FCCS COMPREHENSIVE TEST PAPER
WITH SOLVED QUESTIONS
◉ A pt has obstructive uropathy. A catheter is placed d/t the
obstructive kidney injury. After the cath is placed, he has massive
diuresis to the point where he is hypotensive, tachy, and lactate is
2x the ULN from decreased perfusion.
How would you correct this?
Answer: Fluids - LR
◉ When treating hyponatremia, what is the first thing to assess?
When do you give 3% NaCl?
How do you correct it?
Answer: 1. fluid status
2. seizures or changes in mental status
3. slowly, 8-12 meq over 24 hr
◉ What are the classifications of hemorrhagic shock?
Answer: I: <15%; HR <100, BP normal, RR normal
II: 15-30%; HR >100, BP normal, RR 20-30
, III: 30-40%; HR >120, BP low, RR 30-40
IV: >40%; HR >140, BP low, RR >40
◉ An 84 y/o pt fell down the stairs. He is moaning and crying. He
has a C-collar in place. His neck is painful and he has bruising on
his face. He is tachy but BP is okay. You administer 2L O2 bc SpO2
was 92%. Shortly after he deteriorates, becoming altered and then
comatose. His left pupil > the right. He is herniating from cerebral
edema.
How do you treat him?
Answer: Intubate and ventilate, maintaining c-spine precautions.
Administer mannitol.
◉ A pt comes in with several cardiovascular RFs: elderly, DM, and
HTN. He is having chest pain, SOB, and is diaphoretic. What
diagnosis do you need to re-perfuse him immediately?
Answer: STEMI
◉ What is the most appropriate management for both STEMI and
non-STEMI?
nitro if bp >80
morphine q 30 min
bb
oxygen if sats are <94%
WITH SOLVED QUESTIONS
◉ A pt has obstructive uropathy. A catheter is placed d/t the
obstructive kidney injury. After the cath is placed, he has massive
diuresis to the point where he is hypotensive, tachy, and lactate is
2x the ULN from decreased perfusion.
How would you correct this?
Answer: Fluids - LR
◉ When treating hyponatremia, what is the first thing to assess?
When do you give 3% NaCl?
How do you correct it?
Answer: 1. fluid status
2. seizures or changes in mental status
3. slowly, 8-12 meq over 24 hr
◉ What are the classifications of hemorrhagic shock?
Answer: I: <15%; HR <100, BP normal, RR normal
II: 15-30%; HR >100, BP normal, RR 20-30
, III: 30-40%; HR >120, BP low, RR 30-40
IV: >40%; HR >140, BP low, RR >40
◉ An 84 y/o pt fell down the stairs. He is moaning and crying. He
has a C-collar in place. His neck is painful and he has bruising on
his face. He is tachy but BP is okay. You administer 2L O2 bc SpO2
was 92%. Shortly after he deteriorates, becoming altered and then
comatose. His left pupil > the right. He is herniating from cerebral
edema.
How do you treat him?
Answer: Intubate and ventilate, maintaining c-spine precautions.
Administer mannitol.
◉ A pt comes in with several cardiovascular RFs: elderly, DM, and
HTN. He is having chest pain, SOB, and is diaphoretic. What
diagnosis do you need to re-perfuse him immediately?
Answer: STEMI
◉ What is the most appropriate management for both STEMI and
non-STEMI?
nitro if bp >80
morphine q 30 min
bb
oxygen if sats are <94%
