FCCS pre-test Questions and Correct Answers & Latest Updated
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Course
FCC
Institution
FCC
A 76-year-old woman with a history of congestive heart failure and hypertension is
admitted with altered mental status and mild upper respiratory symptoms. According to
family, her mental status has been gradually declining over the past 3 days. Because of
generalized weakness and upper respi...
Hg; respiratory rate, 14 breaths/min; and oxygen saturation, 98% on room air. Other
findings included dry mucous membranes, poor skin turgor, and the absence of jugular
venous distention. Pulmonary examination is clear on auscultation. She opens her eyes to
voice, but mumbles incomprehensible sounds and has generali
o :## B. Hypertonic (3%) saline, 100 mL for rapid early correction, with goal serum sodium of
118 mEq/L in 24 hours
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 pt management
A. ST segment depression
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
, 2|Page: 2024/2025 Grade A+
B. ST segment elevation
C. T wave inversions
D. Peaked T waves
o :## B. ST segment elevation
A 72-year-old man presents to the emergency department with congestive heart failure
exacerbation. He is awake and alert but in distress. He is using accessory respiratory muscles
and says it is hard to breathe. His vitals signs are: heart rate, 120 beats/min; blood pressure,
120/80 mm Hg; respiratory rate, 34 breaths/min; and oxygen saturation, 90% on 8 L of
oxygen by simple face mask. Physical examination reveals bilateral lower extremity edema
and crackles in the posterior lung fields. A chest radiograph demonstrates bilateral fluffy
infiltrates consistent with pulmonary edema. Arterial blood gas analysis demonstrates: pH
7.30, PCO2 50 mm Hg, and PO2 64 mm Hg. In addition to diuresis, which of the following is
the best next step in this patient's management?
A. Intubate and initiate invasive mechanical ventilation
B. Initiate noninvasive positive pressure ventilation
C. Switch to nonrebreather oxygen mask
D. Swi
o :## B noninvasive positive pressure ventilation
A 27-year-old man is admitted to the ICU with a subarachnoid hemorrhage after a motor
vehicle crash. On examination, his initial Glasgow Coma Scale score was 8 with labored
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
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