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FCCS POST TEST BRAND NEW EXAM WITH 70 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) [ALREADY GRADED A+] $19.99   Add to cart
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FCCS POST TEST BRAND NEW EXAM WITH 70 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) [ALREADY GRADED A+]

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FCCS POST TEST BRAND NEW EXAM WITH 70 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) [ALREADY GRADED A+] A 56-year-old man presents to the emergency department with a three-day history of fever, shaking chills, cough, and sputum production. He was previously in good health an...

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  • August 29, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • FCCS POST
  • FCCS POST

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edwinnyamoita

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FCCS POST TEST BRAND NEW EXAM WITH 70

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) [ALREADY

GRADED A+]

A 56-year-old man presents to the emergency department with a

three-day history of fever, shaking chills, cough, and sputum

production. He was previously in good health and takes only

amlodipine for a history of hypertension. In the emergency

department, his heart rate is 130 beats/min, respiratory rate

32breaths/min, blood pressure 80/40 mm Hg, temperature 38.8°C

(102°F), and oxygen saturation 92% on 6 liters of oxygen by

nasal cannula. Pulmonary examination demonstrates crackles

and bronchial breath sounds in both lower lobes. A chest

radiograph shows multilobar consolidations. Although awake and

alert, he appears visibly distressed and has marked accessory

muscle use. Apart from antibiotics and resuscitation for sepsis,

,2|Page


which of the following is the next best step for management of his

respiratory failure?



A. Trial of noninvasive mechanical ventilation by face mask

B. Intubation and initiation of invasive mechani - B



A 56-year-old man is admitted to the ICU for pneumonia. He is

intubated, with the following settings: assist control, tidal volume

550 mL, respiratory rate 12 breaths/min, positive end-expiratory

pressure 5 cm H2O, FIO2 1.0. Vital signs are: temperature 38.7°C

(101.6°F), heart rate 122 beats/min, respiratory rate 20

breaths/min, blood pressure (BP) 88/46 mmHg, SpO2 97%. A

central venous line and arterial line have been placed. He has

been started on broad-spectrum antibiotics. Which of the following

is a clinical indicator that he would benefit from further fluid

resuscitation?



A. Heart rate persistently greater than 90 beats/min

, 3|Page


B. Passive leg raise resulting in at least 20% increase in systolic

BP

C. Urine output of less than 0.5 mL/kg/hour

D. Systolic BP less than 90 mm Hg - B



A 75-year-old man with a history of hypertension is evaluated in

the emergency department for nausea, vomiting, and abdominal

pain. He is lethargic but can answer questions appropriately. His

pulse is 130 beats/min, blood pressure 70/30 mm Hg, and

respiratory rate 28 breaths/min. On physical examination, he is

noted to have dry

mucous membranes, poor capillary refill, and a distended

abdomen with rebound tenderness. Arterial blood gas analysis

reveals: pH 7.32, PCO2 28 mmHg, PO2 74 mm Hg, bicarbonate

13 mmol/L. Serum lactate is 8.0 mEq/L. Which of the following

findings has been shown to correlate with a worse prognosis in a

patient with this clinical

picture?

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