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Exam (elaborations)

FPC / CFRN - Review Exam - Version B Questions and Answers (100% Pass)

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FPC / CFRN - Review Exam - Version B Questions and Answers (100% Pass)

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©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM




FPC / CFRN - Review Exam - Version B
Questions and Answers (100% Pass)


Myxedema coma is also known as...



A. Thyroid storm

B. Adrenal insufficiency

C. Hypothyroidism

D. Hyperaldosteronism - ✔️✔️Hypothyroidism

Most common presentation of a patient with hypothyroidism are all of the following,
Except...



A. Cold intolerance with coarse hair

B. Almost exclusively over the age of sixty

C. >90% of cases occur in the winter

D. Primarily in men - ✔️✔️Primarily in men



Hypothroidism occurs primarily in women, almost exclusively over the age of sixty, with
90% of the cases occurring in the winter months.

Your patient presents with following parameters: CVP 0, CI 1, PA S/D 8/4, wedge 3, and
SVR 1,800. What is your diagnosis?



1

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM




A. Hypovolemic shock

B. Right ventricular infarction

C. CHF

D. Sepsis - ✔️✔️Hypovolemic shock



Careful interpretation of the CVP is important!



Central venous pressure (CVP) describes the pressure of blood in the thoracic vena
cava, near the right atrium of the heart.



CVP reflects the amount of blood returning to the heart and the ability of the heart to
pump the blood into the arterial system.

Drug of choice for profound hypotension in septic shock is?



A. Isotonic crystalloid solution

B. Levophed

C. Nipride

D. Dobutamine - ✔️✔️Levophed



Sepsis is by far the most common cause of distributive shock.

The average normal ICP range is...




2

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM


A. 0-10 mmHg

B. 10-20 mmHg

C. 20-30 mmHg

D. >30 mmHg - ✔️✔️Normal ICP range is 0-10 mmHg, but range can go as high as 15
mmHg.

The formula to calculate MAP is



A. 2/3 DBP × SBP

B. 2 × DBP + SBP divided by 3

C. 2 × SBP + DBP

D. 2 + DBP × SBP divided by 3 - ✔️✔️2 × DBP + SBP / 3



(normal 80-100 mmHg)

Normal coronary perfusion pressure (CPP) is



A. 50-60 mmHg

B. 70-90 mmHg

C. 80-100 mmHg

D. <50 mmHg - ✔️✔️Normal 50-60 mmHg



Coronary perfusion pressure: (CPP) = DBP-PAWP




3

, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM


The patient presents with the following hemodynamic parameters: CVP 1, CI 1.7, PA
S/D 12/6, wedge 6, and SVR 300. Vital signs are 78/40, HR 60, RR 16, SaO2 98%. The
most likely cause is...



A. RVMI

B. Neurogenic shock

C. Septic shock

D. Hypovolemic shock - ✔️✔️Neurogenic shock



SVR < 800, think distributive shock. Next look at the CI; is it less than 2.5? Hypotension
and either a normal heart and/or bradycardia present narrows the type of distributive
shock as being neurogenic shock.

Severe hypothermic Pt's are at highest risk for which of the following rhythm?



A. A-Fib

B. Asystole

C. V-Fib

D. Sinus Brady - ✔️✔️V-Fib



Severe: 20-28 (coma, VF common)

The drug of choice for a patient exhibiting signs and symptoms of malignant
hyperthermia is:



A. Anectine



4

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