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Date Completed: 29/03/2023
Page 1 of 14
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ALS Treatment Algorithm
A patient suddenly collapses in the waiting room with no detectable pulse. The initial rhythm check shows a non-shockable rhythm and you pre
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Beta-Blockers: Contraindications
A 32 year old presents to ED with palpitations ongoing for the past 5 days. ECG demonstrates atrial fibrillation with a rate of 165 bpm with
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Thiazide Diuretics: Indications
Thiazide diuretics are primarily indicated for which of the following:
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Warfarin: Drug Interactions
An 80 year old man requires treatment with an antibiotic. He takes warfarin for atrial fibrillation. What antibiotic is the safest choice fo
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Heparin: Side Effects
Which of the following is NOT an adverse effect associated with heparin therapy:
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Statins: Side Effects
Which of the following is NOT a predisposing factor for rhabdomyolysis in a patient being considered for statin therapy:
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Loop Diuretics: Side Effects
A patient is sent into ED by her GP after routine bloods have identified hypokalaemia. She is on a number of medications for chronic conditi
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Adenosine: Contraindications
A patient presents to ED with palpitations and shortness of breath. ECG shows a supraventricular tachycardia (SVT). You are considering the
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Warfarin: Drug Interactions
Which of the following drugs may enhance the anticoagulant effect of warfarin:
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Vasoconstrictor Sympathomimetics: Mechanism of Action
What is the main mechanism of action of vasoconstrictor sympathomimetics:
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Calcium Channel Blockers: Drug Comparisons
Regarding calcium channel blockers, which of the following statements is CORRECT:
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Loop Diuretics: Side Effects
Which of the following is NOT a typical electrolyte disturbance caused by furosemide:
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Dobutamine: Mechanism of Action
What is the main mechanism of action of dobutamine as an inotropic sympathomimetic:
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ACE Inhibitors: Mechanism of Action
Which of the following is NOT a pharmacological effect of ACE inhibitor therapy:
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Dopamine: Mechanism of Action
What is the main mechanism of action of dopamine as an inotropic sympathomimetic:
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Management of Bradyarrhythmias
What is the maximum recommended dose of atropine that may be given in the treatment of bradyarrhythmias associated with adverse features or
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Thiazide Diuretics: Mechanism of Action
A 48 year old male patient presents to ED complaining of chest pain. He is currently taking ramipril and bendroflumethiazide for hypertensio
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Management of Tachyarrhythmias
Which of the following drugs is first line treatment for a stable regular broad-complex tachycardia:
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Management of Hypertensive Crisis
Regarding hypertensive crises, which of the following statements is CORRECT:
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Sodium Nitroprusside: Mechanism of Action
A patient presents with a hypertensive emergency. You prescribe sodium nitroprusside. What is the mechanism of action of sodium nitroprussid
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Digoxin: Toxicity
A 67-year-old man is being treated for atrial fibrillation with digoxin. If his serum digoxin levels are above the therapeutic range, he is
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ALS Treatment Algorithm
In adult basic life support, chest compressions and breaths should be given in which of the following ratios:
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Management of Atrial Fibrillation
A 64 year old man with a history of poorly controlled hypertension and ischaemic heart disease is presents to ED with a 2 hour history of su
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Management of Tachyarrhythmias
Which of the following is the first line treatment for a stable regular narrow-complex tachycardia:
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ALS Treatment Algorithm
In adult advanced life support, what is the correct initial dose of amiodarone for a shockable rhythm:
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Atropine: Mechanism of Action
What is the mechanism of action of atropine in the management of bradyarrhythmias:
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Management of Tachyarrhythmias
What is the recommended dosing regime for amiodarone in the treatment of a stable regular broad-complex tachycardia:
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ACE Inhibitors: Pharmacology
Regarding ACE inhibitors, which of the following statements is INCORRECT:
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Management of Tachyarrhythmias
What is the initial dose of adenosine recommended for management of a regular narrow-complex tachycardia:
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ALS Treatment Algorithm
In adult advanced life support, which of the following best describes the correct administration of adrenaline for a non-shockable rhythm:
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Adenosine: Drug Interactions
The dose of adenosine must be quartered if given concomitantly in a patient taking which of the following drugs:
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Digoxin: Toxicity
Which of the following does NOT predispose to digoxin toxicity in a patient taking digoxin:
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ACE inhibitors: Drug Interactions
The risk of hyperkalaemia in a patient on ACE inhibitor therapy is increased by concomitant treatment with which of the following drugs:
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Thiazide Diuretics: Side Effects
Bendoflumethiazide may cause all of the following electrolyte imbalances EXCEPT for:
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Heparin: Comparison of Drugs
Which of the following is NOT a benefit of low molecular weight heparin (LMWH) over unfractionated heparin (UFH) therapy:
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Thiazide Diuretics: Contraindications
Thiazide diuretics are contraindicated in which of the following:
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Management of Tachyarrhythmias
Which of the following drugs is first line treatment for a stable regular narrow-complex tachycardia:
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ALS Treatment Algorithm
You are reviewing a patient who presented with chest pain. The patient suddenly loses consciousness. You detect no breath sounds or pulse. Y
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Statins: Drug Interactions
A patient requires antibiotic treatment for an infection. You are aware that the patient is on long-term statin therapy. Which of the follow
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Beta-Blockers: Side Effects
Which of the following is NOT a pharmacological effect of beta-blockers:
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Management of Tachyarrhythmias
Which of the following is first-line treatment for a tachyarrhythmia associated with shock:
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Digoxin: Mechanism of Action
What is the direct mechanism of action of digoxin as a positive inotrope:
