FCCS Review Questions With All
1.
Correct Answers
What is the most important sign in a
Tachypnea
critically ill pt? Why?
Indicates metabolic
acido- sis w/ respiratory
alkalosis
2. A pt misses dialysis for a few days and comes compensation
in with fluid overload. He's tachycardic and
Cardiac tamponade;
tachypneic. On physical exam, you find JVD,
ob- structive shock
pulsus paradoxus (20 mmHg drop during
inspiration), and HoTN (80/40) with distant,
muffled heart sounds. Lungs are clear to aus-
cultation. What is the dx?
3. If a pt has a thyromental distance of 2 cm,
Diflcult airway w/ an
what can you expect about their airway?
ante- riorly displaced
4. A COPD pt comes in with difficulty breathing. larynx
He then becomes apneic and unresponsive.
BVM
How would you ventilate this pt?
5. A pt arrives after falling from a ladder and has a frontal Cerebral
edema/increas-
laceration. On examination, you find papilledema and ing ICP
labored breathing w/o being able to clear secretions.
What is your biggest concern when intubating this pt? Intubation
tends to cause
an increase in ICP.
Admin- ister lidocaine
prior to in- tubation to
inhibit vagal
stimulation.
6. An ESRD pt w/ hyperkalemia develops dyspnea and re-
1/
18
, FCCS Review Questions With All
Correct Answers
Succinylcholine
quires intubation. Which paralytic agent/NMB should
you avoid and Worsens hyperkalemia
why?
2/
18
, FCCS Review Questions With All
7. A Correct Answers
pt is admitted after an OD. He starts to have The pt is having ap-
apneic episodes and his SpO2 is dropping. You neic episodes, which
place him on a non-rebreather mask w/ 100% means that
O2, yet his SpO2 re- mains at 80%. Why is it administering high-
not being corrected? flow O2 will be inef-
fective.
Then, if you try a BVM and it also fails, and video laryn-
goscopy is unavailable, what is your next best Choose an LMA if the
choice for an airway? BVM fails.
8. What intervention improves outcomes with ROSC after Targeted
temperature
cardiac arrest? management.
32-36 C
9. A shunt means there is perfusion without Pneumonia
ventilation. What disease process is an
example of a shunt?
Acute hypercapnic respira-
10. Which type of respiratory failure occurs with tory failure --> mixed
CNS de- pression after an OD?
Auto-peep is the cause.
11. A 50 y/o pt is having a COPD exacerbation.
You have tried steroids, bronchodilators, etc. COPD pts have diflcul-
with no improve- ment. PCO2 is in the 90s, pH
is 7.20. You decide to in-
tubate. Vent settings are: VT 375, RR 20, FiO2 .35, PEEP ty exhaling -->
pressure
5. CXR is normal. A few minutes later, his BP gives auto-
drops to 70/40. Lungs are clear/equal. Vent peep of 15.
shows peak airway pressure of 55 (high) and
plateau pressure of 15. End expiratory hold What is the
cause of this
3/
18
1.
Correct Answers
What is the most important sign in a
Tachypnea
critically ill pt? Why?
Indicates metabolic
acido- sis w/ respiratory
alkalosis
2. A pt misses dialysis for a few days and comes compensation
in with fluid overload. He's tachycardic and
Cardiac tamponade;
tachypneic. On physical exam, you find JVD,
ob- structive shock
pulsus paradoxus (20 mmHg drop during
inspiration), and HoTN (80/40) with distant,
muffled heart sounds. Lungs are clear to aus-
cultation. What is the dx?
3. If a pt has a thyromental distance of 2 cm,
Diflcult airway w/ an
what can you expect about their airway?
ante- riorly displaced
4. A COPD pt comes in with difficulty breathing. larynx
He then becomes apneic and unresponsive.
BVM
How would you ventilate this pt?
5. A pt arrives after falling from a ladder and has a frontal Cerebral
edema/increas-
laceration. On examination, you find papilledema and ing ICP
labored breathing w/o being able to clear secretions.
What is your biggest concern when intubating this pt? Intubation
tends to cause
an increase in ICP.
Admin- ister lidocaine
prior to in- tubation to
inhibit vagal
stimulation.
6. An ESRD pt w/ hyperkalemia develops dyspnea and re-
1/
18
, FCCS Review Questions With All
Correct Answers
Succinylcholine
quires intubation. Which paralytic agent/NMB should
you avoid and Worsens hyperkalemia
why?
2/
18
, FCCS Review Questions With All
7. A Correct Answers
pt is admitted after an OD. He starts to have The pt is having ap-
apneic episodes and his SpO2 is dropping. You neic episodes, which
place him on a non-rebreather mask w/ 100% means that
O2, yet his SpO2 re- mains at 80%. Why is it administering high-
not being corrected? flow O2 will be inef-
fective.
Then, if you try a BVM and it also fails, and video laryn-
goscopy is unavailable, what is your next best Choose an LMA if the
choice for an airway? BVM fails.
8. What intervention improves outcomes with ROSC after Targeted
temperature
cardiac arrest? management.
32-36 C
9. A shunt means there is perfusion without Pneumonia
ventilation. What disease process is an
example of a shunt?
Acute hypercapnic respira-
10. Which type of respiratory failure occurs with tory failure --> mixed
CNS de- pression after an OD?
Auto-peep is the cause.
11. A 50 y/o pt is having a COPD exacerbation.
You have tried steroids, bronchodilators, etc. COPD pts have diflcul-
with no improve- ment. PCO2 is in the 90s, pH
is 7.20. You decide to in-
tubate. Vent settings are: VT 375, RR 20, FiO2 .35, PEEP ty exhaling -->
pressure
5. CXR is normal. A few minutes later, his BP gives auto-
drops to 70/40. Lungs are clear/equal. Vent peep of 15.
shows peak airway pressure of 55 (high) and
plateau pressure of 15. End expiratory hold What is the
cause of this
3/
18
