ALS

Question 1

Working rate on ECG

Answer 1

300/large squares in R-R
6x no QRS

Question 2

Normal QRS

Answer 2

<0.12 s = 3 small squares
Broad = abnormal depolarisation

Question 3

Normal PR interval

Answer 3

3-5 small squares
0.12 - 0.2 s

Question 4

1st degree block

Answer 4

Prolonged fixed PR

Question 5

Mobitz 1

Answer 5

Prog. longer PR until QRS drop

Question 6

Mobitz 2

Answer 6

2 or 3 P for every QRS

Question 7

3rd degree block

Answer 7

random, no pattern

Question 8

Lateral leads

Answer 8

1, avl, V5 V6

Question 9

Inferior leads

Answer 9

ii, iii, avf

Question 10

anterior leads

Answer 10

V1 - 4

Question 11

Mx STEMI

Answer 11

PCI in 120 mins onset
Aspirin and prasugrel (clopi if on OAC)
Med mx = asp, tic, LMWH

Question 12

secondary STEMI prevention

Answer 12

DAPT
ACEi
BB
statin
GTN

Question 13

TWI is normal in

Answer 13

aVR
often V1

Question 14

Non shockable rhythms

Answer 14

PEA asystole

Question 15

Mx non shockable

Answer 15

• Adrenaline ASAP = 1mg of 1:10,000

Question 16

Shockable rhythms

Answer 16

VT and VF

Question 17

Mx shockable

Answer 17

• Shock
• Adrenaline after 3rd shock
• Amiodarone 300mg after 3rd shock

Question 18

4 adverse features in arrhythmia

Answer 18

Shock
Syncope
HF
MI

Question 19

Tachy and life threatening features?

Answer 19

Synchronised shock
300mg amiodarone

Question 20

Tachy, narrow QRS, regular

Answer 20

• Vagal
• Adenosine 6,12,18

Question 21

Tachy, braod, irreg

Answer 21

Poly VT = 2mg Mg

Question 22

Tachy, narrow, irregular

Answer 22

• BB
• Dig
• Anti coag

Question 23

tachy, broad, reg

Answer 23

VT = amdiodarone 300mg

Question 24

Brady and life threatining feature

Answer 24

• atropine 500mcg max 3mg
• transvenous pacing

Question 25

Hyperkalaemia mx

Answer 25

30ml 10% Ca gluconate 10 U actrapid in 50ml 50% glucose

Question 26

Pattern in resp acisodis

Answer 26

low pH High CO2

Question 27

Pattern in rep alk

Answer 27

High pH Low CO2

Question 28

Pattern in met acid

Answer 28

Low pH Low bicarb

Question 29

Patern in met alk

Answer 29

High pH High bicarb

Question 30

BE more neg than -2=

Answer 30

met acidosis

Question 31

BE more positive than +2 =

Answer 31

met alk

Question 32

Chest compressions

Answer 32

- 5-6cm - 100-200 comp per min

Question 33

precordial thump?

Answer 33

only when it can be used without delay whilst aw defib in VT/VF

Question 34

laryngectomy and tracheal stoma

Answer 34

give oxygen and if required assist ventilation via stoma

Question 35

inital naloxone doses

Answer 35

400 mcg IV 800 mcg IM 800mg SC

Question 36

anaphylaxis adrenaline dose

Answer 36

500 mcg IM (1:1000)

Question 37

Preganancy

Answer 37

L lateral position manualy displace uterus to L L lateral tilt if faesable

Question 38

adrenaline has both

Answer 38

alpha adrenergic and beta adrenergic effects

Question 39

consider bicarb use when

Answer 39

- Hyperk - TCA overdose - 50ml of 8.4% solution

Question 40

bicarb effects

Answer 40

- Exacerbates intracellular acidosis - Negative inotropic effect on myocardium - shift L of O2 curve