FCCS PRETEST EXAM 2024 LATEST
UPDATED COMPLETE 150 QUESTIONS
WITH DETAILED VERIFIED AND 100%
CORRECT ANSWERS BRAND NEW
EXAM GRADED A+
45 year old male with AMS, redness on upper thigh and
scrotal area x 4 days (gangrenous); hx of poor controlled
DM
What is it?
How to treat? - ....ANSWER...Fournier's cellulitis
Tx: Surgery immediately, then beta lactam, clindamycin
(blocks toxin release), vanco
Breast cancer patient with dry mucus membranes; BP
88/40. White blood cells 1.1 (neutropenia); diagnosed with
neutropenia fever and sepsis, how to treat this patient? -
....ANSWER...1) get cultures
2) give broad spectrum ABs
Ekg changes of hyperkalemia, treatment? -
....ANSWER...Changes: Peaked T, sine wave, wide QRS
1
,Tx: Calcium gluconate 10%; CANDIK
Multiple myeloma treatment? - ....ANSWER...Fluids (3L)
Then lasix
Shock patient; after NE,fluids and vasopressin have been
given, what is our next choice if BP still low? -
....ANSWER...Hydrocortisone
DKA treatment? Once anion gap is closed, how does
patient move toward discharge? - ....ANSWER...Tx:
Insulin and fluids
Long acting insulin (glargine) and then can go off drop
BP 240/110, blood pressures are different in arm than leg
and CXR shows a wide meadiastinum; what is the
diagnosis? How to treat? - ....ANSWER...Diagnosis:
Aortic dissection
Tx: Beta blocker (labetalol)
Pregnancy, what lung values are lowered? Why? -
....ANSWER...Functional residual capacities, due to
compression by uterus
2
,15 month child choked; CXR shows hyperinflated right
lung, what is the diagnosis? - ....ANSWER...Right
mainstream bronchus obstruction d/t foreign body
aspiration
How to confirm intubation? - ....ANSWER...-Wave form
capnography
-End tidal CO2 monitoring
What is the most critical indicator of distress? -
....ANSWER...Tachypnea
What is the most important sign in a critically ill pt? Why?
- ....ANSWER...Tachypnea
A pt misses dialysis for a few days and comes in with fluid
overload. He's tachycardic 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 the dx? - ....ANSWER...Cardiac tamponade;
obstructive shock
3
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If a pt has a thyromental distance of 2 cm, what can you
expect about their airway? - ....ANSWER...Difficult
airway w/ an anteriorly displaced larynx
A COPD pt comes in with difficulty breathing. He then
becomes apneic and unresponsive. How would you
ventilate this pt? - ....ANSWER...BVM
A 75-year-old man with alcoholic cirrhosis develops upper
gastrointestinal bleeding on postoperative day two
following total knee arthroplasty. He has been started on a
proton pump inhibitor infusion. Four months ago, he
underwent endoscopic banding of esophageal varices.
Which of the following is the best medication to add to his
regimen until more definitive endoscopy can be
performed?
A. Protamine sulfate
B. Aminocaproic acid
C. Somatostatin
D. Tranexamic acid - ....ANSWER...C
2
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