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ALS Treatment Algorithm
In adult basic life support, chest compressions should be performed at which of the following rates:
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Warfarin: Reversal Agent
An older patient presents following a fall with a head injury. CT shows a large subdural haematoma. The patient is on warfarin for AF and hi
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ACE inhibitors: Drug Interactions
The risk of renal impairment in a patient on ACE inhibitor therapy is increased by concomitant treatment with which of the following drug cl
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ACE Inhibitors: Pharmacology
Regarding ACE inhibitors, which of the following statements is CORRECT:
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Management of Atrial Fibrillation
A 67 year old man, with a history of hypertension for which he takes ramipril, presents to ED complaining of palpitations ongoing for the pa
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Heparin: Comparison of Drugs
Which of the following is a benefit of unfractionated heparin over low molecular weight heparin (LMWH) therapy:
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Statins: Side Effects
Which of the following is NOT an adverse effect associated with statin therapy:
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Warfarin: Drug Interactions
Which of the following drugs may reduce the anticoagulant effect of warfarin:
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Heparin: Side Effects
Regarding heparin-induced thrombocytopaenia (HIT), which of the following statements is CORRECT:
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Management of Bradyarrhythmias
Which of the following drugs is used first line for a bradyarrhythmia with adverse features:
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Loop Diuretics: Mechanism of Action
A 42 year old women presents to ED complaining of swollen ankles. She has recently been started on furosemide by her GP. What is the mechani
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Heparin: Reversal Agent
A patient who was started on low molecular weight heparin for suspected DVT, awaiting ultrasound after the weekend, presents to ED with mass
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Management of Tachyarrhythmias
A tachyarrhythmia is defined as narrow-complex if the QRS duration is:
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Flecainide: Mechanism of Action
A patient presents with symptomatic fast atrial fibrillation. Your consultant decides to use flecainide. What is the main mechanism of actio
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ALS Treatment Algorithm
In adult advanced life support, the defibrillator pads should be placed at which of the following positions:
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Loop Diuretics: Pharmacology
Regarding loop diuretics, which of the following statements is INCORRECT:
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Management of Pheochromocytoma
Which of the following drug classes is used first line in the management of hypertensive episodes in pheochromocytoma:
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Heparin: Side Effects
Regarding heparin-induced thrombocytopaenia (HIT), which of the following statements is CORRECT:
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ALS Treatment Algorithm
In adult advanced life support, which of the following best describes the correct administration of adrenaline for a shockable rhythm:
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Management of Tachyarrhythmias
A 49 year old man is brought to ED complaining of palpitations and dyspnoea. ECG demonstrates Torsade de Pointes. Which of the following sho
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Management of Tachyarrhythmias
A tachyarrhythmia is defined as broad-complex if the QRS duration is:
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ALS Treatment Algorithm
You are reviewing a patient who presented with shortness of breath. The patient suddenly loses consciousness. You detect no breath sounds or
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ACE Inhibitors: Side Effects
A patient who is taking ramipril for high blood pressure complains of a dry persistent cough. What is the mechanism of cough in ACE inhibito
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Thiazide Diuretics: Side Effects
Which of the following is NOT an adverse effect of bendroflumethiazide:
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Heparin: Comparison of Drugs
Which of the following is a benefit of low molecular weight heparin (LMWH) over unfractionated heparin therapy:
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Sodium Nitroprusside: Indications
Sodium nitroprusside is used therapeutically for which of the following effects:
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Warfarin: Side Effects
Which of the following is NOT an adverse effect associated with warfarin therapy:
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Management of Tachyarrhythmias
What is the recommended dosing regime for adenosine in the treatment of a stable regular narrow-complex tachycardia:
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Management of Tachyarrhythmias
What is the initial dose of amiodarone recommended for treatment of a stable regular broad-complex tachycardia:
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Management of Tachyarrhythmias
What is the first line alternative if adenosine is contraindicated in the management of a stable narrow-complex tachycardia:
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Loop Diuretics: Mechanism of Action
An elderly patient presents to ED following a fall after feeling light headed when standing up. You are reviewing his medication and note th
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Heparin: Drug Comparisons
Which of the following is NOT a benefit of low molecular weight heparin (LMWH) compared to unfractionated heparin:
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Lidocaine: Mechanism of Action
What is the mechanism of action of lidocaine as an anti-arrhythmic drug:
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ALS Treatment Algorithm
A 65 year old patient who presented to ED with chest pain suddenly collapses in the waiting room. He is not breathing and has no pulse and y
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Fibrinolytics: Pharmacology
Regarding fibrinolytics, which of the following statements is INCORRECT:
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ALS Treatment Algorithm
In adult advanced life support, which of the following best describes the correct administration of amiodarone for a shockable rhythm:
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Management of Tachyarrhythmias
What is the maximum total dose of adenosine recommended in the management of a regular narrow-complex tachycardia:
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Flecainide: Contraindications
Your consultant wishes to chemically cardiovert a patient who has presented to ED with new onset atrial fibrillation (AF). Which of the fol
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Nitrates: Side Effects
Which of the following is NOT a typical side effect of glyceryl trinitrate:
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Sodium Nitroprusside: Contraindications
Sodium nitroprusside is contraindicated in which of the following:
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Management of Atrial Fibrillation
A 70 year old man is brought to ED by ambulance with sudden onset chest pain, palpitations and shortness of breath. His HR is 160 bpm and BP
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Management of Bradyarrhythmias
What is the initial recommended dose for atropine in the treatment of bradyarrhythmias associated with adverse features or a risk of asystol
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