CLINICAL SIMULATION EXAM 2026 COMPREHENSIVE QUESTIONS AND FULL SOLUTION

CLINICAL SIMULATION EXAM 2026
COMPREHENSIVE QUESTIONS AND FULL
SOLUTION

◉ Treatment for Pneumothorax Answer: Needle decompression
Chest Tube
Hyperinflation Therapy


◉ Hemothorax CBC results? Answer: Decreased RBC, HCT, and Hb


◉ Treatment for Hemothorax Answer: Thoracentesis or Chest Tube
Oxygen
Hyperinflation therapy


◉ Treatment for Burning Patient or CO poisoning Answer: 100%
Oxygen
Hyperbaric Chamber
Isolation Room
Monitor ABG, Electrolytes, Fluids
Monitor Infection
Pulmonary Hygiene

,Bronchodilators


◉ ARDS Past Medical Hx Answer: Aspiration, Trauma, Drug
Overdose, Fluid Overload, Inhalation Toxins, and Irritants


◉ ARDS CXR Answer: Honeycomb or Ground glass


◉ ARDS Hemodynamics Answer: Increased PAP with normal PCWP


◉ Treatment for ARDS Answer: Underlying cause
CPAP/PEEP after 60%
Monitor Hemodynamics
Prone Positioning


◉ ARDSNet Protocol Answer: VT < 6ml/kg
Maintain plateau pressure < 30 cm H2O
Recruitment Manuvers


◉ Alternative modes for ARDS Answer: Inverse Ration
APRV
PRVC
HFV

, Permissive Hypercapnia
Pulmonary Vasodilators (INO)


◉ Monitoring for Neuromuscular Disorders Answer: VT
VC
MIP


◉ Myasthenia Gravis Patient Characteristics Answer: Mind to
ground
Dysphagia, General Weakness
Shallow Breathing
Diminished Breath sounds


◉ Special Tests for Myasthenia Gravis Answer: Edrophonium
(Tensolin)


◉ Medications for Myasthenia Gravis Answer: Neostigmine
(Prostigmin)
Pyridostigmine (Mestinon, Regonol)


◉ Treatment for Myasthenia Gravis Answer: Pulmonary Hygiene
Mechanical Ventilation