Dane County Emergency Medical Services
Defibrillation and Advanced Airway for Recertifiers
Test 2011
Scenario: You and your crew arrive at the scene of a 48 year old male who had witnessed cardiac arrest. You are the Code Commander.
1. The first thing your crew should do is:
A. Assess the patient for breathing and a pulse.
B. Tell your crew to insert the advanced airway.
C. Call dispatch and request advanced life support.
D. Ask bystanders if they know about any DNR orders.
2. This was a witnessed arrest with compressions started immediately, at what point should the Advanced Airway be inserted :
A. Immediately.
B. After giving two slow breaths.
C. After 6 minutes of compressions and 3rd defibrillation interpretation.
D. After 2 minutes of compressions before giving the shock.
3. When you shock the patient, and assure everyone is clear, you should look at the:
A. ECG screen to confirm V-fibrillation.
B. Shock button.
C. Clock to check time of defibrillation.
D. Patient.
4. Pad position is important when defibrillating because:
A. Positive and negative must be apex and sternum.
B. Positive and negative must be sternum and apex.
C. It avoids motion artifact.
D. You must depolarize a critical mass of the myocardium.
5. After the shock you should immediately:
A. Begin compressions.
B. Analyze the rhythm again.
C. Call Medical Control.
D. Shock again.
6. The presence of an organized rhythm on the monitor screen means that the patient has a pulse.
A. True
B. False
7. The medical definition for “PEA” is:
A. Pizza, Enchiladas, Anchovies.
B. Pulse, Electrodes, Airway.
C. Public Education Association.
D. Pulseless Electrical Activity.
8. After completing 2 minutes of CCR, you see an organized rhythm on the monitor screen when you assess to give another shock. You should:
A. Continue CPR.
B. Quickly check for pulse.
C. Check the blood pressure.
D. Call Medical Control.
9. You have given a shock to a cardiac arrest patient. After 2 minutes of compressions you assess and you see flat line on the monitor screen. You should:
A. Do CCR for another two minutes while inserting the Advanced Airway
B. Discontinue CPR.
C. Give a third and fourth shock.
D. Remove the pads and apply the cardiac monitoring electrodes.
10. The Advanced Airway should be inserted within:
A. Two minutes.
B. One minute.
C. Thirty seconds.
D. Ten seconds.
11. After the Advanced Airway is properly inserted the crew should:
A. Deflate the blue balloon.
B. Suction the upper airway.
C. Continue with CCR per protocol.
D. Take a break.
12. Contraindication for use of an Advanced Airway includes all of the following except:
A. Under 4 feet tall
B. Intact Gag Reflex
C. History of smoking
D. Ingestion of caustic substance
13. The Red Size 4 King LTS-D is meant for what patient height?
A. 4-5 feet.
B. 6 feet plus.
C. 5-6 feet.
D. all of the above
14. After inserting the King LTS-D and confirming appropriate placement it is important to secure it and?
A. Bag once every 4 seconds
B. Document the depth
C. Wait 2 minutes before bagging
D. None of the above
15. If, after the King LTS-D is inserted it is difficult to squeeze the bag-valve-mask and you can’t hear breath or belly sounds, you should:
A. Deflate the cuff and reposition.
B. Withdraw the tube about an inch.
C. Switch the bag-valve-mask to the white port.
D. Deflate the cuff and reinsert air.
16. The position of the patient’s head for ventilation with the bag-valve-mask or pocket mask is:
A. Neutral.
B. Flexed.
C. Extended.
D. In the position found.
17. The position of the patient’s head for inserting the King LTS-D is:
A. Neutral.
B. Flexed.
C. Extended
D. In the position found.
18. You should measure the gastric decompression tube from:
A. Umbilicus to ear lobe.
B. Sternum to nose.
C. Umbilicus to ear lobe to corner of mouth.
D. None of the above.
19. When you see the patient’s chest rise when ventilating through the King LTS-D this means that the tip of the tube is in the:
A. Esophagus.
B. Trachea.
C. Pharynx.
D. Larynx.
20. After the King LTS-D has been properly inserted, and the position of the King LTS-D assessed in a pulseless patient you should:
A. Call Medical Control.
B. Continue with CCR for the remainder of the two-minute cycle.
C. Switch to the white port.
D. Check the patient’s pupils.
21. If you meet resistance when trying to insert the King LTS-D you should withdraw and then:
A. Use more force to get it past the base of the tongue.
B. Assure proper position of the head and jaw.
C. Suction the mouth and pharynx.
D. Call Medical Control.
22. Before removing the King LTS-D the patient should be positioned:
A. Prone.
B. Supine.
C. On his/her side with head supported.
D. In whatever position they are in because the tube must be removed
immediately.
23. When removing the King LTS-D you should:
A. Deflate the balloon and remove gently with suction ready.
B. Remove without deflating balloon.
C. Lubricate the airway prior to removal.
D. Both B and C.
24. Utilizing Gastric Decompression will likely decrease distention noted in the abdominal region.
A. True
B. False
25. Your patient’s gag reflex has returned. After the King LTS-D has been removed you should:
A. Clean it with approved disinfectant.
B. Start CPR.
C. Evaluate the patient’s breathing and assist with oxygen as needed.
D. Call Medical Control.
H:\Ems\RECERTIFIER'S COURSE & Refresher info\2011\Test Defib and Combi 2011 update .doc