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CPR Guidelines

Major Issues

1. The 2010 AHA Guidelines for CPR and ECC are based on:

A. A comprehensive review of what went wrong with the 2005 Guidelines

B. An international evidence evaluation process

C. The recommendations of the AMA


2. The 2010 AHA Guidelines for CPR and ECC emphasize the need for high-quality CPR, including

A. A compression rate of at least 100/min

B. A compression depth of at least 2 inches (5 cm) in adults

C. Allowing for complete chest recoil after each compression

D. Minimizing interruptions in chest compressions

E. All of the above


3. The 2010 AHA Guidelines for CPR and ECC recommend a change in the basic life support (BLS) sequence of steps for adults, children, and infants from

B. C-A-B to A-B-C

C. A-B-C to C-A-B

D. A-B-C to B-C-A


4. Most victims of out-of-hospital cardiac arrest do not receive any bystander CPR. One reason for this may be the A-B-C sequence, which starts with the procedures that rescuers find most difficult, namely, opening the airway and delivering breaths.

A. True

B. False


Lay Rescue Adult CPR

5. Key issues and major changes for the 2010 AHA Guidelines for CPR and ECC recommendations for lay rescuer adult CPR include

A. “Look, listen, and feel for breathing” has been removed from the algorithm

B. There has been a change in the recommended sequence for the lone rescuer to initiate chest compressions before giving rescue breaths (C-A-B rather than A-B-C)

C. The lone rescuer should begin CPR with 30 compressions rather than 2 ventilations to reduce delay to first compression

D. All of the above

E. A and C above


6. Compression depth for adults has been changed from the range of 1.5 to 2 inches to at least 2 inches.

A. True

B. False


7. During CPR, you want to

A. Deliver effective compressions at an appropriate rate (at least 100/min) and depth (2 in.)

B. Minimize the number and duration of interruptions in chest compressions

C. Allow complete chest recoil after each compression and avoid excessive ventilation

D. None of the above

E. A. B and C above


8. The new C-A-B guideline calls for initiating chest compressions before ventilations because:

A. Chest compressions provide vital blood flow to the heart and brain

B. Providing mouth-to-mouth ventilation can spread diseases

C. Chest compressions can be started almost immediately, while mouth-to-mouth or bag-mask rescue breathing all take additional precious time

D. All of the above

E. A and C above


Healthcare Provider BLS

9. Because cardiac arrest victims may present with a short period of seizure-like activity or agonal gasps that may confuse potential rescuers, dispatchers should be specifically trained to:

A. Listen carefully when on the phone with a rescuer

B. Identify these presentations of cardiac arrest to improve cardiac arrest recognition

C. Tell the rescuer to use hands-on CPR only


10. Dispatchers should instruct untrained lay rescuers to provide Hands-Only CPR for adults with sudden cardiac arrest,

A. True

B. False


11. The 2010 AHA Guidelines for CPR and ECC more strongly recommend that dispatchers instruct untrained lay rescuers to provide Hands-Only CPR for adults who are unresponsive with no breathing or no normal breathing.

A. True

B. False


12. The 2010 Guidelines on chest compression rate recommend:

A. At least 100 per minute

B. About 100 per minute

C. Not more than 150 per minute


Electrical Therapies

13. According to the 2010 Guidelines, rescuers are still instructed NOT to use an Automated External Defibrillators (AED) for children.

A. True

B. False


14. The key message to rescuers in the changed 2010 Guidelines for patients with implantable pacemakers is don't lose precious time worrying about precise pad or paddle placement in relation to an implanted medical device.

A. True

B. False


CPR Techniques and Devices

15. In the 2010 Guidelines it says that the precordial thump should not be used for unwitnessed out-of-hospital cardiac arrest. The 2005 Guidelines recommend

A. Two precordial thumps

B. No recommendation is given

C. The precordial thump should not delay initiation of CPR or defibrillation


ACLS

16. Major changes in advanced cardiovascular life support (ACLS) for 2010 include the following:

A. Quantitative waveform capnography is recommended for confirmation and monitoring of endotracheal tube placement and CPR quality.

B. There is an increased emphasis on physiologic monitoring to optimize CPR quality and detect ROSC.

C. Atropine is no longer recommended for routine use in the management of pulseless electrical activity (PEA)/asystole

D. All of the above

E. A and B above


17. In 2010 a new circular algorithm was introduced emphathizing that ACLS actions should be organized around uninterrupted periods of CPR. 

A. True

B. False


Acute Coronary Syndromes

18. According to the 2010 Guidelines, supplementary oxygen is NOT needed for patients without evidence of respiratory distress if the oxyhemoglobin saturation is ≥94%.

A. True

B. False


Stroke

19. The guidelines recommend that each EMS system should work within a regional stroke system of care to

A. Ensure prompt triage and transport to a stroke hospital when possible

B. Manage potential conflicts between competing regional care centers

C. Ensure the stroke patient is taken to the right hospital


Pediatric BLS

20. In the 2010 Guidelines “Look, listen, and feel” was

A. added to the sequence for assessment of breathing after opening the airway

B. removed from the sequence for assessment of breathing after opening the airway

C. was replaced with "Look and listen"


Pediatric Advanced Life Support

21. For neonates, infants, and children with a perfusing cardiac rhythm in all settings, exhaled CO2 detection (capnography or colorimetry)

A. Is recommended by itself

B. Is recommended in addition to CPR

C. Is recommended in addition to clinical assessment to confirm tracheal tube position and during intrahospital or interhospital transport


22. In the 2010 Guidelines, routine calcium administration is ___________ for pediatric cardiopulmonary arrest in the absence of documented hypocalcemia, calcium channel blocker overdose, hypermagnesemia, or hyperkalemia.

A. Recommended

B. Not recommended

C. Not addressed


Neonatal Resuscitation

23. Because neonatal cardiac arrest is predominantly asphyxial, the A-B-C resuscitation sequence with a 3:1 compression-to-ventilation ratio has been

A. Has been deleted

B. Has been change to C-A-B

C. Maintained except when the etiology is clearly cardiac.


Ethical Issues

24. For the “BLS termination of resuscitation rule”, which of the following is NOT one of the criteria:

A. Arrest not witnessed by EMS provider or first responder

B. No ROSC after 3 complete rounds of CPR and AED analyses

C. There is a DNR in place

D. No AED shocks delivered


First Aid

25. Key topics in the 2010 AHA/ARC Guidelines for First Aid include:

A. NO supplementary oxygen administration

B. Epinephrine and anaphylaxis

C. Aspirin administration for chest discomfort (new)

D. All of the above

E. B and C above


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