Thirty ACLS Medication Questions

1. What is the initial dose of Amiodarone that is used in the treatment of pulseless ventricular tachycardia?
a.  150 mg
b.  200 mg  
c.  250 mg  
d.  300 mg

2. What is the initial dose of epinephrine that is used in the treatment of pulseless electrical activity?
a.  0.5 mg/kg
b. 1 mg/kg
c.  0.5 mg
d. 1 mg  

3. What is the 2nd dose of Lidocaine that is used in the treatment of pulseless ventricular fibrillation?
a. 150 mg
b. 0.5-0.75 mg/kg
c.  40 units
d. 6 mg

4. In the initial treatment of tachycardia in which the patient is found to be pulseless, what are the recommended medication combinations?
a.  Epinephrine and vasopressin
b.  Amiodarone and Lidocaine
c.  Atropine and Dopamine
d. Magnesium and Sodium bicarbonate

5. What is the maximum cumulative dose of Amiondarone in a 24 hour period?
a. 1.1 grams
b. 2.2 grams
c. 3.3 grams
d. 4.4 grams

6. Magnesium is the recommended treatment for what dysrhythmia?
a.  Monomorphic wide complex tachycardia
b.  Torsades de pointe
c.  Polymorphic ventricular fibrillation
d.  Supraventricular tachycardia

7.  What is the recommended dose range of Dopamine when used for unstable bradycardia?
a.  2-10 mg/kg
b. 2-10 mcg/min
c. 2-10 mcg
d. 2-10 mcg/kg/min

8.  What is the subsequent dosages of epinephrine used in the treatment of PEA?
a. 1 mg
b. 2 mg
c. 3 mg
d. 4 mg

9.  When treating symptomatic supraventricular tachycardia, what is the correct second dosage of Adenosine?
a. 40 units
b. 6 mg
c. 12 mg
d. 1 mg

10.   What are the correct medication combinations used in the treatment of stable ventricular tachycardia (the patient has a pulse)?
a.  Vasopressin and epinephrine
b.  Adenosine and verapamil
c.  Amiodarone and Lidocaine
d.  Atropine and isoproterenol

11.  What is the correct IV/IO concentration of epinephrine use in the treatment of pulseless ventricular tachycardia?
a. 1:10
b. 1:100
c. 1:1000
d. 1:10,000

12.  What is maximum cumulative dose of Vasopressin that can be used in the treatment of a pulseless bradycardic arrest?
a. 20 units
b. 40 units
c. 60 units
d. 80 units

13.  What is the correct initial dosage of Lidocaine used in the treatment of pulseless ventricular fibrillation?
a. 300 mg
b. 1 mg/min
c. 1-1.5 mg/kg
d. 100-150 mg

14.  What are the correct medication combinations that are used in the treatment of symptomatic bradycardia?
a.  Atropine and Vasopressin
b.  Atropine and Amiodarone
c.  Atroine and epinephrine infusion
d.  Atropine and Adnesoine

15.  What is the correct second dosage of Amiodarone that can be administered for refractory pulseless ventricular tachycardia?
a. 40 units
b. 150 mg
c. 0.5 – 0.75 mg/kg
d. 1-2 grams

16.  What is the initial dose of Lidocaine that can be administered to a patient with symptomatic ventricular tachycardia (the patient has a pulse)?
a.  1-4 mg/mg
b.  1 – 1.5 mg/kg
c.  1 mg/min
d.  150 mg as an infusion over 10 minutes

17.  What is the initial dose of Adenosine that can be administered to a patient with symptomatic monomorphic wide complex tachycardia?
a. 18 mg
b. 12 mg
c. 6 mg
d. 1 mg

18.  The patient has a pulseless narrow complex tachycardia.  What medication should be administered?
a.  Lidocaine
b. Amiodarone
c. Epinephrine
d. Adenosine

