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2023 FCCS REVIEW POST TEST EXAM QUESTIONS AND CORRECT ANSWERS
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2023 FCCS REVIEW POST TEST EXAM QUESTIONS AND CORRECT ANSWERS
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2023 FCCS REVIEW POST TEST EXAM QUESTIONS AND CORRECT ANSWERS What is the most important sign in a critically ill pt? Why? - ANS ✔✔✔ Tachypnea Indicates metabolic acidosis w/ respiratory alkalosis compensation 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 ausculta tion. What is the dx? - ANS ✔✔✔ Cardiac tamponade; obstructive shock If a pt has a thyromental distance of 2 cm, what can you expect about their airway? - ANS ✔✔✔ Difficult airway w/ an anteriorly displaced larynx A COPD pt comes in with difficulty breathi ng. He then becomes apneic and unresponsive. How would you ventilate this pt? - ANS ✔✔✔ BVM A pt arrives after falling from a ladder and has a frontal laceration. On examination, you find papilledema and labored breathing w/o being able to clear secretions . What is your biggest concern when intubating this pt? - ANS ✔✔✔ Cerebral edema/increasing ICP Intubation tends to cause an increase in ICP. Administer lidocaine prior to intubation to inhibit vagal stimulation. An ESRD pt w/ hyperkalemia develops dyspne a and requires intubation. Which paralytic agent/NMB should you avoid and why? - ANS ✔✔✔ Succinylcholine Worsens hyperkalemia A pt is admitted after an OD. He starts to have apneic episodes and his SpO2 is dropping. You place him on a non-rebreather mask w/ 100% O2, yet his SpO2 remains at 80%. Why is it not being corrected? Then, if you try a BVM and it also fails, and video laryng oscopy is unavailable, what is your next best choice for an airway? - ANS ✔✔✔ The pt is having apneic episodes, which means that administering high -flow O2 will be ineffective. Choose an LMA if the BVM fails.The benefits of buying summaries with Stuvia:
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