PFCCS EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || ALREADY GRADED A+

PFCCS EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || ALREADY GRADED A+ Primary Survey (ABCDE) - ANSWERAirway Breathing Circulation Disability Exposure Cardiac tamponade symptom - ANSWERmuffled heart sounds In an acutely poisoned patient, gastric lavage carries the lowest risk of what complication? - ANSWERhypernatremia Complications of gastric lavage - ANSWERAspiration Esophageal or gastric perforation desat during procedure hyponatremia water intoxication Which is the most important indicator for avoiding alveolar overdistention and barotrauma - ANSWERPeak inspiratory pressure With carbon monoxide poisoning, pulse ox reading should be interpreted how? - ANSWERHigher than the true value Infants presenting with cardiomegaly and cardiac shock symptoms should be started on what? - ANSWERProstaglandin E1 Greatest risk for iatrogenic injury or death during transport? - ANSWERCommunication errors? What bacteria can cause toxic shock syndrome - ANSWERStaphylococcus aureus and Streptococcus pyogenes What to assume child has if has fever and petechiae? How to treat it ? - ANSWERMeningococcemia TX: aggressive fluid resuscitation and Ax= cephalosporin What is the diagnostic test for bacterial meningitis ? - ANSWERCSF examination IT IS A MED EMERGENCY What is common in a pediatric patient who has hyponatremia - ANSWERSIADH Tx for symptomatic hyponatremia - ANSWER3% saline TX for hypernatremic dehydration - ANSWERisotonic fluids (0.9% NS) By how much can sodium levels safely change an hour - ANSWER0.5-1.0 mEq/L/h What to give hyperkalemic patient to stabilize myocardium - ANSWERCalcium gluconate Other interventions to move potassium intercellularly (hyperkalemia) - ANSWERInsulin/glucose sodium bicarb albuterol Hypocalcemia tx - ANSWER- Calcium gluconate - Calcium chloride ( CV line bc can cause tissue extravascation/necrosis) What steps are in the primary survey during Trauma - ANSWERABCDE airway, breathing, circulation, disability, and environment exposure Common life threats during trauma - ANSWERTension pneumothorax Open pneumothorax Massive hemothorax Tension pneumothorax IV - ANSWERneedle decompression then chest tube Open pneumothorax IV - ANSWER3 sided occlusive dressing then chest tube Massive hemothorax IV - ANSWERvolume resuscitation then chest tube most common shock in trauma - ANSWERhemorrhagic shock Pneumonic for possible cause of desaturations during trauma - ANSWERD: dislodgment of ett tube O: obstruction (kinked, pt biting tube etc) P: Tension pneumothorax E: equipment failure What is the rule of nines for pediatric patients under 15 - ANSWERLund Browder chart Signs of herniation in head trauma or seizure - ANSWERPupil is fixed and dilated leading cause of disability injury in children is - ANSWERhead trauma Signs of Shaken baby syndrome or Abusive head trauma includes - ANSWERBilateral Subdural Hematoma Retinal hemorrhages Altered LOC What is the most sensitive an specific test for TBI - ANSWERHead CT TX for active seizures - ANSWER1. benzos ( lorazepam)