CFRN TESTED EXAM QUESTIONS
WITH VERIFIED ANSWERS ALL
CORRECT
Central cord syndrome - Answer-Greater motor weakness in upper extremities than
lower. Varying degrees of sensory loss.
Anterior cord syndrome - Answer-Complete motor, pain, and temperature loss below
the lesion with sparing proprioception, vibration, and touch.
SCIWORA syndrome - Answer-Spinal cord injury w/o radiographic abnormality
Tricyclic antidepressant antidote - Answer-Bicarb
Beta blocker antidote - Answer-Glucagon and symptom management. Will not respond
to atropine.
CCB antidote - Answer-Calcium gluconate or chloride
Digitalis toxicity - Answer-Yellow/green distortion, treat the electrolyte imbalance
Acetaminophen Toxicity Phases - Answer-1) 0-24 hrs: Asymptomatic or mild sx.
2) 18-72 hrs: Liver pain, n/v, tachy, oliguria
3) 72-96 hrs: phase 2 sx, plus jaundice, DIC, death
4) 4 days to 3 weeks: Complete resolution of sx and damage
Acetaminophen OD treatment - Answer-Mucomyst - give in first 8-12 hours
ASA toxicity phases - Answer-1) 0-12 hrs: Hyperventilation with respiratory alkalosis.
N/V, diaphoresis, and tinnitus.
2) 12-24 hrs: More of the same, urine becomes acidic
3) 24 hrs: Dehydration, hypokalemia, metabolic acidosis
Also: Hyperactivity, hallucinations, depressed DTRs, profound hypocalcemia.
Signs of basilar skull fracture? - Answer-CSF rhinorrhea, CSF otorrhea, cranial nerve
palsy for V, VI, and VII, battle's sign, raccoon eyes
, ASA OD tx - Answer-Bicarb
Cyanide antidote - Answer-amyl nitrate, sodium thiosulfate, hydroxocobalman
Organophosphates antidote - Answer-Atropine
Anticholinergic antidote - Answer-physostigmine
Coumadin antidote - Answer-Vitamin K, FFP
Heparin antidote - Answer-Protamine sulfate
Stages of labor - Answer-1st: Cervical dilation and effacement
2nd: Crowning to birth of baby
3rd: Delivery of placenta
What is the single most important predictor of fetal well-being? - Answer-Variability /
fetal heart rate accelerations.
Most harmful decelerations? - Answer-Late decelerations
Most dangerous pattern to see on FHR monitoring strips? - Answer-Sinusoidal
Best anti-hypertensive medications in pregnancy? - Answer-Hydralizine (#1) and
Labetalol (#2)
Placenta previa sx? - Answer-Painless severe bleeding
Placenta abruption sx? - Answer-Ripping or tearing pain with dark red or no blood
Uterine abruption sx? - Answer-Similar to placental abruption
Mauriceau's maneuver? - Answer-Suprapubic pressure to deliver the head in a breech
delivery.
Low and normal BP calculations for peds? - Answer-Low = 70 + (2 x age), normal = 90
+ (2 x age)
APGAR categories? - Answer-Appearance (blue, acrocyanosis, pink)
Pulse (absent, <100, >100)
Grimace (absent, weak cry and grimace, vigorous cry/cough/sneeze)
Activity (flaccid/limp, some flexion, good flexion), Respirations (absent,
slow/irregular/weak cry, good cry)
WITH VERIFIED ANSWERS ALL
CORRECT
Central cord syndrome - Answer-Greater motor weakness in upper extremities than
lower. Varying degrees of sensory loss.
Anterior cord syndrome - Answer-Complete motor, pain, and temperature loss below
the lesion with sparing proprioception, vibration, and touch.
SCIWORA syndrome - Answer-Spinal cord injury w/o radiographic abnormality
Tricyclic antidepressant antidote - Answer-Bicarb
Beta blocker antidote - Answer-Glucagon and symptom management. Will not respond
to atropine.
CCB antidote - Answer-Calcium gluconate or chloride
Digitalis toxicity - Answer-Yellow/green distortion, treat the electrolyte imbalance
Acetaminophen Toxicity Phases - Answer-1) 0-24 hrs: Asymptomatic or mild sx.
2) 18-72 hrs: Liver pain, n/v, tachy, oliguria
3) 72-96 hrs: phase 2 sx, plus jaundice, DIC, death
4) 4 days to 3 weeks: Complete resolution of sx and damage
Acetaminophen OD treatment - Answer-Mucomyst - give in first 8-12 hours
ASA toxicity phases - Answer-1) 0-12 hrs: Hyperventilation with respiratory alkalosis.
N/V, diaphoresis, and tinnitus.
2) 12-24 hrs: More of the same, urine becomes acidic
3) 24 hrs: Dehydration, hypokalemia, metabolic acidosis
Also: Hyperactivity, hallucinations, depressed DTRs, profound hypocalcemia.
Signs of basilar skull fracture? - Answer-CSF rhinorrhea, CSF otorrhea, cranial nerve
palsy for V, VI, and VII, battle's sign, raccoon eyes
, ASA OD tx - Answer-Bicarb
Cyanide antidote - Answer-amyl nitrate, sodium thiosulfate, hydroxocobalman
Organophosphates antidote - Answer-Atropine
Anticholinergic antidote - Answer-physostigmine
Coumadin antidote - Answer-Vitamin K, FFP
Heparin antidote - Answer-Protamine sulfate
Stages of labor - Answer-1st: Cervical dilation and effacement
2nd: Crowning to birth of baby
3rd: Delivery of placenta
What is the single most important predictor of fetal well-being? - Answer-Variability /
fetal heart rate accelerations.
Most harmful decelerations? - Answer-Late decelerations
Most dangerous pattern to see on FHR monitoring strips? - Answer-Sinusoidal
Best anti-hypertensive medications in pregnancy? - Answer-Hydralizine (#1) and
Labetalol (#2)
Placenta previa sx? - Answer-Painless severe bleeding
Placenta abruption sx? - Answer-Ripping or tearing pain with dark red or no blood
Uterine abruption sx? - Answer-Similar to placental abruption
Mauriceau's maneuver? - Answer-Suprapubic pressure to deliver the head in a breech
delivery.
Low and normal BP calculations for peds? - Answer-Low = 70 + (2 x age), normal = 90
+ (2 x age)
APGAR categories? - Answer-Appearance (blue, acrocyanosis, pink)
Pulse (absent, <100, >100)
Grimace (absent, weak cry and grimace, vigorous cry/cough/sneeze)
Activity (flaccid/limp, some flexion, good flexion), Respirations (absent,
slow/irregular/weak cry, good cry)
