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Question 1

What is the most important step in the diagnosis of acute myocardial infarction?

Options :

A : History

Answer: A

Question 2

What are common risk factors for coronary artery disease?

Options :

A : Family history of coronary artery disease, hypertension, diabetes mellitus, hyperlipidemia,and tobacco use

Answer: A

Question 3

Should the pulse be checked between shocks in a patient that displays persistent VF/VT?

Options :

A : No. CPR should be started after each defibrillation where no spontaneous sinus rhythm hasbeen restored

Answer: A

Question 4

A patient has sinus bradycardia with a rate of 36 per minute. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused and blood pressure is 100/60 mmHg. Which of the following is now indicated?

Options :

A : Start epinephrine 2 to 10 ug/min

B : Start dopamine 10-20 ug/kg per minute

C : Give normal saline bolus 250 ml_ to 500 ml_

D : Give additional 1 mg atropine

Answer: A

Question 5

A 40-year-old patient presents pale and diaphoretic. The heart rate is 200 beats per minute and blood pressure is 60 mm Hg palpable. The monitor reveals the following rhythm. Oxygen is administered. What is the recommended immediate treatment?

Options :

A : procainamide

B : propanolol

C : synchronized cardioversion at 50-100 J

D : verapamil

Answer: C