Exam (elaborations)
FCCS Review 2023 Questions with correct Answers
- Institution
- FCCS Review 2023 Questions With Correct Answers
FCCS Review 2023 Questions with correct Answers
[Show more]
Content preview
FCCS Review 2023 Questions withcorrect Answers
What is the most important sign in a critically ill pt? Why? - -Tachypnea
Indicates metabolic acidosis w/ respiratory alkalosis compensation
-A pt misses dialysis for a few days and comes in with fluid overload. He's
tachycardic and tachypneic. On physical exam, you find JVD, pulsus
paradoxus (20 mmHg drop during inspiration), and HoTN (80/40) with
distant, muffled heart sounds. Lungs are clear to auscultation. What is the
dx? - -Cardiac tamponade; obstructive shock
-If a pt has a thyromental distance of 2 cm, what can you expect about their
airway? - -Difficult airway w/ an anteriorly displaced larynx
-A COPD pt comes in with difficulty breathing. He then becomes apneic and
unresponsive. How would you ventilate this pt? - -BVM
-A pt arrives after falling from a ladder and has a frontal laceration. On
examination, you find papilledema and labored breathing w/o being able to
clear secretions. What is your biggest concern when intubating this pt? - -
Cerebral edema/increasing ICP
Intubation tends to cause an increase in ICP. Administer lidocaine prior to
intubation to inhibit vagal stimulation.
-An ESRD pt w/ hyperkalemia develops dyspnea and requires intubation.
Which paralytic agent/NMB should you avoid and why? - -Succinylcholine
Worsens hyperkalemia
-A pt is admitted after an OD. He starts to have apneic episodes and his
SpO2 is dropping. You place him on a non-rebreather mask w/ 100% O2, yet
his SpO2 remains at 80%. Why is it not being corrected?
Then, if you try a BVM and it also fails, and video laryngoscopy is
unavailable, what is your next best choice for an airway? - -The pt is having
apneic episodes, which means that administering high-flow O2 will be
ineffective.
Choose an LMA if the BVM fails.
, -What intervention improves outcomes with ROSC after cardiac arrest? - -
Targeted temperature management.
32-36 C
-A shunt means there is perfusion without ventilation. What disease process
is an example of a shunt? - -Pneumonia
-Which type of respiratory failure occurs with CNS depression after an OD? -
-Acute hypercapnic respiratory failure --> mixed
-A 50 y/o pt is having a COPD exacerbation. You have tried steroids,
bronchodilators, etc. with no improvement. PCO2 is in the 90s, pH is 7.20.
You decide to intubate. Vent settings are: VT 375, RR 20, FiO2 .35, PEEP 5.
CXR is normal. A few minutes later, his BP drops to 70/40. Lungs are
clear/equal. Vent shows peak airway pressure of 55 (high) and plateau
pressure of 15. End expiratory hold gives auto-peep of 15.
What is the cause of this pt's HoTN and why? - -Auto-peep is the cause.
COPD pts have difficulty exhaling --> pressure buildup in alveoli.
We use PEEP for the pressure and to improve oxygenation. Auto-peep comes
from breath-stacking --> intrinsic peep. Alveoli enlarge --> high peak airway
pressure. All leads to low venous return --> low CO --> HoTN
-A COPD pt is admitted to the ICU for exacerbation. Pt is on a vent. Pt is tx
w/ bronchodilators, steroids, and Abx. ABG was normal 1 hr ago, but now the
peak airway pressure is up to 55 and plateau pressure is also high at 50. Pt
becomes hypotensive at 70/40. You observe tracheal deviation to the R.
Normal breath sounds on the right, diminished on the left. No wheezing. WBC
is normal.
What is the dx and treatment? - -Tension pneumothorax
Needle decompression/chest tube
-A pt in ARDS s/p pneumonia is on 100% FiO2 with PEEP of 22. PO2 is 88%.
Peak airway pressure and plateau are both high. VT is 5 ml/kg.
How can you decrease the airway pressures? - -Decrease the PEEP, even
though it will decrease PaO2.
(Note: you can't decrease the VT because it is already on the low end).
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.53. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now