FPC / CFRN - Review Exam - Version A Questions With Complete Solutions

FPC / CFRN - Review Exam - Version A Questions With Complete Solutions Normal value for monitoring PA pressures are? A. 2-6/8 - 14 mmHg B. 15 - 25/8 - 15 mmHg C. 25 - 35/20 - 30 mmHg D. None of the above - answer15 - 25 / 8 - 15 mmHg Pulmonary systolic pressure is 15-25 mmHg. Pulmonary diastolic pressure is 8-15 mmHg. Initial intervention for managing a patient presenting with Bariobariatrauma is? A. Administer high flow oxygen B. Decrease oxygen to 4 L/min by NC C. Administer high flow oxygen by NRM 15 minutes prior to lift off D. Maintain cabin pressure at 2500 feet - answerAdminister high flow oxygen by NRM 15 minutes prior to lift off. You are on the scene of a 21 YOM gunshot wound to the left chest. The left chest has been decompressed with a needle. The patient is intubated and continues to de-saturate and you note an increase in SQ air. How will manage this patient? A. Re-needle the left chest B. Advance ET tube below the level of the injury; right main stem intubation. C. Decrease respiratory rate down to 10 per minute D. Insert a chest tube - answerAdvance ET tube below the level of the injury; right main stem intubation. Drug of choice for treating a GI bleed is? A. Normal saline B. Nipride C. Whole blood D. Sandostatin - answerSandostatin Your patient has an ICP of 28. BP is 100/60. His cerebral perfusion pressure is approximately? A. 100 mmHg B. 70 - 90 mmHg C. 60 mmHg D. < 50 mmHg - answerAnswer is < 50 mmHg Normally ICP = 0-10 mmHg CPP = 70-90 mmHg CPP = MAP - ICP CPP = 73 - 28 --- 45 CPP Normal MAP = 80-100 mmHg MAP = P dia + 1/3(P sys - P dia) MAP = 60 + .33(100 - 60) --- 73 MAP An expanding ETT cuff in flight is an indication of what gas law? A. Henry's B. Dalton's C. Boyle's D. Charles - answerBoyle's law (expansion or contraction of a gas) The air in the ETT cuff, for example, expands with altitude (ascent) and contracts during descent. You are transporting a 30 YOM involved in a MCA from an outerlying facility. The 70 kg patient is on a ventilator with FIO2 1.0, Vt 500, Rate 16, PIP 22 and Peep 5. The ABG results are pH 7.01, pCO2 68, HCO2 12, base deficit - 8, pO2 280. Interpretation of the blood gas reveals? A. Mixed disturbance B. Metabolic acidosis C. Respiratory acidosis D. Compensated respiratory acidosis - answerMixed disturbance Metabolic and respiratory acidosis. The pCO2 is high, resulting in a respiratory acidosis, and the pH and HCO3 are low, resulting in a metabolic acidosis. Normal Ranges: pH : 7.35 - 7.45 pCO2 : 35 - 45 HCO3 : 22 - 26 pO2 : 80 - 100 You notice that your patient has the following waveform and is showing VT on the monitor. Your initial intervention of the patient is to? A. Synchronize cardiovert B. Advance catheter by inflating the balloon C. Administer precordial thump D. Pull catheter back into the right ventricle - answerSynchronize cardiovert Pediatric dose for Epinephrine is? - answer0.01 mg/kg (IV) You arrive on the scene of 21 YOF involved a single roll-over accident who is approximately 28 weeks pregnant. Your assessment reveals palpati