ACCS REVIEW PRACTICE
EXAM (ACTUAL QUESTIONS
AND VERIFIED ANSWERS)
Average urine output per hour is approximately?
40 ml
According to the berlin criteria, a pa;ent is classified with severe ards when his
pao2/fio2 ra;o is?
Less than 100
A pa;ent is admiBed to the ed with a possible cva. Which diagnos;c test is
most appropriate for iden;fica;on of an acute cerebral infarc;on?
Ct scan: checks chest, abdomen and brain (2-3 dimensions)
Cerebral angiography
Measures abnormal cerebral circula;on
Pet scan
Checks for cancer, brain disorders and heart diseases
A pa;ent has been intubated in the ed and has a end ;dal co2 reading of 4%.
The specialist should suspect that the:
a. Pa;ent has a pulmonary embolus
b. Et tube is in the correct posi;on
c. Et tube is in the esophagus
d. Et tube is in the right main stem bronchus
B. Et tube is in the correct posi;on
*etco2 will be > if in the esophagus
,Post-opera;vely, mr. Hart has a 2-3 mm st segment eleva;on on his 12 lead
electrocardiograph. This is indica;ve of
Myocardial injury
Which of the following would most accurately provide necessary informa;on
regarding fluid management in the care of a cri;cally ill pa;ent with pulmonary
edema?
A. Bedside pX
b. Intake and output measurements
c. Daily weights
d. Pulmonary artery catheter
D. Pulmonary artery catheter
A pa;ent who was struck in the head with a blunt object is recovering in the
icu. He is angry, comba;ve, and irritable. He opens his eyes, grunts, and
withdraws when the sole of his foot is s;mulated with a sharp object. What is
his score on the glasgow coma scale?
8
Chest radiograph changes associated with conges;ve heart failure include:
1. Bilateral radiolucency
2. Increased pulmonary vasculature
3. Cardiomegaly
a. 1 & 2 only
b. 2&3 only
c. 1& 3 only
d. All of the above
,B. 2 & 3
1 is normal
2 and 3 indicates chf
A 57 year old male is admiBed to the icu with chest pain radia;ng down his leX
arm. Which of the following lab tests would best confirm the diagnosis of
myocardial infarc;on?
A. Pvo2
b. Phosphate
c. Troponin
d. Lactate
C. Troponin
A 67 year old male with chest pain and shortness of breath is placed on a
cardiac monitor in the intensive care unit. The following rhythm is observed on
the monitor - what is the correct interpreta;on of a 3rd degree av block?
No pr interval
Describe a 2nd degree av block
P wave longer and skips a beat
Describe a mul;focal pvc
It's uniden;fiable = treat with o2 and amiodarone
Which of the following tests should the adult cri;cal care specialist recommend
in order to confirm the diagnosis of pulmonary artery hypertension?
A. Pulmonary func;ons tests
b. High resolu;on ct scan
, c. Right heart catheteriza;on
d. Six minute walk test
C. Right heart catheteriza;on
A 76 y.o. Male presents to the ed with shortness of breath. Upon entering the
room the adult cri;cal care specialist determines that the pa;ent is alert and
anxious on oxygen at 5l/min by nasal cannula. He is seated in the tripod
posi;on and using accessory muscles to breathe. He has audible crackles
bilaterally, jugular venous distension, and +2 peripheral edema. The following
pa;ent data is obtained:
hr 110/min
rr 31/min
bp 154/92 mmhg
spo2 90%
which of the following tests should the specialist recommend to confirm a
suspicion of conges;ve heart failure?
A. Troponin
b. Brain natriure;c pep;de
c. Magnesium level
d. Mb frac;on of crea;nine phosphokinase
B. Brain natriure;c pep;de
The adult cri;cal care specialist assigned to the cardiovascular intensive care
unit hears an alarm sound in room 4. Upon entering the room, the specialist
notes that the pulmonary artery pressure tracing is dampened. The specialist
should:
EXAM (ACTUAL QUESTIONS
AND VERIFIED ANSWERS)
Average urine output per hour is approximately?
