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Drugs in Resuscitation

Total questions: 20

Worksheet time: 28mins

Name
Class
Date
1.

Which of the following is NOT an anti-arrhythmic drug?

a)

Magnesium sulfate

b)

Verapamil

c)

Vasopressin

d)

Propranolol

2.

Which of the following is NOT a positive inotrope medication?

a)

Adrenaline

b)

Dobutamine

c)

Vasopressin

d)

Atropine

3.

Which of the following is NOT a non-steroidal anti-inlammatory drug (NSAID)?

a)

Tramadol

b)

Voltaren

c)

Parecoxib

d)

Ketorolac

4.

Class III antiarrhythmic drug according to Vaughan-Williams classification

a)

Adenosine

b)

Amiodarone

c)

Verapamil

d)

Digoxin

5.

What is the mechanism of action for Class II anti-arrhythmic drug?

a)

Fast sodium channel blockers

b)

Calcium-channel blockers

c)

Potassium-channel blockers

d)

Beta-blockers

6.

The following is the CORRECT antidote for the drug

a)

Heparin : Vitamin K

b)

Midazolam : Physostigmine

c)

Ketamine : Flumazenil

d)

Morphine : Naloxone

7.

Which of the following drugs can bring down the serum potassium level

a)

Calcium gluconate

b)

Dextrose

c)

Insulin

d)

Calcium chloride

8.

28-year-old lady came with palpitation. Her BP 120/76 mmHg, heart rate is 200 bpm and SpO2 is 97% under room air. Cardiac monitoring as shown. What is the pharmacologic therapy of choice.

a)

Magnesium sulfate

b)

Adenosine

c)

Digoxin

d)

Adrenaline

9.

65-year-old lady with underlying ESRF comes with dyspnea impending collapse, and is decided for intubation. She missed her dialysis since last week. Which drug for RSI that is best avoided for her?

a)

Lidocaine

b)

Suxamethonium

c)

Rocuronium

d)

Midazolam

10.

State one known contraindication of succinylcholine other than allergy?

(a)  

11.

A 33-year-old gentleman came to emergency department for right lumbar pain of one day duration. The pain is pricking in nature and radiates to groin area. Pain score is 7/10. What is your analgesic of choice and which route you would give your medication to him?

4 lines
12.

A 25-year-old MVA victim arrived at red zone with GCS E1V2M5. The paramedic informed you that the patient's left leg was entrapped at scene for 1 hour before being rescued. Choice of drugs for RSI in sequence.

a)

Lidocaine

Ketamine

Vecuronium

b)

Fentanyl

Propofol

Suxamethonium

c)

Morphine

Midazolam

Rocuronium

d)

Atropine

Etomidate

Suxamethonium

13.

A 55-year-old lady was referred for septic shock secondary to pneumonia. Her condition is deteriorating upon arrival and is decided for intubation. The preferred induction agent for this patient is:

a)

Propofol

b)

Etomidate

c)

Thiopentone

d)

Ketamine

14.

A 50-year-old gentleman came with left sided chest pain for one day duration and triaged to yellow zone. On cardiac monitoring it shows second-degree heart block with heart rate of 35 bpm. The drug that should be given at this time to the patient is:

a)

Adrenaline

b)

Atropine

c)

Magnesium sulphate

d)

Amiodarone

15.

A 40-year-old lady with underlying congestive cardiac failure brought in by ambulance for shortness of breath. Upon arrival BP 240/130 mmHg, HR 120 bpm, RR 44/min, SpO2 is 88% under room air. After started on CPAP, what is the drug that should be started on patient?

a)

Amiodarone

b)

Calcium gluconate

c)

Isosorbide dinitrate

d)

Sodium bicarbonate

16.

A 5-year-old child presents with laceration wounds on her left lateral cantus and forehead. The child is alert, moving all four limbs and crying. She has no known medical illnesses and no history of allergies.

 

The most appropriate medication to facilitate toilet and suturing in this patient is

a)

IV Tramadol

b)

IV Paracetamol

c)

IV Ketamine

d)

IV Morphine

17.

A 67-year-old female with underlying diabetes mellitus presents with a history of central chest pain for the past two days. Her vital signs are: BP = 110/70 mmHg, HR = 65/min and RR = 25/min. Her pain score is 8 out of 10.

 

What is the best analgesic that should be given to her?

a)

IV Paracetamol

b)

IV Morphine

c)

IV Ketorolac

d)

IV Ketamine

18.

A 65-year-old male with underlying chronic obstructive pulmonary disease (COPD) and hypertension, presents with progressive dyspnoea and syncopal episodes.

On examination, his BP = 80/50 mmHg, HR = 120/min, RR = 30/min and SpO2 = 92% under room air. Physical examination reveals cool peripheries, prominent jugular venous pulsation, peripheral edema and fine bibasal crepitation on lung auscultation.

What is the most appropriate drug to be administered to him?

a)

IV Dopamine

b)

IV Normal Saline

c)

IV Noradrenaline

d)

IV Frusemide

19.

A businessman has an important presentation on front of a huge crowded audience and he is very nervous and anxious about it.

Which of the following antiarrhythmic drug classes that can be prescribed to help him to calm down?

a)

Class I

b)

Class II

c)

Class III

d)

Class IV

20.

Select one of the drugs below that is not useful to treat cardiac arrhythmias

a)

Lidocaine

b)

Quinidine

c)

Nifedipine

d)

Sotalol