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Magnesium toxicity may include which of the following manifestations? 1) Hyperkalemia 2) Sweating 3) Hypothermia 4) Depression of reflexes 5) Abdominal pain


A) 2 and 5 only
B) 1,2,and 3 only
C) 1,2,3,4,and 5
D) 2,3,and 4 only

E) B) and C)
F) None of the above

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Your patient is experiencing heart failure and is in need of an inotropic agent.Which of the following would you recommend,barring any other cardiac issues? 1) Lidocaine 2) Digoxin 3) Milrinone 4) Dobutamine


A) 2,3,and 4
B) 1,2,and 3
C) 1 and 2
D) 2 and 4

E) A) and B)
F) A) and C)

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Which cardiac agent may be administered endotracheally?


A) Lidocaine
B) Epinephrine
C) Atropine
D) All of the above

E) None of the above
F) B) and C)

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Which of the following is considered the mainstay for improving hypotensive episodes?


A) Vasopressors
B) Inotropes
C) Fluids
D) Catecholamines

E) None of the above
F) C) and D)

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Which of the following are considered inotropic agents? 1) Dobutamine 2) Milrinone 3) Digoxin 4) Lidocaine


A) 1 and 2 only
B) 2 and 3 only
C) 1,2,and 3 only
D) 1,2,3,and 4

E) All of the above
F) None of the above

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C

Your patient is experiencing torsades de pointes.What is the proper medication,dose,and route to treat her arrhythmias?


A) Propafenone,1 g,IV
B) Lidocaine,1 g,PO
C) Sodium bicarbonate,1 mEq/kg,IV
D) Magnesium sulfate,1 to 2 g,IV

E) A) and D)
F) C) and D)

Correct Answer

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Lidocaine is used to treat


A) ventricular arrhythmias.
B) atrial arrhythmias.
C) atrioventricular node delays.
D) supraventricular tachycardia.

E) C) and D)
F) A) and B)

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You are treating a patient who has severe asthma.Which classification of drugs may pose some risk of bronchoconstriction and should be used carefully in patients with asthma and chronic obstructive pulmonary disease?


A) β-adrenergic cardiac stimulants
B) Cardiac glycosides
C) β blockers
D) Antiarrhythmics

E) A) and B)
F) B) and C)

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Your patient is experiencing heart failure secondary to decreased contractility and has a confirmed severe allergy to sulfites.Which of the following inotropic medications would you not recommend?


A) Dobutamine
B) Milrinone
C) Digoxin
D) Inamrinone

E) B) and C)
F) A) and D)

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Complications of pulmonary artery catheterization include which of the following? 1) Pneumothorax 2) Fluid overload 3) Dehydration 4) Infection 5) Thrombus formation


A) 3 only
B) 2,3,and 5 only
C) 1,4,and 5 only
D) 1,2,and 4 only

E) A) and C)
F) C) and D)

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C

Cardiac glycosides


A) reduce ventricular arrhythmias.
B) decrease blood pressure.
C) increase heart rate.
D) increase myocardial contractility.

E) B) and D)
F) B) and C)

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Your patient has a decrease in his CVP,PCWP,and CO,with an increased HR following a laceration to his liver in a motor vehicle crash.Which shock state is he experiencing?


A) Septic shock
B) Hypovolemic shock
C) Neurogenic shock
D) Cardiogenic shock

E) C) and D)
F) None of the above

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The innate pacemaker of the heart is known as the


A) atrioventricular (AV) node.
B) bundle of His.
C) sinoatrial (SA) node.
D) purkinje fibers.

E) B) and D)
F) A) and D)

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Class IB antiarrhythmics are limited to treating


A) atrial arrhythmias.
B) ventricular arrhythmias.
C) tachycardia.
D) congestive heart failure.

E) A) and B)
F) B) and C)

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According to the Vaughan Williams classification system,which class of antiarrhythmic agents consists mainly of β\beta blockers?


A) Class I
B) Class II
C) Class III
D) Class IV

E) A) and B)
F) C) and D)

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Signs and symptoms of vasopressor-induced extravasation include which of the following? 1) Hyperkalemia 2) Pain 3) Swelling 4) Depression of reflexes 5) Erythema


A) 2 and 5 only
B) 2,3,and 5 only
C) 1,2,3,4,and 5
D) 2,3,and 4 only

E) B) and C)
F) A) and D)

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B

Implantable cardioverter-defibrillators (ICDs) are indicated for the following conditions: 1) Cardiac arrest caused by pulseless ventricular tachycardia (VT) 2) Spontaneous sustained VT 3) Asystole 4) Pulseless electrical activity 5) Electrophysiologically inducible VT or ventricular fibrillation (VF) not suppressed by class I antiarrhythmics


A) 1 only
B) 1,2,and 5 only
C) 1,2,3,and 4 only
D) 1,2,3,4,5

E) B) and C)
F) A) and C)

Correct Answer

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Place the five phases of a myocardial action potential in correct order. 1) Fast sodium channels are inactivated 2) Cell returns to its "resting" state 3) "Plateau" phase 4) Initial rapid depolarization of myocardial tissues 5) Calcium channels close


A) 1,3,2,5,4
B) 4,1,3,5,2
C) 1,2,3,4,5
D) 4,1,2,5,3

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following agents is a parasympatholytic used in cardiac resuscitation for asystole?


A) Epinephrine
B) Magnesium
C) Atropine
D) Vasopressin

E) A) and B)
F) A) and C)

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Ablation with radiofrequency current is effective in the treatment of


A) atrial fibrillation (AF) caused by multiple circuits.
B) asystole.
C) sinus rhythm.
D) AF caused by single primary circuit.

E) All of the above
F) None of the above

Correct Answer

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