FCCS 2023 Practice Test Questions and Answers All Correct What is the first indicator of critical illness - ANSWER Tachypnea Evidence of decreased perfusion include? - ANSWER AMS, Urine output, skin temperature DIRECT - ANSWER Detection, intervention, Reassessment, effective communication, tea mwork Late sign of circulatory demise - ANSWER hypotension Important indicator of critical illness - ANSWER Metabolic acidosis -> lactacte measurement -> anaerobic metabolism What does metabolic acidosis suggest? - ANSWER hypo perfusio n 1st priority in managing a critical patient - ANSWER Stabilize first, then determine diagnosis and definitive treatment Define Sepsis - ANSWER life -threatening organ dysfunction cause by host response to infection Define Septic Shock - ANSWER Clinical sepsis requiring vasopressors to maintain a MAP > 65mmHg and Lactate > 2mmol/L despite volume resuscitation Most common clinical presentation of infection - ANSWER Fever (hypothermia has very poor prognosis) Morbidity related to sepsis can be predicted by... - ANSWER AMS, SBP < 100mmHg, RR > 22 Antibiotic regimen for community -acquired PNA in the immunocompetent? - ANSWER Beta-Lactam + Macrolide or Fluoroquinolone Antibiotic for aspiration PNA - ANSWER Clindamy cin Antibiotic regimen for the community -acquired PNA in the immunocompromised? - ANSWER Trimethroprim -sulfamethoxazole (bactrim) and anti fungal agent Antibiotic for S. Aureus? - ANSWER Vancomycin or Linezolid Antibiotics for nosocomial and ventilator -associated PNA? - ANSWER Cephalosporin 3rd/4th gen, Beta -lactam, or carbapenem Antibiotic for pseudomonas? - ANSWER Antipseudomonal beta -lactam (piperacillin -
tazobactam, cefepime, imipenem, meropenem) Most common pathogens for meningitis? - ANSWER Neisseria and Strep Pneumoniae Most common pathogen in severe community -acquired PNA? - ANSWER S. Pneumoniae Pathogens commonly associated with hospital -acquired PNA? - ANSWER Gram -
negativ e & S. Aureus Necrotizing soft -tissue infections require - ANSWER surgical debridement and antimicrobial therapy immediately What is the minimum pH patients will tolerate - ANSWER 7.20 What is normal tidal volume - ANSWER 6 -8ml/kg of I BW What is normal minute ventilation? - ANSWER 7,000 -8,000 Normal inspiratory time in adult - ANSWER 1 sec, COPD -> up to 3 seconds Normal expiration time - ANSWER 2 seconds Minute ventilation equation - ANSWER MV = RR x TV Where should the ETT terminate on the chest XR? - ANSWER 2 -6cm above the carina (below the clavicle, above the heart)
tazobactam, cefepime, imipenem, meropenem) Most common pathogens for meningitis? - ANSWER Neisseria and Strep Pneumoniae Most common pathogen in severe community -acquired PNA? - ANSWER S. Pneumoniae Pathogens commonly associated with hospital -acquired PNA? - ANSWER Gram -
negativ e & S. Aureus Necrotizing soft -tissue infections require - ANSWER surgical debridement and antimicrobial therapy immediately What is the minimum pH patients will tolerate - ANSWER 7.20 What is normal tidal volume - ANSWER 6 -8ml/kg of I BW What is normal minute ventilation? - ANSWER 7,000 -8,000 Normal inspiratory time in adult - ANSWER 1 sec, COPD -> up to 3 seconds Normal expiration time - ANSWER 2 seconds Minute ventilation equation - ANSWER MV = RR x TV Where should the ETT terminate on the chest XR? - ANSWER 2 -6cm above the carina (below the clavicle, above the heart)
