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Kaplan Qbank USMLE



Author10 Posts
  #1

#1 You are asked to evaluate a 65-year-old man in
the emergency room complaining of the acute onset of
chest pain. During your evaluation the patient becomes
unresponsive and is pulseless. A cardiac monitor reveals
ventricular fibrillation. What would be the most appropriate
sequence of events?

(A) Immediately begin CPR, followed by intubation, followed by
defibrillation starting at 100 J, followed by 200 J and then 360 J
(B) Immediately begin CPR, followed by intubation then
defibrillation starting at 200 J, then 300 J, then 360 J at 100 J
(C) Immediately begin CPR, followed by defibrillation
then 200 J, then 360 J
(D) Immediately begin CPR, followed by defibrillation at 200 J
then 300 J, then 360 J
(E) Begin CPR, defibrillate at 200 J, then intubate


#2.Despite the efforts outlined in the answer to
Question #1, the patient has persistent ventricular
fibrillation. The use of which drug would be most appropriate?

(A) Amiodarone
(B) Lidocaine
(C) Bretylium
(D) Procainamide
(E) Epinephrine

  #2

1)B
2)E

  #3

1.D
2.A

I think the sequence is CPR--->200 j--->300j--->360 J----->Amiodarone

  #4

D
A

  #5

(D) Immediately begin CPR, followed by defibrillation at 200 J
then 300 J, then 360 J

(E) Epinephrine




  #6

1.D
2.E

  #7

1.D

2.E


___________________
"The question isn't who is going to let me; it's who is going to stop me. " ~ Ayn Rand

  #8

D.

E.

  #9

Its
D then E or alternative to E is vasopressin then defib again with 360j then you can give amidrone

  #10

1 B
2 E

___________________
Life is wonderful when doctors all around







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