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CCFP Final Exam Study Guide Exam Questions and Answers
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CCFP Final Exam Study Guide ExamQuestions and Answers
Abdominal assessment
With abdominal pain - -Start with least pain go to most
Inspect
· Auscultate
· Percuss
· Palpate
-Abdominal assessment without pain - -Without abdominal pain
· Inspect
o Note quality and frequency of sounds
o Auscultation before percussion and palpation
-Describe Boyles gas law - -Pg 27
o Volume is inversely proportional to pressure
o Volume and pressure
Boyles Balloon
-Describe Daltons Law - -Pg 28
o In a mixture of non-reacting gasses, the total pressure is equal to the sum
of the partial pressures of the gasses
o Total pressure=partial pressure of all gasses combined
"Daltons Pie"
-Describe Charles Law - -Pg 28
o temperature directly proportional to volume
o temperature = volume
o Colder temps= RW fly's better due to denser air
-Describe Henry's Law - -Pg 28
Henry's Fizzy Soda
At a constant temperature, the amount of a given gas that dissolves in a
given type and volume of liquid is directly proportional to the partial pressure
of that gas in equilibrium with that liquid
-Describe Gay-Lussac's Law. - -The pressure of a gas is directly proportional
to the temperature
Volume remains constant
,Altitude increase= Temp Decrease
-What organs are in the retroperitoneal space? - -· Kidneys
· Adrenal glands
· Pancreas
· Nerve roots
· Lymph nodes
· Abdominal aorta
· IVC
-Criteria for intubation - -Pg : 157
· Failure of airway protection
· Failure of oxygenate
· Failure to ventilate
· Anticipated clinical course
· 5 Ps
o Protection
o Positive pressure
o Partial pressure of oxygen PO2
o Pulmonary toilet
-What is the ROMAN pneumonic used for? - -page 157-159
Identifying Difficulty in BVM use
R: radiation/restriction
O: Obesity/obstruction/ Obstructive sleep apnea
M: Mask seal/male sex/ Mallampati
A: Age
N: No teeth
-What are the 2 types of Hypovolemic shock - -hemorrhagic and non-
hemorrhagic
Pg 205
-Describe distributive shock - -vasomotor dysfunction results in either
high/normal arterial resistance with expanded venous capacitance, or low
arterial resistance
Pg 207
-Describe septic shock - -Shock caused by severe infection, usually a
bacterial, fungal or viral infection.
, Recognition: 2 or more of the following
AMS
SBP less than or equal to 100mmHG—MAP greater than or equal to 65mmHg
RR greater than 22
Serum lactate greater than 2mmol/L
-Describe neurogenic shock - -Occurs with SCI results in the loss of SNS
control of vascular tone, which produces venous and arterial vasodilation.
Relaxed vagal tone below the injury.
-Describe anaphylaxis - -acute systemic allergic reaction that results from
the release of chemical mediators after an antigen antibody reaction
S/S: Increased HR, decreased BP, warm/hot flushed skin,
bronchoconstriction, laryngeal edema, angioedema, airway compromise
-Describe cardiogenic shock - -Hypotension caused by cardiac failures that
causes a failure of perfusion of the vital organs.
Mi with LV failure is the most common cause.
o Low BP, AMS, low urine output=classic signs.
o Reduced CI (<1.8Lmin/m2 without <3 support), (<2.2Lmin/m2 with <3
support) SBP 80-90 for >30min, MAP 30mmHg below baseline or less than
65, AMS, low SBP, cool, pale, diaphoretic, tachypnea
-Describe Obstructive shock - -Obstruction to cardiovascular flow resulting
in impaired diastolic filling or significantly increase in after load.
-What are common causes of Obstructive Shock? - -o PE: PT history (major
trauma, surgery, lower limb fractures, joint replacement, spinal cord injury
and cancer). Dyspnea, pleuritic chest pain and cough most common 3. Fluid
+ Vasopressors = shock treatment
o Cardiac tamponade: blood or effusion accumulates in the closed and
relatively noncompliant pericardial sac (BECKS triad)
o Tension pneumothorax: complete collapse of one or both lungs with
compression on the mediastinal vessels and organs
-What are the criteria for NCD? - -· Tension pneumothorax
-What are some medical causes of hypotension - -o Sepsis/septic shock
o Dehydration
o Vagal stimulation
o Parasympathetic stimulation
oIntubation(induction agents)
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