ACCS Exam questions with answers

ACCS Exam questions with answers |\ |\ |\ |\




The four critical life functions - CORRECT ANSWERS ✔✔1.
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Ventilation
2. Oxygenation
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3. Circulation
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4. Perfusion
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How is ventilation assessed - CORRECT ANSWERS ✔✔RR, Vt,
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chest movement, breath sounds, ETCO2, PaCO2
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How is oxygenation assessed - CORRECT ANSWERS ✔✔HR, color,
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sensorium, SpO2, PaO2 |\ |\




How is circulation assessed - CORRECT ANSWERS ✔✔HR and
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strength, cardiac output |\ |\




Perfusion - CORRECT ANSWERS ✔✔BP, sensorium, temp, urine
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output, hemodynamics |\




How to prioritize life functions during an emergency - CORRECT
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ANSWERS ✔✔1. Ventilation 2. Oxygenation 3. Circulation 4.
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Perfusion


Of the life functions, the most common problem is... - CORRECT
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ANSWERS ✔✔Oxygenation |\

,Pack per day formula - CORRECT ANSWERS ✔✔# packs/per day x
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# of years smoked, 20 cigarettes in a pack
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Normal urine output - CORRECT ANSWERS ✔✔40-80 mL/hr or 1-2
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L/day


Sensible water loss - CORRECT ANSWERS ✔✔Urine, vomiting
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Insensible water loss - CORRECT ANSWERS ✔✔From lungs and
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skin


Sensible vs insensible water loss - CORRECT ANSWERS
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✔✔Sensible water loss are typical routes of excretion, insensible
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less so |\




If fluid intake exceeds output then... - CORRECT ANSWERS
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✔✔Weight gain, electrolyte imbalance, increased hemodynamic
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pressures, decreased lung compliance |\ |\ |\




Decreased CVP (<2 mmHg) - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\


✔✔Hypovolemia, treat with fluid challenge |\ |\ |\ |\




Increased CVP (>6 mmHg) - CORRECT ANSWERS
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✔✔Hypervolemia, treat with diuretics |\ |\ |\

,levels of consciousness (LOC) or sensorium - CORRECT ANSWERS
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✔✔1. Alert and responsive
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2. Lethargic/somnolent/sleepy - Arouses easily, responds
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appropriately when aroused (drug overdose or sleep apnea) |\ |\ |\ |\ |\ |\ |\




3. Stuporous/confused - Does not awaken completely, responds
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to pain (drug overdose, intoxication)
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4. Semicomatose - Respond only to painful stimuli
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5. Obtunded - Awakens only with difficulty, may be unable to
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protect airway |\




6. Come - Does not respond to painful stimuli
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Glascow Coma Scale (GCS) - CORRECT ANSWERS ✔✔
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Assess the emotional state - CORRECT ANSWERS ✔✔1.
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Anxiety/nervousness - Asthma, resp distress, hypoxemia
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2. Depressed
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3. Anger/combative/irritable - Electrolyte imbalance
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4. Euphoria - Drug overdose
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5. Panic - Pneumothorax, hypoxia, status asthmaticus
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Grades of Dyspnea - CORRECT ANSWERS ✔✔Grade 1- dyspnea
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after unusual exertion
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Grade 2- breathlessness after hills or stairs
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Grade 3- dyspnea while walking at normal speed
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Grade 4- dyspnea slowly walking short distance
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Grade 5- dyspnea at rest, shaving, dressing
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, Types of syncope - CORRECT ANSWERS ✔✔1. Vasovagal
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2. Orthostatic hypotension
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3. Cartoid sinus - hypersensitive cartoid sinus, more common in
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elderly
4. Cough/tussive
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FUO - CORRECT ANSWERS ✔✔fever of unknown origin (poss
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sepsis)


Normal adult HR - CORRECT ANSWERS ✔✔60-100 bpm
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Normal adult RR - CORRECT ANSWERS ✔✔12-20 breaths/min
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Normal adult temperature - CORRECT ANSWERS ✔✔97-99.5 F or
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36.5 - 37.5 C|\ |\ |\




Normal adult BP - CORRECT ANSWERS ✔✔120/80 mmHg (90/60 -
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140/90)


Hemiparesis posture - CORRECT ANSWERS ✔✔Abnormal |\ |\ |\ |\ |\ |\


posturing, could indicate brain injury |\ |\ |\ |\




Decorticate posture - CORRECT ANSWERS ✔✔The body is rigid,
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the arms are stiff and bent, the fists are tight, and the legs are
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straight out. |\