CCFP Final Exam Study Guide Questions
with Answers 100% Solved
Pg 207
Describe septic shock Shock caused by severe infection, usually a bacterial, fungal or
viral infection.
Recognition: 2 or more of the following
AMS
SBP less than or equal to 100mmHG—MAP greater than or equal to 65mmHg
RR greater than 22
Serum lactate greater than 2mmol/L
Describe neurogenic shock Occurs with SCI results in the loss of SNS control of vascular
tone, which produces venous and arterial vasodilation.
Relaxed vagal tone below the injury.
,Describe anaphylaxis acute systemic allergic reaction that results from the release of
chemical mediators after an antigen antibody reaction
S/S: Increased HR, decreased BP, warm/hot flushed skin, bronchoconstriction, laryngeal edema,
angioedema, airway compromise
Describe cardiogenic shock Hypotension caused by cardiac failures that causes a failure
of perfusion of the vital organs.
Mi with LV failure is the most common cause.
o Low BP, AMS, low urine output=classic signs.
o Reduced CI (<1.8Lmin/m2 without <3 support), (<2.2Lmin/m2 with <3 support) SBP 80-90
for >30min, MAP 30mmHg below baseline or less than 65, AMS, low SBP, cool, pale,
diaphoretic, tachypnea
Describe Obstructive shock Obstruction to cardiovascular flow resulting in impaired
diastolic filling or significantly increase in after load.
,What are common causes of Obstructive Shock? o PE: PT history (major trauma, surgery,
lower limb fractures, joint replacement, spinal cord injury and cancer). Dyspnea, pleuritic chest
pain and cough most common 3. Fluid + Vasopressors = shock treatment
o Cardiac tamponade: blood or effusion accumulates in the closed and relatively noncompliant
pericardial sac (BECKS triad)
o Tension pneumothorax: complete collapse of one or both lungs with compression on the
mediastinal vessels and organs
What are the criteria for NCD? · Tension pneumothorax
What are some medical causes of hypotension o Sepsis/septic shock
o Dehydration
o Vagal stimulation
o Parasympathetic stimulation
oIntubation(induction agents)
o Cardiogenic shock
Trauma usually causes this kind of shock Hemorrhagic shock
, What is the criteria for pericardiocentesis? · Cardiac tamponade
o Non refractory to aggressive fluid resuscitation
· Becks triad S/S
Who is responsible for all aspects of safe aircraft operation IAW FAA regulations The
PIC (Pilot in command)
What is the definition of a sterile cockpit. · No talking over intercom system during
critical phases of flight
o Taxi
o Takeoff
o Landing
o Everything but cruising
Pg 107
In a forward facing seat equipped with shoulder straps what is the designated crash position?
They should hold the arms across the chest forming an x with the forearms and grasping
the shoulder harness
with Answers 100% Solved
Pg 207
Describe septic shock Shock caused by severe infection, usually a bacterial, fungal or
viral infection.
Recognition: 2 or more of the following
AMS
SBP less than or equal to 100mmHG—MAP greater than or equal to 65mmHg
RR greater than 22
Serum lactate greater than 2mmol/L
Describe neurogenic shock Occurs with SCI results in the loss of SNS control of vascular
tone, which produces venous and arterial vasodilation.
Relaxed vagal tone below the injury.
,Describe anaphylaxis acute systemic allergic reaction that results from the release of
chemical mediators after an antigen antibody reaction
S/S: Increased HR, decreased BP, warm/hot flushed skin, bronchoconstriction, laryngeal edema,
angioedema, airway compromise
Describe cardiogenic shock Hypotension caused by cardiac failures that causes a failure
of perfusion of the vital organs.
Mi with LV failure is the most common cause.
o Low BP, AMS, low urine output=classic signs.
o Reduced CI (<1.8Lmin/m2 without <3 support), (<2.2Lmin/m2 with <3 support) SBP 80-90
for >30min, MAP 30mmHg below baseline or less than 65, AMS, low SBP, cool, pale,
diaphoretic, tachypnea
Describe Obstructive shock Obstruction to cardiovascular flow resulting in impaired
diastolic filling or significantly increase in after load.
,What are common causes of Obstructive Shock? o PE: PT history (major trauma, surgery,
lower limb fractures, joint replacement, spinal cord injury and cancer). Dyspnea, pleuritic chest
pain and cough most common 3. Fluid + Vasopressors = shock treatment
o Cardiac tamponade: blood or effusion accumulates in the closed and relatively noncompliant
pericardial sac (BECKS triad)
o Tension pneumothorax: complete collapse of one or both lungs with compression on the
mediastinal vessels and organs
What are the criteria for NCD? · Tension pneumothorax
What are some medical causes of hypotension o Sepsis/septic shock
o Dehydration
o Vagal stimulation
o Parasympathetic stimulation
oIntubation(induction agents)
o Cardiogenic shock
Trauma usually causes this kind of shock Hemorrhagic shock
, What is the criteria for pericardiocentesis? · Cardiac tamponade
o Non refractory to aggressive fluid resuscitation
· Becks triad S/S
Who is responsible for all aspects of safe aircraft operation IAW FAA regulations The
PIC (Pilot in command)
What is the definition of a sterile cockpit. · No talking over intercom system during
critical phases of flight
o Taxi
o Takeoff
o Landing
o Everything but cruising
Pg 107
In a forward facing seat equipped with shoulder straps what is the designated crash position?
They should hold the arms across the chest forming an x with the forearms and grasping
the shoulder harness
