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Question 1

CPR for adult

Answer 1

30:2 . Once advanced airway 1 breath every 6 seconds

Question 2

CPR child

Answer 2

15:2 when 2 rescuers. 30:2 when one. Once advanced aiway thn 1 breath every 2-3 seconds

Question 3

Greatest concern for hypotensive pts

Answer 3

Orthostatic hypertension due to chair position

Question 4

Elevated blood pressure

Answer 4

120-129 & <80 mm hg

Question 5

Stage 1 HT

Answer 5

130-139 to 80-89 mm hg

Question 6

Stage 2 HT

Answer 6

> =140 to >= 90 mm hg

Question 7

Drug consideration for HBP pts

Answer 7

Avoid erythro nd clarithro in pts taken CCB as it will increase hypotension

Question 8

NSAID consideration for HBP pts

Answer 8

Avoid prolonged, more than 2 weeks

Question 9

Hypertensive urgency

Answer 9

> 180/120 with no tissue damage. Tx only emerg, send to MD immediately

Question 10

Hypertensive crisis/emergency

Answer 10

> 180/120 with organ damage. Call 911

Question 11

At what BP reading we start avoiding elective tx

Answer 11

180-200 and 110-115

Question 12

Cardioselective biomarker

Answer 12

Troponin

Question 13

Cardiac and skeletal muscle biomarker

Answer 13

CK-MB

Question 14

Stable angina, MI more than a month ago

Answer 14

Supplemental oxygen. Keep nitroglycerin handy

Question 15

Unstable angina, recent MI

Answer 15

Oxygen and prophylactic nitroglycerin

Question 16

Drug consideration with IHD

Answer 16

Cautious with NSAID and do not discontinue anti platelets

Question 17

Angina attack

Answer 17

Chest pain more than 15 mins
Relieved by nitroglycerin
Sweating. Increased BP nd heart rate

Sitting up
CAB
Oxygen & nitroglycerin
Repeat 2 more times after give one aspirin 325 mg nd call 911

Question 18

In which emergency we can’t give epi

Answer 18

Acute MI

Question 19

Acute MI management if pt conscious

Answer 19

Sitting up
CAB
Morphine
Oxygen
Nitroglycerin
N2O
Aspirin 325mg

Question 20

Nitroglycerin contraindicated when

Answer 20

BP lower than 90/60
Recent use of erectile dysfunction drug
Cialis(tadalafil)
Viagra(sildenafil)
Levitra(vardenafil)

Question 21

Right side heart failure caused by

Answer 21

Left side heart failure

Question 22

Paroxysmal nocturnal dyspnea

Answer 22

Congestive heart failure

Question 23

Cheyne-stroke respiration
Clubbing of finger
Cyanosis
Distended neck veins

Answer 23

CHF

Question 24

Which pts are best treated in hospital

Answer 24

Symptomatic heart failure

Question 25

NSAIDS avoided in

Answer 25

CHF

Question 26

Avoid macrolides in cardiac arrhythmia because

Answer 26

QT prolongation, bradycardia and antiarrythmic drugs

Question 27

When to avoid epi and levenodorfin

Answer 27

Pts taking digoxin for arrhythmia

Question 28

Avoid aspirin and NSAIDs

Answer 28

In stroke history

Question 29

Pts taking warfarin

Answer 29

Avoid tetracycline and metronidazole. Can cause warfarin toxicity

Question 30

Sudden dizziness Sudden vertigo Sudden headaches Vision change Nausea, vomiting Transiet parasthesia Unilateral weakness or paralysis

Answer 30

Stroke