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FCCS QUESTIONS WITH ACCURATE ANSWERS
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FCCS QUESTIONS WITH ACCURATE ANSWERS
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FCCS QUESTIONS WITH ACCURATE ANSWERSA patient arrives in the emergency department with a respiratory rate of 4
breaths/minute. She is not intubated. Overdose with a centrally acting
nervous system depressant is suspected. Which of the following is the most
likely finding on the initial blood gas?
Accurate Answer - Acute hypercapnic respiratory failure only
A patient is neurologically devastated, mechanically ventilated, and
undergoing dialysis. The neurology service says there is no expectation of
neurologic recovery or improvement. The family is resistant to any decision
regarding limiting or stopping any life-sustaining treatment. Multiple
discussions have occurred during the past 6 weeks. Which of the following is
the most appropriate next step?
Accurate Answer - Begin formal conflict-resolution process
A 52-year-old man presents to the emergency department with shortness of
breath and new-onset lower extremity edema. His vital signs are: temperature
37.0 °C (98.6 °F); heart rate 114 beats/min; respiratory rate 28 breaths/min;
blood pressure 86/62 mm Hg; and oxygen saturation as measured by pulse
oximetry, (SpO2) 92% on nonrebreather mask. He is transferred to the ICU,
intubated, and a central line is placed. His hemoglobin is 9.2 g/dL, lactic acid is
4.2 mg/dL, SpO2 has improved to 98%, and central venous oxygen saturation
is (ScvO2) 43%. This Scvo2 level indicates which of the following findings?
Accurate Answer - Decrease oxygen delivery and/or increased oxygen
consumption
A 75-year-old patient with severe chronic obstructive pulmonary disease
(COPD) has a cardiac arrest due to ventricular fibrillation and requires CPR.
The patient is being ventilated at 10 breaths/min as CPR ensues. A medical
student believes the patient has a do-not-resuscitate (DNR) order on file. The
, nurse is concerned that the patient has only 1 working IV line. Which of the
following is the most appropriate approach?
Accurate Answer - Ensure quantitative end-tidal CO2 monitoring during CPR
A 52-year-old man presents to the emergency department with shortness of
breath and new-onset lower extremity edema. Vital signs are: temperature
37.0 °C (98.6 °F), heart rate 114 beats/min, respiratory rate 28 breaths/min,
blood pressure 86/62 mm Hg, and oxygen saturation as measured by pulse
oximetry (Spo2) 92% on nonrebreather mask. He is transferred to the ICU,
intubated, and a central line is placed. Transthoracic echocardiogram shows
significantly reduced left ventricular function. Hemoglobin is 9.2 g/dL, lactic
acid 4.2 mg/dL, and central venous oxygen saturation 43%. Which of the
following interventions will significantly improve oxygen delivery?
Accurate Answer - Start vasopressors to increase systolic blood pressure
Which of the following are expected physiologic changes during pregnancy?
Accurate Answer - Decreased functional residual capacity in the third
trimester
A 72-year-old woman with a history of hypertension, type 2 diabetes mellitus,
and smoking develops sudden-onset severe chest pain associated with
difficulty breathing and diaphoresis. Her vital signs on arrival in the
emergency department are: blood pressure, 165/92 mm Hg; heart rate, 101
beats/min; respiratory rate, 29 breaths/min; and oxygen saturation as
measured by pulse oximetry, 96% on room air. Which of the following ECG
findings is the most significant indicator for immediate reperfusion in this
patient?
Accurate Answer - ST segment elevation
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