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ACCS Review Practice Exam 2024 with 100% Verified solutions| Rated A+
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ACCS Review Practice Exam 2024 with100% Verified solutions| Rated A+
A 57 year old male is admitted to the ICU with chest pain radiating down his left arm. Which of the
following lab tests would best confirm the diagnosis of myocardial infarction?
A. PvO2
B. Phosphate
C. Troponin
D. Lactate - ✔✔C. Troponin
A 67 year old male with chest pain and shortness of breath is placed on a cardiac monitor in the
intensive care unit. The following rhythm is observed on the monitor - what is the correct interpretation
of a 3rd degree AV block? - ✔✔No PR interval
Describe a 2nd degree AV block - ✔✔P wave longer and skips a beat
Describe a Multifocal PVC - ✔✔it's unidentifiable = treat with O2 and amiodarone
,Which of the following tests should the adult critical care specialist recommend in order to confirm the
diagnosis of pulmonary artery hypertension?
A. pulmonary functions tests
B. high resolution CT scan
C. Right heart catheterization
D. Six minute walk test - ✔✔C. Right heart catheterization
A 76 y.o. male presents to the ED with shortness of breath. Upon entering the room the adult critical
care specialist determines that the patient is alert and anxious on oxygen at 5L/min by nasal cannula. He
is seated in the tripod position and using accessory muscles to breathe. He has audible crackles
bilaterally, jugular venous distension, and +2 peripheral edema. The following patient data is obtained:
HR 110/min
RR 31/min
BP 154/92 mmHg
Spo2 90%
Which of the following tests should the specialist recommend to confirm a suspicion of congestive heart
failure?
A. troponin
B. brain natriuretic peptide
C. magnesium level
,D. MB fraction of creatinine phosphokinase - ✔✔B. Brain natriuretic peptide
The adult critical care specialist assigned to the cardiovascular intensive care unit hears an alarm sound
in Room 4. Upon entering the room, the specialist notes that the pulmonary artery pressure tracing is
dampened. The specialist should: - ✔✔flush the catheter
* dampening means it's wet and not reading
Mrs. Smith is in her third postoperative day following repair of fractured hip. A chest radiograph
obtained tis morning reveals a left lower lobe infiltrate. Patient assessment data includes:
Temp: 102*F (39*C)
HR 100, RR 24, Sat 92%, BP 90/70
RBC 4, Hb 11
Hct 39, WBC 20000, Platelets 250,000
What therapy should the specialist recommend?
A. anti-infective agent
B. beta agonist aerosol
C. sustained maximal inspiration
D. oral expectorant - ✔✔A. anti-infective agent
, A mildly obese 48 year old female presented to the ED complaining of chest discomfort. She denied any
cough, fever, night seats, or weight loss. Her physical examination revealed: Temp 37.8*C, HR 100, RR
14, BP 110/70. She reported that she had a transthoracic echocardiogram two days previously that
demonstrated a positive bubble study and an estimated peak pulmonary arterial systolic pressure of 59.
Chest examination revealed bilateral vesicular breath sounds and resonance to percussion. Cardiac
examination revealed a regular rhythm with normal heart sounds and no murmurs or pericardial friction
rub. The abdomen was soft, non-tender, an without hepatosplenomegaly. There was no cyanosis,
clubbing or edema. The specialist should recommend initial therapy for.
A. a left to right cardiac shunt
B. refractory hypoxemia
C. increased system vascular resistance
D. pulmonary arterial hypertension. - ✔✔D. pulmonary arterial hypertension
A 17 year old male is admitted to the ED after a MVA in which he sustained blunt chest trauma. While
being transported to radiology, he complains of shortness of breath and severe chest pain. The adult
critical care specialist is asked to assess the patient. The following CT image shows increased aeration on
the left side, the specialist should recommend: - ✔✔insertion of a left chest tube
A 66 year old woman presents to the ED with shortness of breath. She appears alert and anxious on
oxygen via nasal cannula at 5L/min. She is seated in the tripod position and using accessory muscles to
breathe. Further assessment reveals bilateral audible crackles, jugular venous distension and +3
peripheral edema. The following patient data is available:
HR 110, RR 31, BP 154/92, Spo2 90%, BNP 1100 (Brain Natriuretic Peptide)
The specialist should recommend initiation of therapy for - ✔✔Congestive heart failure
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