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FCCS Review exam questions with complete solutions 2024.
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FCCS Review exam questions with complete solutions 2024.
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FCCS Review exam questions withcomplete solutions 2024
What jis jthe jmost jimportant jsign jin ja jcritically jill jpt? jWhy? j- jANS✓✓-Tachypnea
Indicates jmetabolic jacidosis jw/ jrespiratory jalkalosis jcompensation
A jpt jmisses jdialysis jfor ja jfew jdays jand jcomes jin jwith jfluid joverload. jHe's
jtachycardic jand jtachypneic. jOn jphysical jexam, jyou jfind jJVD, jpulsus
jparadoxus j(20 jmmHg jdrop jduring jinspiration), jand jHoTN j(80/40) jwith jdistant,
jmuffled jheart jsounds. jLungs jare jclear jto jauscultation. jWhat jis jthe jdx? j-
jANS✓✓-Cardiac jtamponade; jobstructive jshock
If ja jpt jhas ja jthyromental jdistance jof j2 jcm, jwhat jcan jyou jexpect jabout jtheir
jairway? j- jANS✓✓-Difficult jairway jw/ jan janteriorly jdisplaced jlarynx
A jCOPD jpt jcomes jin jwith jdifficulty jbreathing. jHe jthen jbecomes japneic jand
junresponsive. jHow jwould jyou jventilate jthis jpt? j- jANS✓✓-BVM
A jpt jarrives jafter jfalling jfrom ja jladder jand jhas ja jfrontal jlaceration. jOn
jexamination, jyou jfind jpapilledema jand jlabored jbreathing jw/o jbeing jable jto
jclear jsecretions. jWhat jis jyour jbiggest jconcern jwhen jintubating jthis jpt? j-
jANS✓✓-Cerebral jedema/increasing jICP
Intubation jtends jto jcause jan jincrease jin jICP. jAdminister jlidocaine jprior jto
jintubation jto jinhibit jvagal jstimulation.
An jESRD jpt jw/ jhyperkalemia jdevelops jdyspnea jand jrequires jintubation. jWhich
jparalytic jagent/NMB jshould jyou javoid jand jwhy? j- jANS✓✓-Succinylcholine
Worsens jhyperkalemia
A jpt jis jadmitted jafter jan jOD. jHe jstarts jto jhave japneic jepisodes jand jhis jSpO2
jis jdropping. jYou jplace jhim jon ja jnon-rebreather jmask jw/ j100% jO2, jyet jhis
jSpO2 jremains jat j80%. jWhy jis jit jnot jbeing jcorrected?
Then, jif jyou jtry ja jBVM jand jit jalso jfails, jand jvideo jlaryngoscopy jis junavailable,
jwhat jis jyour jnext jbest jchoice jfor jan jairway? j- jANS✓✓-The jpt jis jhaving japneic
jepisodes, jwhich jmeans jthat jadministering jhigh-flow jO2 jwill jbe jineffective.
Choose jan jLMA jif jthe jBVM jfails.
, What jintervention jimproves joutcomes jwith jROSC jafter jcardiac jarrest? j-
jANS✓✓-Targeted jtemperature jmanagement.
32-36 jC
A jshunt jmeans jthere jis jperfusion jwithout jventilation. jWhat jdisease jprocess jis
jan jexample jof ja jshunt? j- jANS✓✓-Pneumonia
Which jtype jof jrespiratory jfailure joccurs jwith jCNS jdepression jafter jan jOD? j-
jANS✓✓-Acute jhypercapnic jrespiratory jfailure j--> jmixed
A j50 jy/o jpt jis jhaving ja jCOPD jexacerbation. jYou jhave jtried jsteroids,
jbronchodilators, jetc. jwith jno jimprovement. jPCO2 jis jin jthe j90s, jpH jis j7.20. jYou
jdecide jto jintubate. jVent jsettings jare: jVT j375, jRR j20, jFiO2 j.35, jPEEP j5. jCXR jis
jnormal. jA jfew jminutes jlater, jhis jBP jdrops jto j70/40. jLungs jare jclear/equal. jVent
jshows jpeak jairway jpressure jof j55 j(high) jand jplateau jpressure jof j15. jEnd
jexpiratory jhold jgives jauto-peep jof j15. j
What jis jthe jcause jof jthis jpt's jHoTN jand jwhy? j- jANS✓✓-Auto-peep jis jthe
jcause.
COPD jpts jhave jdifficulty jexhaling j--> jpressure jbuildup jin jalveoli.
We juse jPEEP jfor jthe jpressure jand jto jimprove joxygenation. jAuto-peep jcomes
jfrom jbreath-stacking j--> jintrinsic jpeep. jAlveoli jenlarge j--> jhigh jpeak jairway
jpressure. jAll jleads jto jlow jvenous jreturn j--> jlow jCO j--> jHoTN
A jCOPD jpt jis jadmitted jto jthe jICU jfor jexacerbation. jPt jis jon ja jvent. jPt jis jtx jw/
jbronchodilators, jsteroids, jand jAbx. jABG jwas jnormal j1 jhr jago, jbut jnow jthe
jpeak jairway jpressure jis jup jto j55 jand jplateau jpressure jis jalso jhigh jat j50. jPt
jbecomes jhypotensive jat j70/40. jYou jobserve jtracheal jdeviation jto jthe jR. jNormal
jbreath jsounds jon jthe jright, jdiminished jon jthe jleft. jNo jwheezing. jWBC jis
jnormal.
What jis jthe jdx jand jtreatment? j- jANS✓✓-Tension jpneumothorax
Needle jdecompression/chest jtube
A jpt jin jARDS js/p jpneumonia jis jon j100% jFiO2 jwith jPEEP jof j22. jPO2 jis j88%.
jPeak jairway jpressure jand jplateau jare jboth jhigh. jVT jis j5 jml/kg.
How jcan jyou jdecrease jthe jairway jpressures? j- jANS✓✓-Decrease jthe jPEEP,
jeven jthough jit jwill jdecrease jPaO2.
(Note: jyou jcan't jdecrease jthe jVT jbecause jit jis jalready jon jthe jlow jend).
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