EMSP (444)
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Q1           Score:  1
 Administer 100% oxygen by face mask, and establish vascular access
 Open the airway and ventilate using 100% oxygen and a bag-mask device
 Establish vascular access and administer a 20 mL/kg bolus of isotonic crystalloid
 Administer 100% oxygen by face mask, and give nebulized epinephrine
Q2           Score:  1
 Amiodarone 150 mg
 Epinephrine 3 mg
 Lidocaine 0.5 mg/kg
 Amiodarone 300 mg
Q3           Score:  1
 Initiate transcutaneous pacing
 Give epinephrine 1 mg IV
 Give atropine 0.5 mg IV
 Order immediate endotracheal intubation
Q4           Score:  1
 Perform vagal maneuvers and repeat adenosine 6 mg IV
 Repeat adenosine 12 mg IV
 Sedate and perform unsynchronized cardioversion
 Repeat adenosine 3 mg IV
Q5           Score:  1
 Immediate synchronized cardioversion
 Seek expert consultation
 Give lidocaine 1 to 1.5 mg IV bolus
 Give adenosine 6 mg IV bolus
Q6           Score:  1
 Ventricular tachycardia
 Atrial fibrillation
 Supraventricular tachycardia
 Ventricular fibrillation
Q7           Score:  1
 Poor chance of patient survival
 Poor quality of CPR
 Rib fracture during CPR
 Return of spontaneous circulation
Q8           Score:  1
 1 breath every 3 – 5 seconds
 2 breaths every 6 – 8 seconds
 2 breaths for every 30 compressions
 1 breath every 6 – 8 seconds
Q9           Score:  1
 observing consciousness, breathing and skin color
 taking thorough history from the mother or caregiver
 detailed head-to-toe examination
Q10           Score:  1
 Endotracheal
 Intraosseous
 Intramuscular
 Central
Q11           Score:  1
 Tachypnea and tachycardia
 Nasal flaring
 Cyanosis and bradypnea
 Intercostal retractions
Q12           Score:  1
 Perform endotracheal intubation and 12-lead ECG
 Provide bag-mask ventilation and obtain chest x-ray
 Establish IV access and give 20 ml/kg normal salinefluid bolus
 Needle decompression and assist ventilation when necessary
Q13           Score:  1
 Pneumonia
 Disordered control of breathing
 Upper airway obstruction
 Bronchial asthma
Q14           Score:  1
 Epinephrine IM
 Nebulized epinephrine
 Nebulized albuterol
 Antibiotics IV
Q15           Score:  1
 12 – 20 breaths / min.
 20 – 30 breaths / min
 25 – 35 breaths / min
 30 – 60 breaths / min
Q16           Score:  1
 Prolonged expiration
 Wheezes
 Crackles
 Stridor
Q17           Score:  1
 Place the infant on your arm and attempt 5 back blows.
 Immediately attempt endotracheal intubation
 Place the infant on your arm and attempt 5 chest thrusts.
 Place the infant on your arm and attempt 5 abdominal thrusts
Q18           Score:  1
 An abrupt onset of high fever.
 Inspiratory stridor.
 Hypersecretion with drooling.
 A barking seal-like cough.
Q19           Score:  1
 Synchronized cardioversion at 120 J biphasic
 Unsynchronized cardioversion at 360 J monophasic
 Adenosine 6 mg IV push, followed by saline
 Amiodaronee 150 mg slowly over 10 – 20 minute.
Q20           Score:  1
 Dopamine 5–15 mcg/kg/min
 Epinephrine 0.1–0.5 mcg/kg/min
 Epinephrine 2–10 mcg/min
 Epinephrine 1–0.5 mcg/kg/min


   



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