19.  You are unable to obtain IV access on your patient with pulseless ventricular tachycardia.  What is the correct initial dosage of Lidocaine that can be administered through the endotracheal tube?
a.  0.5- 0.75 mg/kg
b.  1 – 1.5mg/kg
c.  2-2.5 mg/kg
d. 2-3 mg/kg

20.  What the correct dose of Atropine for a patient with symptomatic bradycardia secondary to increased vagal tone?
a. 1 mg
b. 0.5 mg
c. 1 mg/kg
d. 0.5 mg/kg

21.  Your patient remains in refractory supraventricular tachycardia, what is the correct 3rd dosage of Adenosine?
a. 6 mg
b. 12 mg
c. 18 mg
d. 24 mg

22.  What group of medications can be administered through the endotracheal tube?
a.   Atropine, Epinephrine, Vasopressin, Sodium bicarbonate
b.  Atropine, Vasopressin, Adenosine, Amiodarone
c.  Atropine, Lidocaine, Cardizem, Verapamil
d.  Atropine, Epinephrine, Lidocaine, Vasopressin

23.  Your patient has a pulseless bradyasystolic rhythm on the monitor.  What medication should be initially given?
a.  Atropine
b.  Vasopressin
c.  Dopamine
d.  Sodium bicarbonate

24.  The physician orders a third dose of epinephrine for a patient who remains pulseless and apneic, what is the recommended dosage?
a.  1 mg
b. 2 mg
c. 3 mg
4. 4 mg

25.  Verapamil is recommended for the treatment of what dysrhythmia?
a.  Ventricular tachycardia
b.  Pre-excitation syndrome
c.  Supraventricular tachycardia
d.  Ventricular fibrillation

26.  What is the recommended 2nd dose of Lidocaine used in the treatment of stable ventricular tachycardia?
a.  1 – 1.5 mg/kg
b. 0.5 – 0.75 mg/kg
c.  1 – 1.5 mg/kg/min
d.  0.5 – 0.75 mg/kg/min

27.  What is the recommended dose of Vasopressin when used to treat asystole?
a.  20 units
b.  30 units
c.  40 units
d.  50 units

28.  What two antiarrhythmics are currently recommended for the treatment of stable ventricular tachycardia?
a.  Procainamide and Dopamine
b.  Lidocaine and Bretylium
c.  Epinephrine and Isoproteronol
d.  Lidocaine and Amiodarone

29.  What is the correct dosage of magnesium when used to treat polymorphic ventricular tachycardia thought to be torsades de pointe?
a. 1-2 mg/kg
b. 1-2 mEq/kg
c.  1-2 grams
d. 1-2 mg/min

30.  When treating a patient with an unstable bradycardia, what is the recommended dose of epinephrine?
a. 2-10 mcg/min
b. 1 mg
c. 0.5 mg/kg
d. 2 mg



Answers

1.    d. 300 mg
2.    d. 1 mg  
3.    b. 0.5-0.75 mg/kg
4.    a.  Epinephrine and vasopressin
5.    b. 2.2 grams
6.    b.  Torsades de pointe
7.    d. 2-10 mcg/kg/min
8.    a. 1 mg
9.    c. 12 mg
10.  c.  Amiodarone and Lidocaine
11.  d. 1:10,000
12. b. 40 units
13. c. 1-1.5 mg/kg
14. c.  Atroine and epinephrine infusion
15. b. 150 mg
16. b.  1 – 1.5 mg/kg
17. c. 6 mg
18. c. Epinephrine
19. d. 2-3 mg/kg
20. b. 0.5 mg
21. b. 12 mg
22. d.  Atropine, Epinephrine, Lidocaine, Vasopressin
23. b.  Vasopressin
24. a.  1mg
25. c.  Supraventricular tachycardia
26. b. 0.5 – 0.75mg/kg
27. c.  40 units
28. d.  Lidocaine and Amiodarone
29. c.  1-2 grams
30. a. 2-10 mcg/min

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