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FCCS Review questions and 100% Answers 2023/2024
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FCCS Review questions and 100% Answers 2023/2024
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FCCS Review questions and 100% Answers 2023/2024What .is .the .most .important .sign .in .a .critically .ill .pt? .Why? .- .(correct .answer) .-
Tachypnea
Indicates .metabolic .acidosis .w/ .respiratory .alkalosis .compensation
A .pt .misses .dialysis .for .a .few .days .and .comes .in .with .fluid .overload. .He's .tachycardi
c .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 .th
e .dx? .- .(correct .answer) .-Cardiac .tamponade; .obstructive .shock
If .a .pt .has .a .thyromental .distance .of .2 .cm, .what .can .you .expect .about .their .airway? .-
.(correct .answer) .-Difficult .airway .w/ .an .anteriorly .displaced .larynx
A .COPD .pt .comes .in .with .difficulty .breathing. .He .then .becomes .apneic .and .unrespon
sive. .How .would .you .ventilate .this .pt? .- .(correct .answer) .-BVM
A .pt .arrives .after .falling .from .a .ladder .and .has .a .frontal .laceration. .On .examination, .y
ou .find .papilledema .and .labored .breathing .w/o .being .able .to .clear .secretions. .What .is
.your .biggest .concern .when .intubating .this .pt? .- .(correct .answer) .-
Cerebral .edema/increasing .ICP
Intubation .tends .to .cause .an .increase .in .ICP. .Administer .lidocaine .prior .to .intubation .t
o .inhibit .vagal .stimulation.
An .ESRD .pt .w/ .hyperkalemia .develops .dyspnea .and .requires .intubation. .Which .paral
ytic .agent/NMB .should .you .avoid .and .why? .- .(correct .answer) .-Succinylcholine
Worsens .hyperkalemia
A .pt .is .admitted .after .an .OD. .He .starts .to .have .apneic .episodes .and .his .SpO2 .is .dro
pping. .You .place .him .on .a .non-
rebreather .mask .w/ .100% .O2, .yet .his .SpO2 .remains .at .80%. .Why .is .it .not .being .corr
ected?
Then, .if .you .try .a .BVM .and .it .also .fails, .and .video .laryngoscopy .is .unavailable, .what .i
s .your .next .best .choice .for .an .airway? .- .(correct .answer) .-
, 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? .- .
(correct .answer) .-Targeted .temperature .management.
32-36 .C
A .shunt .means .there .is .perfusion .without .ventilation. .What .disease .process .is .an .exa
mple .of .a .shunt? .- .(correct .answer) .-Pneumonia
Which .type .of .respiratory .failure .occurs .with .CNS .depression .after .an .OD? .- .
(correct .answer) .-Acute .hypercapnic .respiratory .failure .--> .mixed
A .50 .y/
o .pt .is .having .a .COPD .exacerbation. .You .have .tried .steroids, .bronchodilators, .etc. .wit
h .no .improvement. .PCO2 .is .in .the .90s, .pH .is .7.20. .You .decide .to .intubate. .Vent .setti
ngs .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? .- .(correct .answer) .-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/ .bronc
hodilators, .steroids, .and .Abx. .ABG .was .normal .1 .hr .ago, .but .now .the .peak .airway .pr
essure .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? .- .(correct .answer) .-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.
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