PFCCS EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
Primary Survey (ABCDE) - ANS Airway
Breathing
Circulation
Disability
Exposure
Cardiac tamponade symptom - ANS muffled heart sounds
In an acutely poisoned patient, gastric lavage carries the lowest risk of what complication? -
ANS hypernatremia
Complications of gastric lavage - ANS Aspiration
Esophageal or gastric perforation
desat during procedure
hyponatremia
water intoxication
Which is the most important indicator for avoiding alveolar overdistention and barotrauma -
ANS Peak inspiratory pressure
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, With carbon monoxide poisoning, pulse ox reading should be interpreted how? - ANS Higher
than the true value
Infants presenting with cardiomegaly and cardiac shock symptoms should be started on what? -
ANS Prostaglandin E1
Greatest risk for iatrogenic injury or death during transport? - ANS Communication errors?
DIRECT stands for - ANS Detection
Intervention
Reassessment
Effective communication
Teamwork
Moderate sedation drug for hypotensive patient - ANS ketamine
Drugs to be avoided with hypotensive patients - ANS Versed
Ativan
pentobarbital
propofol
Patient in shock with 60 ml/kg on board, epi and dopamine. Next step for drug choice? -
ANS Nitroprusside b/c shorter half-life than milrinone and therefore more appropriate for
short-term use
Greatest risk of acquiring a nosocomial infection - ANS TPN through a central line
Obstruction of CSF symptoms - ANS Bradycardia
HTN
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 5
ANSWERS 2026 VERIFIED.
Primary Survey (ABCDE) - ANS Airway
Breathing
Circulation
Disability
Exposure
Cardiac tamponade symptom - ANS muffled heart sounds
In an acutely poisoned patient, gastric lavage carries the lowest risk of what complication? -
ANS hypernatremia
Complications of gastric lavage - ANS Aspiration
Esophageal or gastric perforation
desat during procedure
hyponatremia
water intoxication
Which is the most important indicator for avoiding alveolar overdistention and barotrauma -
ANS Peak inspiratory pressure
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 5
, With carbon monoxide poisoning, pulse ox reading should be interpreted how? - ANS Higher
than the true value
Infants presenting with cardiomegaly and cardiac shock symptoms should be started on what? -
ANS Prostaglandin E1
Greatest risk for iatrogenic injury or death during transport? - ANS Communication errors?
DIRECT stands for - ANS Detection
Intervention
Reassessment
Effective communication
Teamwork
Moderate sedation drug for hypotensive patient - ANS ketamine
Drugs to be avoided with hypotensive patients - ANS Versed
Ativan
pentobarbital
propofol
Patient in shock with 60 ml/kg on board, epi and dopamine. Next step for drug choice? -
ANS Nitroprusside b/c shorter half-life than milrinone and therefore more appropriate for
short-term use
Greatest risk of acquiring a nosocomial infection - ANS TPN through a central line
Obstruction of CSF symptoms - ANS Bradycardia
HTN
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 5
