
2:1
b)
3:1
3:1
3:1
c)
1:1
d)
4:1
9.
Cardiac output is a function of:
a)
Stroke volume and heart rate
b)
Tidal volume and heart rate
c)
Ejection fraction and heart rate
d)
Stroke volume and ejection fraction
10.
Paramedic intuition comes from:
a)
Pattern recognition based on knowledge & experience
b)
Quick formulation of diagnosis
c)
Field diagnosis based on general impression
d)
Experience
11.
You are attending the cardiac arrest of a patient you believe to be hyperkalemic what question do you ask?
a)
Does this patient undergo dialysis?
b)
Is this patient a known diabetic?
c)
Does this patient take blood thinners?
d)
Has this patient had vomiting or diraheea?
12.
While applying the defibrillator pads, you note that the patient has a transdermal nitroglycerin patch on the right anterior chest. You should:
a)
Place the pads at least one inch from the patch
b)
Place the second pad in between the scapula
c)
Move the patch to the left anterior chest
d)
Remove the patch and wipe away any residue
13.
The force or resistance against which the heart pumps is called:
a)
Preload
b)
Blood pressure
c)
Afterload
d)
Systemic vascular resistance
14.
Carbonic acid is formed by the combination of
a)
Water and bicarbonate
b)
Water and hemoglobin
c)
Lactate and pyruvic acid
d)
Water and carbon dioxide
15.
When using an impedance threshold device during cardiac arrest, it is important to:
a)
Deliver each ventilation over a period of 1 second
b)
Increase the ventilation rate by 6 to 8 per min
c)
Allow partial chest recoil in between chest compressions
d)
Hyperinflate the lungs to improve coronary perfusion
16.
Incomplete glucose breakdown leads to an accumulation of:
a)
Lactic acid
b)
Pyruvic acid
c)
Bicarbonate
d)
Carbonic acid
17.
Anaerobic metabolism is the process in which
a)
the cells produce carbon dioxide and water.
b)
adequate amounts of oxygen reach the cell level
c)
the adrenal glands fail to release catecholamines.
d)
inefficient cellular metabolism produces lactic acid.
18.
1. Which of the following components represent the perfusion triangle?
a)
Red blood cells and oxygen
b)
Heart, blood, blood vessels
c)
Oxygen, lungs, red blood cells
d)
Organs, oxygen, red blood cells
19.
Which of the following lists, in the correct order, the smallest to largest units of life?
a)
Tissues, organs, cells, organism, organ systems
b)
Organs, organ systems, tissues, cells, organism
c)
Cells, tissues, organs, organ systems, organism
d)
Organism, organs, organ systems, tissues, cells
20.
BP: 78/62 HR:128 RR: 22
a)
Compensated shock
b)
Irreversible shock
c)
Decompensated shock
d)
None of these
21.
24yr old male complaining of sudden onset right sided sharp chest pain. Hypotensive Pale skin rapid pulse. Guarded respirations. +JVD. Most likely a case of:
a)
Cardiogenic shock
b)
Obstructive shock
c)
Hypovolemic shock
d)
Distributive shock
22.
24yr old male complaining of laceration to both wrists. Hypotensive, Pale skin, rapid pulse. Most likely a case of:
a)
Cardiogenic shock
b)
Obstructive shock
c)
Hypovolemic shock
d)
Distributive shock
23.
64yr old female complaining of left-sided dull chest pain. Hypotensive Pale skin. Bradycardic. Most likely a case of:
a)
Cardiogenic shock
b)
Obstructive shock
c)
Hypovolemic shock
d)
Distributive shock
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