Emergency Medications – Emergency Drugs MCQs

1.What receptor does atropine block in the body?
a. Acetylcholine
c. Glycine
d. Glutamate

2. In Asystole dose of Atropine?
a. 3mg
b. Until HR improves
c. 6mg
d. None of the above

3.First drug given in all cases of cardiac arrest is?
a. Adrenaline
b. Atropine
c. Sodium bicarbonate
d. Lidocaine

4.How many doses of Adrenaline can be administered during a cardiac arrest?
a. 5
b. 3
c. 6
d. Until the condition of the patient improves.

5.Route of administration of Adrenaline in cardiac arrest is?
a. Intravascular
b. Endotracheal
c. Intracardiac
d. All the above

6.Excess use of Adrenaline can precipitate which condition?
a. Atrial fibrillation
b. Ventricular fibrillation
c. Atrial flutter
d. Ventricular tachycardia

7.Drug given during cardiac arrest to treat specific cardiac arrhythmias, mainly ventricular fibrillation and ventricular tachycardia?
a. Adrenaline
b. Amiodarone
c. Lidocaine
d. Atropine

8.The main effect of Amiodarone on the heart is?
a. To reduce cardiac tissue metabolism
b. To increase heart rate
c. To increase cardiac tissue metabolism
d. All the above

9. Amiodarone must be diluted in?
a. 0.9% saline
b. 0.45% saline
c. 5%Dextrose
d. DNS

10.Prolonged infusion of Amiodarone can be administered through?
a. Peripheral line
b. Central line
c. Both peripheral line and central line
d. None of the above

11. Most common side effect of Amiodarone in relation to cardiac arrest is?
a. Tachycardia
b. Bradycardia
c. Ventricular fibrillation
d. Atrial fibrillation

12. Which drug acts on the electrical activity of cardiac tissue in ventricular fibrillation and ventricular tachycardia?
a. Lidocaine
b. Amiodarone
c. Adrenaline
d. Atropine

13.Patient receiving Lidocaine monitored specifically for?
a. Heart rate
b. Blood pressure
c. Both heart rate and blood pressure
d. Peripheral pulses

14. Atropine during cardiac arrest acts on which nerve?
a. Vagus
b. Trigeminal
c. Hypoglossal
d. Spinal accessory

15. Dose of Atropine in bradycardia?
a. 0.3mg every 5 minutes
b. 0.5mg every 5minutes
c. 3mg every 5 minutes
d. 5mg every 3 minutes

16. Dose of Atropine through the endotracheal tube is?
a. Same as IV dose
b. Half the strength of IV dose
c. 2-3 times the strength of IV dose
d. 5 times the strength of IV dose

17. Role of Calcium chloride in cardiac arrest is?
a. Improves myocardial contraction
b. Decreases heart rate
c. Improves BP
d. Decreases electrical conductivity

18. Two main side-effects of calcium that are important in the emergency cardiac arrest situation are?
a. Hypotension and low blood PH
b. Hypertension and low blood PH
c. Hypotension and high blood PH
d. Hypertension and high blood PH

19. 1 ml of Inj Atropine contains how many mg of drug?
a. 0.3
b. 0.4
c. 0.6
d. 1.0

20. Which drug can help stabilize arrhythmias caused by low potassium levels and digoxin toxicity?
a. Lignocaine
b. Calcium chloride
c. Magnesium sulphate
d. Sodium bicarbonate

21. Dopamine may increase renal blood flow, cardiac output, heart rate, and cardiac contractility in?
a. Low dose
b. Medium dose
c. High dose
d. No link with dose

22. Black box warning for use of Dopamine falls in patients with which disease history?
a. Angina Pretoria
b. Hypovolemia
c. Occlusive vascular disorder
d. Ventricular Arrhythmias

23. Dopamine is contraindicated in?
a. pheochromocytoma
b. Older adults
c. Hypotension
d. Ventricular arrhythmia

24. The normal range for dopamine is?
a. 0 to 30 pg/mL
b. 3-18pg/ml
c. 12-42pg/ml
d. 36-52pg/ml

25. Which drug is preferred when there is a need to improve low cardiac output?
a. Dopamine
b. Dobutamine
c. Calcium chloride
d. Sodium bicarbonate

26. Which among the following drugs are preferred in patients with renal issues in cardiac arrest?
a. Dobutamine
b. Dopamine
c. Amiodarone
d. Lignocaine

27. According to 2010 ACLS guidelines which drug is not recommended for routine use by AHA?
a. Sodium bicarbonate
b. Calcium chloride
c. Amiodarone
d. Lignocaine

28. The usual adult dose of atropine is?
a. 0.4 to 0.6 mg
b. 0.6 to 1.0 mg
c. 1 to 1.2 mg
d. 2.2 to 2.8mg

29. 1 ml of Inj Adrenaline contains?
a. 0.5 mg
b. 1.0mg
c. 0.3mg
d. 0.6mg

30. Which of the following is the most effective benzodiazepine for treating status epilepticus and is the treatment of choice for controlling seizures acutely?
a. Midazolam
b. Oxazepam
c. Flurazepam
d. Lorazepam

31. Drug of choice for PPH?
a. Oxytocin
b. methylergonovine
c. misoprostol
d. carboprost

32. The maximum recommended cumulative dose of oxytocin is?
a. 40 units
b. 20 units
c. 30 units
d. 50 units

33. Recommended IV fluid for emergency management of severe burns in the initial 24 hours is?
a. Normal saline
b. Lactated Ringer
c. Colloid
d. Dextrose saline

34. In pediatric resuscitation, the usual initial dose of Adrenalin is?
a. 0.1 to 0.03 mg/kg/dose
b. 0.01 to 0.03 mg/kg/dose
c. 0.06 to 0.08 mg/kg/dose
d. 0.08 to 0.10 mg/kg/dose

35. Usual initial Adult Dose of Naloxone for Opioid Overdose is?
a. 0.2mg to 2mg
b. 0.4mg to 4mg
c. 0.4mg to 2mg
d. 0.2mg to 4mg

36. ———is an antidote to opioids that will completely reverse the effects of an opioid overdose if administered in time?
a. Naltrexone
b. Naloxone
c. N Acetyl cysteine
d. Nimodipine

Obstetrics and Gynecology Nursing Questions and Answers

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