CPR & Tracheostomy Rationale

Abdomen thrust can’t be used when: a. Victim in her late stage pregnancy b. 2 weeks pregnant c. Victim is underweight d. No signs of blunt abdomen injury

a. Victim in her late stage pregnancy

An intoxicated surgery professor who failed you in your previous exams turns blue and appears to be struggling to breathe while eating a “turon”: a. Start CPR b. Abdominal thrust c. Back blow d. Blind finger sweep

b. Abdominal thrust

Choose the proper order of the adult chain of survival: a. Recognition, call EMS, advanced life support, defibrillate b. Recognition, early CPR, defibrillate, advanced life support c. CPR, recognition, call EMS, defibrillate d. Recognition, defibrillate, CPR, call EMS

b. Recognition, early CPR, defibrillate, advanced life support

Complications of tracheostomy: a. Bleeding b. Local wound infection c. Tracheal stenosis d. All of the above

d. All of the above

Continue resuscitation until: a. Unqualified help arrives and observe b. Victim shows no sign of recovery c. You become exhausted d. When you want to defecate

c. You become exhausted

CPR is initiated and the person’s pulse returns but he is not breathing. What is the correct ventilation rate? a. 6–8 breaths per minute b. 10–12 breaths per minute c. 18–20 breaths per minute d. Depends on his color

b. 10–12 breaths per minute

CPR must: a. Compression depth must be 2 cm b. Compression rate must be 100/sec c. Compression breath ratio is 2:30 d. Check pulse again after 5 cycles

d. Check pulse again after 5 cycles

During tracheostomy procedure: a. Incision done is about five fingerbreadths above the suprasternal notch b. The 8th tracheal ring is divided and tracheostomy is inserted c. All of the above d. None of the above

d. None of the above

If neck injury is suspected: a. Avoid head tilt b. Use jaw thrust maneuver c. Open the victim’s mouth if not yet opened d. All of the above

d. All of the above

Indications for tracheostomy: a. Laryngeal hypoplasia b. Neck trauma c. Upper airway foreign body obstruction that can’t be removed d. All of the above

d. All of the above

Regarding chest compressions: a. Start compressions if there are signs of circulation b. Place the victim on a soft surface to avoid skin injury c. Locate the lower half of the sternum then start compression d. Use fingers of both hands for compression

c. Locate the lower half of the sternum then start compression

The 2015 AHA guidelines for CPR recommended the BLS sequence be: a. Airway, breathing, check pulse b. Compression, airway, breathing c. Airway, breathing, compression d. Airway, check pulse, breathing

b. Compression, airway, breathing

The 5 steps in adult chain of survival include all of the following except: a. Early CPR b. Rapid defibrillation c. Use of cardiovascular medications d. Post cardiac arrest care

c. Use of cardiovascular medications

The pulse assessed in an adult arrest victim is: a. Groin b. Radial c. Carotid d. Temporal

c. Carotid

What age is considered an infant for BLS purposes: a. Under 1 year b. 2 years c. 3 years d. 5 years

a. Under 1 year

What is the correct compression-to-ventilation ratio for two-rescuer infant BLS? a. 30:2 b. 30:1 c. 15:2 d. 15:1

c. 15:2

Which of the following describes the proper sequence of BLS? a. Pulse check, rescue breath, compression b. Airway, breathing, compression c. 12345 d. C-A-B

d. C-A-B

You are treating an adult choking victim. They could initially cough, but now are gasping their throat and turning blue. What is next? a. Heimlich maneuver b. Begin CPR c. Rescue breathing d. Check pulse

a. Heimlich maneuver

You attempt to deliver a breath through a mask but it does not go in. What is next? a. Hyperextend neck b. Blow harder c. Discard mask and use mouth-to-mouth d. Reposition the airway

d. Reposition the airway

You find an unresponsive victim without a pulse. You do not have a mask. What is the next step? a. Go call EMS b. Wait until EMS arrives c. Begin CPR and perform mouth-to-mouth d. Use your shirt over their mouth as barrier

a. Go call EMS