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FCCS review from Blamoun's review|34 Questions & Answers Latest Update 2023
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FCCS review from Blamoun's review|34Questions & Answers Latest Update
2023
1. if someone has a distended bladder and you put a Foley and you diurese a couple liter of fluid
and the patient becomes hypertensive what is the best way to bring the patient's blood pressure
up? - ✓✓✓give them fluids
2. in trauma if the patient is hypotensive and you see a contusion, what is the best modality that
would tell you why the patient is hypotensive? - ✓✓✓FAST exam. 4 points in the chest
3. if the patient is on the ventilatory and they tell you that the patient is comfortable even though the
patient's CO2 is high what do you do? - ✓✓✓you leave them alone, permissive hypercapnia
4. if someone is hyponatremic when do you give the patient 3% sodium chloride? - ✓✓✓if they are
having a seizure or have altered mental status. Everyone else you fluid restrict and it will correct
itself.
5. what is the first thing you do with a patient that you strongly suspect is having a stroke? -
✓✓✓head cat scan to see if there is a bleed or no bleed. If there's no bleed then you tPa the
patient
6. if someone has an increased ICP how would you treat that? - ✓✓✓raise the head of the bed,
hyperventilate to lower CO2. Lower CO2 causes vasoconstriction. and decreases ICP. Administer
mannitol.
7. if someone has a tension pneumothorax what do you do? - ✓✓✓needle decompression 2nd
intercoastal space, midclavicular line
8. what kind of fluid would you give a trauma patient and what is the ratio? - ✓✓✓blood, PRBCs,
FFT, and platelets, at a 1:1:1 ratio
9. how would you intubate someone who has a cervical injury? - ✓✓✓in-line stabilization
10. which coronary artery occlusion patient do you have to take for immediate perfusion? NSTEMI or
STEMI? - ✓✓✓STEMI
11. what is the pulse ox we accept now for STEMI before we'll put O2 on the patient? - ✓✓✓>94%
12. which patient needs to go to the cath lab immediately out of the NSTEMI population? - ✓✓✓the
unstable and shocky patient
13. Which drugs have been shown to decrease the risk of mortality after a NSTEMI and why? -
✓✓✓ACE to prevent remodeling by decreasing the afterload
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