Flight Bridge FPC Practice Exams || ANSWERED || 2026/27

A patient who ingested an entire bottle of acetaminophen (Tylenol) is now complaining of right upper quadrant pain. Based on the presentation, when did this patient most likely ingest this drug? - CORRECT ANSWER Within the last 24-72 hours A patient complaining of chest pain was noted to have a drop in their blood pressure after administration of nitroglycerin. The patient is diaphoretic and complaining of pain as 10/10. A 12-lead ECG reveals ST elevation in leads III, and aVF, and reciprocal changes noted predominantly in lead aVL. What type of myocardial infarction (MI) is suspected? - CORRECT ANSWER Inferior wall MI FHR sinusoidal pattern - CORRECT ANSWER A sinusoidal pattern can occur due to significant anemia and severe fetal distress. During contraction, the heart rate will not rise concurrently. Oxygen carrying capacity is deficient, and hypoxia ensues. Emergent C-section is the treatment of choice. Serum osmolality - CORRECT ANSWER measure of the balance between water (plasma) and the solutes dissolved in it. It is an indicator showing dehydration or overhydration. Normal is 275-295 mOsm/kg. Elevated levels occur in the presence of dehydration. All other instances would cause a decrease in the serum osmolality level. A 16-year-old sustained an aortic arch tear during a motor vehicle collision, which is commonly associated with which of the following? - CORRECT ANSWER Acceleration/deceleration injury All intra-aortic balloon pump (IABP) systems use helium as the driving gas because of which of the following characteristics? - CORRECT ANSWER Low density What is the formula for determining a mean arterial pressure (MAP)? - CORRECT ANSWER MAP = [SBP + (2 x DBP)] / 3 The primary treatment in reversing malignant hyperthermia is what medication? - CORRECT ANSWER Dantrolene The following situations would require an asthmatic patient to be intubated and mechanically ventilated - CORRECT ANSWER A decline in the level of consciousness, Respiratory acidosis, Hypoventilation secondary to muscle fatigue A patient has sustained significant head, chest and abdominal trauma from a motor vehicle collision. They have received five units of packed red blood cells thus far. They continue to bleed profusely from all wounds despite direct pressure to control bleeding secondary to suspected disseminated intravascular coagulation (DIC). What treatment do you expect to administer? - CORRECT ANSWER Platelets, cryoprecipitate and fresh frozen plasma What protective clothing does CAMTS require that is pertinent to safe operations? - CORRECT ANSWER Boots Fractures of the 1st-3rd ribs should indicate a high index of suspicion for which injury? - CORRECT ANSWER Aortic disruption The patient suffering from Brown-Sequard syndrome presents with what? - CORRECT ANSWER ipsilateral paralysis below the level of the lesion, positive Babinski sign ipsilateral to the lesion, ipsilateral loss of tactile discrimination, vibratory, and position sensation below the level of the lesion, and contralateral loss of pain and temperature sensation. Identify the medication with bronchodilating properties. - CORRECT ANSWER Ketamine A patient who sustained extensive electrical burns is being transferred. Upon entering the room, there is brown urine noted in the foley bag, and myoglobinuria on the urinalysis. To prevent the development of acute tubular necrosis and further renal failure, what is the anticipated treatment? - CORRECT ANSWER Lactated Ringer's, sodium bicarbonate, and mannitol The flight crew's shift just began and they received in briefing that they have marginal visual flight rules (VFR) weather. Approximately two hours later, they are toned for a scene flight. They are given a distance and heading of 20 miles and 280 degrees. The pilot says that the current weather conditions are 800' and 1 mile. What is the best response? - CORRECT ANSWER Decline the flight because this is lower than the FAA local VFR weather minimums While transporting a patient in the back of an ambulance using lights and sirens, what is the biggest danger to the crew, and the patient, during the transport? - CORRECT ANSWER Intersections The team is called to transport a patient who underwent a heart transplant approximately eight hours ago. Upon assessment, they are noted to be pale, cool, and clammy to the touch. They appear anxious but are alert and awake. Assessment reveals jugular vein distention and diffuse crackles throughout both lungs. Current vitals: BP 96/56, HR 124, RR 28, SpO2 97% on oxygen at 3LPM via nasal cannula. Which of the following medications would be beneficial for this patient? - CORRECT ANSWER dobutamine - Failure of the heart has caused fluid to back up into the lungs, causing the patient's crackles on auscultation. Additional fluid will not improve this patient's symptoms and can make them worse. When administering PRBCs, it is anticipated that hemoglobin (Hgb) and hematocrit (Hct) will increase how much with each unit administered? - CORRECT ANSWER 1 g/dL increase in the hemoglobin and a 3% increase in the hematocrit Treatment for pregnancy-induced hypertension (PIH) may include - CORRECT ANSWER Labetalol, Magnesium sulfate, Hydralazine Hypokalemia can result in - CORRECT ANSWER inverted T waves, ST segment depression, and prominent U waves. While flying at cruising altitudes, Boyle's law causes difficulty in controlling the rate of IV fluid drips. What is the most appropriate action to manage this? - CORRECT ANSWER Place the IV fluids on a pressure bag Which auscultation landmark would pulmonic stenosis best be heard? - CORRECT ANSWER The pulmonic valve area is located at the 2nd intercostal space just left of the sternum. In evaluating fetal heart characteristics, which finding is most important in determining neurological maturity? - CORRECT ANSWER Variability - Variability is affected by incomplete development of the ANS (prematurity) and plays a part between the parasympathetic and sympathetic systems. Poor variability can also be seen in fetal hypoxia and congenital heart anomalies. Variability should be normal after 32-weeks gestation. You are transporting a patient who overdosed on their prescription medication. Within minutes of transport, you notice torsades de pointes (TdP) on the cardiac monitor. Based upon this rhythm disturbance, what medication do you suspect the patient ingested? - CORRECT ANSWER Amitriptyline (Elavil) is a tricyclic antidepressant (TCA), which causes QT prolongation by inhibiting sodium uptake and may result in torsades de pointes or other arrhythmias in toxic doses. Late decelerations may indicate - CORRECT ANSWER Deceleration is a decrease in the fetal heart rate (FHR) below the baseline. A late deceleration will be to the right of the contraction occurring after the peak of the contraction. Late decelerations happen when a fall in the fetal oxygen level causes reflex constriction of blood vessels in an attempt to divert more blood flow to vital organs of the fetus. The constriction of the blood vessels causes HTN that stimulates a vagal response, which slows the HR. A target adult cerebral perfusion pressure (CPP) in a TBI patient should be at least? - CORRECT ANSWER 70 A child aspirated a coin, and their left lung is hyperinflated. Where is the coin? - CORRECT ANSWER Bronchus What is the normal progression for rewarming a hypothermic patient? - CORRECT ANSWER Passive external rewarming occurs first by removing the patient from the cold environment and then by removing any wet or cold clothing; utilizing the patient's body heat to begin rewarming. Active external rewarming would take place by applying heat directly to the skin (hot water bottles, heating pads, Bair Hugger, etc.). Active internal rewarming would include humidified O2, warmed IV fluids, and ECMO if indicated. Which timing error is the most harmful? - CORRECT ANSWER Late deflation