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FCCS Review Exam/68 Questions And Answers
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FCCS Review Exam/68 Questions AndAnswers
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)
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