ACLS Basics Quiz #3 - Learn & Master ACLS/PALS

Comments

  1. aoscienny says

    In the Final Portion of the ACLS survey, the D stands for:

    I choose Defibrillation

    However the “correct” answer is Differential Diagnosis

    I found this question confusing because I would refer the the final portion of the ACLS survey as the secondary survey, which is where I found “D” for differential diagnosis. Whereas, “D” in the end part of the primary survey in the unresponsive patient is Defibrillation and Disability.

    • Jeff with admin. says

      AHA ACLS Provider Manual pg. 49 under the Part 5 Respiratory Arrest: Subheading: Precautions for Trauma Patients: “In the trauma patient with suspected neck injury, use jaw thrust without head extension. Because maintaining a patent airway and providing ventilation are priorities, use a headtilt-chin lift maneuver if the jaw thrust is not effective….Use manual spinal motion restriction rather than immobilization devices. Manual spinal immobilization is safer.”

      Kind regards,
      Jeff

  2. kelly.ripplinger@yahoo.com says

    Jeff,
    I feel question 8 can be mis-leading,,I choose D as it is circulation portion of ACLS..
    I do see where you reference pg 16 in the manual and what it states there but still feeling this answer could be D.

    Can you help my mind here..

    Thank you.

    • Jeff with admin. says

      The question is regarding the ACLS Survey. If the question were regarding the BLS survey then answer D would be correct. However, once you have progressed to the ACLS survey, the choices in D would have already been addressed.
      Kind regards,
      Jeff

  3. coradcor says

    i picked D at first cuz you’re supposed to call for help before anything else ( besides ensuring safety which wasn’t a choice). that threw me off. People, myself included, should beware of distractors in the questions and answer only what is provided.

  4. cyncd@comcast.net says

    Question #10 states the D stands for, on page 16. Search for, find and treat reversible causes (i.e., definitive care)
    I put definitive care and it was wrong. I don’t understand why.

    • Jeff with admin. says

      The ABCD of the ACLS survey is Airway, Breathing, Circulation, Differential Diagnosis. See Ref. Pg. 36-37 of the AHA ACLS provider manual.

      Definitive care means the place where a patient is take to get the care that they need. This does not have anything to do with Differential Diagnosis which means discovering the cause of the arrest.

      Kind regards,
      Jeff

    • Jeff with admin. says

      This is the direct quote from the most recent AHA ACLS provider manual:
      “AHA ACLS provider manual pg. 43 in the box under Step #2: “Proper selection of an OPA is performed by placing the OPA against the side of the face. When the tip of the OPA is at the corner of the mouth, the flange is at the angle of the mandible. A properly sized and inserted OPA results in proper alignment of the glottic opening.”

      Kind regards,
      Jeff

      • danimal says

        The original poster was confusing the OPA selection with the NPA which is measured from the tip of the nose to the to the ear lobe pg 44.

  5. Danny Ohlinger says

    Thank you for your help. It’s been very helpful after my second time. Read too much into the test. Second time was a breeze.

  6. MARILYN11 says

    Jeff, thanks for this site. This site helped me master acls. I got my instructor certificate recently. I had to check off teaching alone with a cardiologist. I really enjoy this site and plan to continue to use it as a study tool for myself. Thanks again, Marilyn, Mississippi

  7. jrf123 says

    I think you have this mixed up: it should be from the center of the chin to the angle of the mandible or from the corner of the mouth to the spot where the earlobe attaches to the face
    Jeff

    • Jeff with admin. says

      AHA ACLS provider manual pg. 43: “Proper selection of an OPA is performed by placing the OPA against the side of the face. When the tip of the OPA is at the corner of the mouth, the flange is at the angle of the mandible. A properly sized and inserted OPA results in proper alignment of the glottic opening.
      Kind regards,
      Jeff

      • anesthetizer says

        You are spot on! As an anesthetist I train CRNA students daily on how to measure for these devices. Thanks for offering an amazing learning tool.

  8. jporter says

    Hi Jeff,

    For Q#4, are you sure that “Use a head tilt-chin lift maneuver” for a C-spine patient is the correct answer?

    Thank you very much for your help.

    • Jeff with admin. says

      AHA ACLS Provider Manual pg. 49 under the Part 5 Respiratory Arrest: Subheading: Precautions for Trauma Patients: “In the trauma patient with suspected neck injury, use jaw thrust without head extension. Because maintaining a patent airway and providing ventilation are priorities, use a headtilt-chin lift maneuver if the jaw thrust is not effective….Use manual spinal motion restriction rather than immobilization devices. Manual spinal immobilization is safer.”

      Kind regards,
      Jeff

      • jporter says

        What are the immobilization devices they are talking about? We use sand bags, towel rolls or NS bags. Are they not acceptable?

      • Jeff with admin. says

        “The ACLS provider manual page 49 states: “Have another team member stabilize the head in a neutral position during airway manipulation. Use manual spinal motion restriction rather than immobilization devices. Manual spinal immobilization is safer. Cervical collars may complicate airway management and may even interfere with airway patency.”

        Kind regards,
        Jeff

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