Exam (elaborations)
FPC / CFRN - Review Exam - Version B New /Questions And Answers
FPC / CFRN - Review Exam - Version B New /Questions And Answers
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FPC / CFRN - Review Exam - Version B New 2023-2024 /Questions And Answers
Quiz :Myxedema coma is also known as...
A. Thyroid storm
B. Adrenal insufficiency
C. Hypothyroidism
D. Hyperaldosteronism - Answer :Hypothyroidism
Quiz :Most common presentation of a patient with hypothyroidism are all of
the following, Except...
A. Cold intolerance with coarse hair
B. Almost exclusively over the age of sixty
C. >90% of cases occur in the winter
D. Primarily in men - Answer :Primarily in men
Hypothroidism occurs primarily in women, almost exclusively over the age of
sixty, with 90% of the cases occurring in the winter months.
Quiz :Your patient presents with following parameters: CVP 0, CI 1, PA S/D 8/4,
wedge 3, and SVR 1,800. What is your diagnosis?
A. Hypovolemic shock
B. Right ventricular infarction
C. CHF
D. Sepsis - Answer :Hypovolemic shock
Careful interpretation of the CVP is important!
Central venous pressure (CVP) describes the pressure of blood in the thoracic
vena cava, near the right atrium of the heart.
CVP reflects the amount of blood returning to the heart and the ability of the
heart to pump the blood into the arterial system.
Quiz :Drug of choice for profound hypotension in septic shock is?
A. Isotonic crystalloid solution
,B. Levophed
C. Nipride
D. Dobutamine - Answer :Levophed
Sepsis is by far the most common cause of distributive shock.
Quiz :The average normal ICP range is...
A. 0-10 mmHg
B. 10-20 mmHg
C. 20-30 mmHg
D. >30 mmHg - Answer :Normal ICP range is 0-10 mmHg, but range can go as
high as 15 mmHg.
Quiz :The formula to calculate MAP is
A. 2/3 DBP × SBP
B. 2 × DBP + SBP divided by 3
C. 2 × SBP + DBP
D. 2 + DBP × SBP divided by 3 - Answer :2 × DBP + SBP / 3
(normal 80-100 mmHg)
Quiz :Normal coronary perfusion pressure (CPP) is
A. 50-60 mmHg
B. 70-90 mmHg
C. 80-100 mmHg
D. <50 mmHg - Answer :Normal 50-60 mmHg
Coronary perfusion pressure: (CPP) = DBP-PAWP
Quiz :The patient presents with the following hemodynamic parameters: CVP
1, CI 1.7, PA S/D 12/6, wedge 6, and SVR 300. Vital signs are 78/40, HR 60, RR
16, SaO2 98%. The most likely cause is...
A. RVMI
B. Neurogenic shock
C. Septic shock
D. Hypovolemic shock - Answer :Neurogenic shock
,SVR < 800, think distributive shock. Next look at the CI; is it less than 2.5?
Hypotension and either a normal heart and/or bradycardia present narrows
the type of distributive shock as being neurogenic shock.
Quiz :Severe hypothermic Pt's are at highest risk for which of the following
rhythm?
A. A-Fib
B. Asystole
C. V-Fib
D. Sinus Brady - Answer :V-Fib
Severe: 20-28 (coma, VF common)
Quiz :The drug of choice for a patient exhibiting signs and symptoms of
malignant hyperthermia is:
A. Anectine
B. Sodium bicarbonate
C. Dantrolene
D. Glucagon - Answer :Dantrolene
Malignant hyperthermia: Characteristic signs are muscular rigidity, followed by
a hypercatabolic state; with increased oxygen consumption, increased carbon
dioxide production (hypercapnea, usually measured by capnography),
tachycardia (fast heart rate), and an increase in body temperature
(hyperthermia) at a rate of up to ~2°C per hour, temperatures up to 42°C
(108°F) are not uncommon.
Quiz :Induction agent of choice with bronchospastic patients -
Answer :Ketamine (ketalar)
Quiz :Ativan: indication dose, max - Answer :Lorazepam, seizures, 1-2 mg,
max 4 mg
Quiz :Mannitol dose - Answer :1-2 g/kg
Mannitol: an osmotic diuretic, acts by osmosis to ensure urine production and
may prevent heme deposition in the kidney.
, Can be administered to avoid acute renal failure when fluid administration has
been ineffective.
Quiz :Drug choice for cyclic antidepressant OD - Answer :Sodium bicarbonate
Quiz :Drug choice for beta-blocker OD - Answer :Glucagon
Quiz :Fentanyl dose - Answer :Sublimaze (3 μg/kg)
Quiz :Treatment for malignant hyperthermia - Answer :Dantrium (dantrolene)
Quiz :Drug for GI bleeds - Answer :Sandostatin (octreotide)
Quiz :You have been requested to transport a twenty-year-old female from an
ICU with a history of TCA overdose two hours prior to your arrival at the
sending facility. Your cardiovascular assessment of the patient would most
likely include all of the following with this type of toxicity, EXCEPT...
A. Early sinus bradycardia
B. Widening QRS
C. Prolonged QT and PR interval
D. Early tachycardia - Answer :Early sinus bradycardia
Sinus tachycardia is the most common cardiac disturbance seen following TCA
overdose.
Quiz :Rhabdomyolysis treatment - Answer :- preventing shock and preserving
kidney fxn
- NS with sodium bicarbonate
Quiz :Your patient presents with ABG's of pH 7.39, pCO2 68 HCO3 32, pO2 82.
He has history of COPD and weighs 65 kg. He presents with a history of SOB for
3 days with a RR 20 and is on 4 L/minute of oxygen by NC. He speaks in four- to
five-word sentences. What acid-base disorder is present?
A. Metabolic acidosis with partial compensation
B. Respiratory acidosis with complete compensation
C. Metabolic alkalosis with no compensation
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