ACLS Certification Pharmacology Practice Test Results

Question 1
56% answer correctly
A patient is in refractory VFib and has received multiple appropriate defibrillations, epinephrine 1 mg IV twice, and an initial dose of lidocaine IV. The patient is intubated. A second dose of lidocaine is now called for. The recommended second dose of lidocaine is:
Give endotracheal dose 2-4 mg/kg
0.5-0.75 mg/kg IV push
Start infusion 1-2 mg/min
2-3 mg/kg IV push
1 mg/kg IV push
Question 2
61% answer correctly
A 57 year-old woman has palpitations, chest discomfort and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180.min. She becomes diaphoretic and BP is 80/60. The next action is to:
Give amiodarone 300 mg IV push
Perform immediate synchronized cardioversion
Establish IV and give sedation for electrical cardioversion
Obtain 12 lead ECG
Question 3
63% answer correctly
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138. He is asymptomatic with a BP of 110/7-. He has a history of angina. Which of the following actions is recommended?
Seek expert consultation
Give adenosine 6 mg IV bolus
Immediate synchronized cardioversion
Give lidocaine 1-1.5 mg IV bolus