40 ml
According to the berlin criteria, a pa;ent is classified with severe ards when his
pao2/fio2 ra;o is?
Less than 100
A pa;ent is admiBed to the ed with a possible cva. Which diagnos;c test is
most appropriate for iden;fica;on of an acute cerebral infarc;on?
Ct scan: checks chest, abdomen and brain (2-3 dimensions)
Cerebral angiography
Measures abnormal cerebral circula;on
Pet scan
Checks for cancer, brain disorders and heart diseases
A pa;ent has been intubated in the ed and has a end ;dal co2 reading of 4%.
The specialist should suspect that the:
a. Pa;ent has a pulmonary embolus
b. Et tube is in the correct posi;on
c. Et tube is in the esophagus
d. Et tube is in the right main stem bronchus
B. Et tube is in the correct posi;on
*etco2 will be > if in the esophagus
,Post-opera;vely, mr. Hart has a 2-3 mm st segment eleva;on on his 12 lead
electrocardiograph. This is indica;ve of
Myocardial injury
Which of the following would most accurately provide necessary informa;on
regarding fluid management in the care of a cri;cally ill pa;ent with pulmonary
edema?
A. Bedside pX
b. Intake and output measurements
c. Daily weights
d. Pulmonary artery catheter
D. Pulmonary artery catheter
A pa;ent who was struck in the head with a blunt object is recovering in the
icu. He is angry, comba;ve, and irritable. He opens his eyes, grunts, and
withdraws when the sole of his foot is s;mulated with a sharp object. What is
his score on the glasgow coma scale?
8
Chest radiograph changes associated with conges;ve heart failure include:
1. Bilateral radiolucency
2. Increased pulmonary vasculature
3. Cardiomegaly
a. 1 & 2 only
b. 2&3 only
c. 1& 3 only
d. All of the above
,B. 2 & 3
1 is normal
2 and 3 indicates chf
A 57 year old male is admiBed to the icu with chest pain radia;ng down his leX
arm. Which of the following lab tests would best confirm the diagnosis of
myocardial infarc;on?
A. Pvo2
b. Phosphate
c. Troponin
d. Lactate
C. Troponin
A 67 year old male with chest pain and shortness of breath is placed on a
cardiac monitor in the intensive care unit. The following rhythm is observed on
the monitor - what is the correct interpreta;on of a 3rd degree av block?
No pr interval
Describe a 2nd degree av block
P wave longer and skips a beat
Describe a mul;focal pvc
It's uniden;fiable = treat with o2 and amiodarone
Which of the following tests should the adult cri;cal care specialist recommend
in order to confirm the diagnosis of pulmonary artery hypertension?
A. Pulmonary func;ons tests
b. High resolu;on ct scan
, c. Right heart catheteriza;on
d. Six minute walk test
C. Right heart catheteriza;on
A 76 y.o. Male presents to the ed with shortness of breath. Upon entering the
room the adult cri;cal care specialist determines that the pa;ent is alert and
anxious on oxygen at 5l/min by nasal cannula. He is seated in the tripod
posi;on and using accessory muscles to breathe. He has audible crackles
bilaterally, jugular venous distension, and +2 peripheral edema. The following
pa;ent data is obtained:
hr 110/min
rr 31/min
bp 154/92 mmhg
spo2 90%
which of the following tests should the specialist recommend to confirm a
suspicion of conges;ve heart failure?
A. Troponin
b. Brain natriure;c pep;de
c. Magnesium level
d. Mb frac;on of crea;nine phosphokinase
B. Brain natriure;c pep;de
The adult cri;cal care specialist assigned to the cardiovascular intensive care
unit hears an alarm sound in room 4. Upon entering the room, the specialist
notes that the pulmonary artery pressure tracing is dampened. The specialist
should:
