FCCS Review test/ 68 Questions with 100%
Correct Answers 2023/ Verified.
How do you diagnose airway obstruction? - - FEV1/FVC <70%
-Once airway obstruction is diagnosed, how do you determine whether it is d/t asthma
or COPD? - - Give pt bronchodilator. if >12% improvement of FEV1 then asthma
-The *Global* initiate for Chronic *Obstructive Lung Disease* (GOLD) categorizes
airflow limitation into how many stages? - - 4 stages of COPD
-GOLD 1 spirometric findings - - mild:
FEV1/FVC = <70%
FEV1 >80% predicted
-GOLD 2 spirometric findings - - moderate:
FEV1/FVC = <70%
FEV1 between 50% & 80% predicted
-GOLD 3 spirometric findings - - severe:
FEV1/FVC = <70%
FEV1 between 30% and 50% predicted
-GOLD 4 spirometric findings - - very severe:
FEV1/FVC = <70%
FEV1 <30% predicted
-How do you diagnose airway obstruction? - - TLC (total lung capacity) <80%
-Dx of airway restriction is dependent on - - ht, wt, race
can be d/t intrathoraic and extrathoracic causes
-Intrathoracic causes of airway restriction - - pulmonary fibrosis, asbestos, interstitial
lung dz, sarcoidosis
-Extrathoracic causes of airway obstruction - - central obesity, scoliosis, phrenic nerve
paralysis, GB, MG, MS
-During pregnancy what will decrease? - - Functional Residual Capacity
- the amount of air left in lung after normal expiration
, -Why is decreased FRC in preggers a problem? - - if you run into complications while
intubating the pregger pt will crash quicker d/t less reserve in lungs
-How to ensure ET tube is placed properly? - - GS: capnography device. will change
from purple to gold/yellow once pt exhales CO2
also:
bilateral chest rise
auscultation lungs/stomach
CXR
-A child presents to the ER with sudden onset of SOB. CXR shows the hyperinflation of
only one lung - what does this suggest? - - foreign body aspiration
-Pt is admitted to ICU after falling off roof. He has a frontal lobe contusion and has a
generalized seizure. How do you treat? - - IV benzodiazepines -> Lorazepam
-Why do you give IV benzodiazepines for generalized seizures and not phenytoin? - -
benzos work IMMEDIATELY
phenytoin is good to control recurrent seizures not immediate ones. it also takes 20
mins to work
-Hx & PE of aortic dissection - - central, crushing chest pain radiating to the back
unequal pulsess in upper and lower extremities
aortic regurg murmur
different BP in each arm (usually hypertensive)
-Best imaging to confirm diagnosis of Aortic dissection? - - CT
-#1 priority when treating aortic dissection? - - *lower HR*
-Treatment of aortic dissection depending on type - - Type A: Emergency
Type B: Non-emergancy.
Meds: IV BB Labetolol
lower HR & BP
avoid drugs that give reflex tachycardia (when BP lowers and sympathetic NS
compensates)
-What is contraindicated in. aortic dissection? - - No ACEi, CCBs, nitroglycerine,
nitroprusside
-If a patient ingested drugs (OD) >4 hours ago and now presents to the ED what can
you do for them? - - nothing
-best study to r/o PE - - CTA: computed tomography angiography
Correct Answers 2023/ Verified.
How do you diagnose airway obstruction? - - FEV1/FVC <70%
-Once airway obstruction is diagnosed, how do you determine whether it is d/t asthma
or COPD? - - Give pt bronchodilator. if >12% improvement of FEV1 then asthma
-The *Global* initiate for Chronic *Obstructive Lung Disease* (GOLD) categorizes
airflow limitation into how many stages? - - 4 stages of COPD
-GOLD 1 spirometric findings - - mild:
FEV1/FVC = <70%
FEV1 >80% predicted
-GOLD 2 spirometric findings - - moderate:
FEV1/FVC = <70%
FEV1 between 50% & 80% predicted
-GOLD 3 spirometric findings - - severe:
FEV1/FVC = <70%
FEV1 between 30% and 50% predicted
-GOLD 4 spirometric findings - - very severe:
FEV1/FVC = <70%
FEV1 <30% predicted
-How do you diagnose airway obstruction? - - TLC (total lung capacity) <80%
-Dx of airway restriction is dependent on - - ht, wt, race
can be d/t intrathoraic and extrathoracic causes
-Intrathoracic causes of airway restriction - - pulmonary fibrosis, asbestos, interstitial
lung dz, sarcoidosis
-Extrathoracic causes of airway obstruction - - central obesity, scoliosis, phrenic nerve
paralysis, GB, MG, MS
-During pregnancy what will decrease? - - Functional Residual Capacity
- the amount of air left in lung after normal expiration
, -Why is decreased FRC in preggers a problem? - - if you run into complications while
intubating the pregger pt will crash quicker d/t less reserve in lungs
-How to ensure ET tube is placed properly? - - GS: capnography device. will change
from purple to gold/yellow once pt exhales CO2
also:
bilateral chest rise
auscultation lungs/stomach
CXR
-A child presents to the ER with sudden onset of SOB. CXR shows the hyperinflation of
only one lung - what does this suggest? - - foreign body aspiration
-Pt is admitted to ICU after falling off roof. He has a frontal lobe contusion and has a
generalized seizure. How do you treat? - - IV benzodiazepines -> Lorazepam
-Why do you give IV benzodiazepines for generalized seizures and not phenytoin? - -
benzos work IMMEDIATELY
phenytoin is good to control recurrent seizures not immediate ones. it also takes 20
mins to work
-Hx & PE of aortic dissection - - central, crushing chest pain radiating to the back
unequal pulsess in upper and lower extremities
aortic regurg murmur
different BP in each arm (usually hypertensive)
-Best imaging to confirm diagnosis of Aortic dissection? - - CT
-#1 priority when treating aortic dissection? - - *lower HR*
-Treatment of aortic dissection depending on type - - Type A: Emergency
Type B: Non-emergancy.
Meds: IV BB Labetolol
lower HR & BP
avoid drugs that give reflex tachycardia (when BP lowers and sympathetic NS
compensates)
-What is contraindicated in. aortic dissection? - - No ACEi, CCBs, nitroglycerine,
nitroprusside
-If a patient ingested drugs (OD) >4 hours ago and now presents to the ED what can
you do for them? - - nothing
-best study to r/o PE - - CTA: computed tomography angiography
