TEME Practice Questions - TEME - Título de Especialista em Medicina de Emergência (ABRAMEDE, Brazil) Exam - TEME Practice Questions - TEME - Título de Especialista em Medicina de Emergência (ABRAMEDE, Brazil) Exam

Question 1

A 58-year-old male collapses suddenly in the hospital lobby and is brought to the emergency department resuscitation bay. Monitor reveals ventricular fibrillation (VF). Chest compressions are immediately initiated. According to current ACLS and ABRAMEDE resuscitation guidelines, what are the optimal characteristics for high-quality manual chest compressions in an adult cardiac arrest?

Rate of 100 to 120 compressions/min, depth of at least 5 cm (not exceeding 6 cm), full chest recoil, and minimal interruptions. Rate of 80 to 100 compressions/min, depth of at least 7 cm, with continuous ventilation via bag-valve-mask. Rate of 120 to 140 compressions/min, depth of 4 cm, maintaining constant pressure on the sternum between compressions. Rate of 100 compressions/min, depth of at least 3 cm, pausing 10 seconds every 15 compressions for pulse assessment.

Correct Answer:

Rate of 100 to 120 compressions/min, depth of at least 5 cm (not exceeding 6 cm), full chest recoil, and minimal interruptions.

Question 2

A 62-year-old female experiences out-of-hospital cardiac arrest with refractory ventricular fibrillation (VF). After 3 standard defibrillation shocks (200 J biphasic), 1 mg of epinephrine IV, and 300 mg of amiodarone IV, the rhythm remains coarse VF. High-quality CPR is ongoing. According to advanced emergency resuscitation strategies for refractory VF (DOSE VF trial), what is the most appropriate next intervention?

Dual sequential external defibrillation (DSED) or vector change (VC) defibrillation. Immediate administration of high-dose intravenous calcium chloride (2 g). Administration of high-dose vasopressin (40 IU) replacing all further epinephrine. Cessation of chest compressions for a 60-second rhythm observation period.

Correct Answer:

Dual sequential external defibrillation (DSED) or vector change (VC) defibrillation.

Question 3

A 71-year-old male is brought to the emergency department in pulseless electrical activity (PEA) arrest. The monitor shows a wide-complex rhythm at 35 bpm with no palpable central pulse. Chest compressions and bag-valve-mask ventilation are underway. What is the primary first-line pharmacological intervention recommended for non-shockable cardiac arrest (PEA/Asystole)?

Epinephrine 1 mg IV/IO administered as early as possible and repeated every 3 to 5 minutes. Amiodarone 300 mg IV bolus followed by 150 mg after 5 minutes. Immediate synchronized electrical cardioversion at 100 J. Sodium bicarbonate 100 mEq IV push as standard empiric initial therapy.

Correct Answer:

Epinephrine 1 mg IV/IO administered as early as possible and repeated every 3 to 5 minutes.

Question 4

A 54-year-old male with end-stage renal disease on hemodialysis missed his last two dialysis sessions. He arrives in the emergency department confused and hypotensive, and abruptly suffers cardiac arrest with PEA. The telemetry strip immediately prior to arrest showed peaked T waves, absent P waves, and severe QRS widening ('sine wave' appearance). Alongside CPR and epinephrine, which immediate pharmacological intervention is essential to stabilize the cardiac membrane?

Intravenous Calcium Chloride 10% (10 mL / 1 g) or Calcium Gluconate 10% (30 mL / 3 g). Subcutaneous regular insulin 50 units without dextrose. Intravenous potassium chloride 20 mEq infusion over 15 minutes. High-dose intravenous magnesium sulfate 10 g push.

Correct Answer:

Intravenous Calcium Chloride 10% (10 mL / 1 g) or Calcium Gluconate 10% (30 mL / 3 g).

Question 5

A 49-year-old male achieves Return of Spontaneous Circulation (ROSC) after 18 minutes of CPR for out-of-hospital ventricular fibrillation. In the emergency department, he remains comatose (GCS 3T) with an intact blood pressure of 124/78 mmHg on a low-dose norepinephrine infusion. What are the current international and ABRAMEDE recommendations regarding Targeted Temperature Management (TTM) in comatose post-cardiac arrest adults?

Maintain a constant core body temperature between 32°C and 36°C or strictly prevent fever (maintaining <=37.5°C) for at least 36 to 72 hours. Induce rapid deep hypothermia to 28°C to 30°C for 48 hours using ice-cold saline infusions. Allow permissive hyperthermia up to 39°C to stimulate cerebral immunologic recovery. Maintain core temperature strictly at 30°C for 12 hours followed by rapid rewarming at 2.0°C per hour.

Correct Answer:

Maintain a constant core body temperature between 32°C and 36°C or strictly prevent fever (maintaining <=37.5°C) for at least 36 to 72 hours.

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Prepare with the TEME Practice Questions - TEME - Título de Especialista em Medicina de Emergência (ABRAMEDE, Brazil) Exam practice quiz. This question bank includes 100 questions covering year-old, emergency, male, mmhg, and severe. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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TEME Practice Questions - TEME - Título de Especialista em Medicina de Emergência (ABRAMEDE, Brazil) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, emergency, male, mmhg, and severe. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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TEME Practice Questions - TEME - Título de Especialista em Medicina de Emergência (ABRAMEDE, Brazil) Exam

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