CFRN ACE General Medicine
Questions and Answers Updated
2026
WhichMofMtheMfollowingMpatientsMhasMtheMhighestMdegreeMofMshock?
30MyearMoldMmale.MFoundMunresponsiveMbehindMgasMstationMwithMsignsMofMheadMtrau
maMandMaMdeformedMrightMarm.MGCSM3.MHRM110.MBPM98/62.
86MyearMoldMfemaleMafterMfallMdownMconcreteMsteps.MGCSM11.MHRM110,MBP
212/106.
54MyearMoldMfemale.MLateralMimpactMMVA.MWishesMtoMrefuseMtransportMtoMtheMhospit
al.MGCSM15.MHRM100.MBPM106/54.
24MyearMoldMmale.MGSWMtoMfemur.MGCSM15.MHRM140,MBPM82/40.M-
MAnswerM24MyearMoldMmale.MElevatedMHRMlowMBP
AMbabyMwasMrescuedMfromMaMhouseMfire.MHisMentireMtorsoM(frontMandMback)MhasMfu
ll-thicknessMburns.
HeMhasMpartialMburnsMtoMtheMentireMleftMarmMandMentireMleftMleg.MHowMmuchMfluid
MshouldMtheMbabyMreceiveMinMtheMfirstM8MhoursMpostMburnMifMheMisM3Mkg?M-
MAnswerM357MmL
WhichMofMtheMfollowingMpatientsMwhoMwereMinMaMstructureMfireMshouldMbeMintubated
MwithoutMdelay?M-MAnswerMPatientMpresentingMwithMcarbonaceousMsputum
IndicatesMimpendingMswellingMandMclosingMofMtheMairway.
AMpatientMwithMalteredMmentalMstatusMhasMbeenMpulledMfromMaMcarMthatMwasMfound
MonMfireMinManMalleyway.MThereMisMnoMobviousMsignsMthatMtheMcarMwasMinvolvedMin
MaMcollision.MTheMpatientMhasMextensiveMsecondMandMthirdMdegreeMburnsMoverMmost
MofMhisMbody.MVitalMsignsMareMP166,MR34,MBPM64/26,MSp02M100%.MThisMpatientMalm
ostMcertainlyMhasM-MAnswerMAMtraumaticMinjuryMthatMisMnotMimmediatelyMapparent.
, WhichMofMtheMfollowingMinjuriesMwouldMyouMNOTMusuallyMpredictMinMtheM8MyearMold
MwhoMwasMstruckMbyMaMmovingMvehicle?M-
MAnswerMContusionsMonMtheMfrontMofMtheMheadM
ContrecoupMinjury
LiverMlaceration
FemurMfracture
TheMpediatricMburnMpatientMshouldMbeMfluidMresuscitatedMtoMaMgoalMofM-
MAnswerMUrineMoutputMofM1MmL/kg/hr
YouMareMtransportingMaM56MyearMoldMfemaleMwhoMwasMfoundMunresponsiveMatMtheM
bottomMofMherMbasementMstepsMfromMaMfreestandingMEDMtoMaMlevelM1MtraumaMcent
erMforMaMneurosurgicalMevaluation.
SheMisMintubatedMandMisMmechanicallyMventilated.MCTMofMherMheadMshowsMaMlargeMb
rightMwhiteMstarfishMpatternMonMherMCT.MVitalMsignsMareMPM48,MR14,MBPM200/110,MS
pO2M98%,METCO2M36MmmHg.MDuringMtransportMyouMdecideMtoMtreatMherMbloodMpress
ureMwithMnicardipine.MWhatMisMtheMmostMappropriateMsystolicMbloodMpressureMtargetMf
orMthisMpatient?M-MAnswerM160MmmHg
InMtheMabsenceMofMwholeMblood,MtheMpatientMrequiringMtraumaticMshockMresuscitation
MshouldMreceiveM-MAnswerMtoM1MtoM1MratioMofMPRBC,Mplatelets,MandMplasma
TXAMshouldMbeMadministeredMtoMtheMmultisystemMtraumaMpatientMwithMhemorrhagicMs
hockMtoM-MAnswerMPreventsMexistingMclotsMfromMbeingMbrokenMdown
PermissiveMhypotensionMdoesMnotMapplyMtoMtheMresuscitationMofMtheMtraumaMpatientM
withMwhichMofMtheMfollowingMfindings?M-MAnswerMSTARMpatternMonMheadMCT
WhichMofMtheMfollowingMtypesMofMradiationMwillMpenetrateMskinMbutMnotMwalls,Mconcr
ete,MandMshielding?M-MAnswerMBeta
Questions and Answers Updated
2026
WhichMofMtheMfollowingMpatientsMhasMtheMhighestMdegreeMofMshock?
30MyearMoldMmale.MFoundMunresponsiveMbehindMgasMstationMwithMsignsMofMheadMtrau
maMandMaMdeformedMrightMarm.MGCSM3.MHRM110.MBPM98/62.
86MyearMoldMfemaleMafterMfallMdownMconcreteMsteps.MGCSM11.MHRM110,MBP
212/106.
54MyearMoldMfemale.MLateralMimpactMMVA.MWishesMtoMrefuseMtransportMtoMtheMhospit
al.MGCSM15.MHRM100.MBPM106/54.
24MyearMoldMmale.MGSWMtoMfemur.MGCSM15.MHRM140,MBPM82/40.M-
MAnswerM24MyearMoldMmale.MElevatedMHRMlowMBP
AMbabyMwasMrescuedMfromMaMhouseMfire.MHisMentireMtorsoM(frontMandMback)MhasMfu
ll-thicknessMburns.
HeMhasMpartialMburnsMtoMtheMentireMleftMarmMandMentireMleftMleg.MHowMmuchMfluid
MshouldMtheMbabyMreceiveMinMtheMfirstM8MhoursMpostMburnMifMheMisM3Mkg?M-
MAnswerM357MmL
WhichMofMtheMfollowingMpatientsMwhoMwereMinMaMstructureMfireMshouldMbeMintubated
MwithoutMdelay?M-MAnswerMPatientMpresentingMwithMcarbonaceousMsputum
IndicatesMimpendingMswellingMandMclosingMofMtheMairway.
AMpatientMwithMalteredMmentalMstatusMhasMbeenMpulledMfromMaMcarMthatMwasMfound
MonMfireMinManMalleyway.MThereMisMnoMobviousMsignsMthatMtheMcarMwasMinvolvedMin
MaMcollision.MTheMpatientMhasMextensiveMsecondMandMthirdMdegreeMburnsMoverMmost
MofMhisMbody.MVitalMsignsMareMP166,MR34,MBPM64/26,MSp02M100%.MThisMpatientMalm
ostMcertainlyMhasM-MAnswerMAMtraumaticMinjuryMthatMisMnotMimmediatelyMapparent.
, WhichMofMtheMfollowingMinjuriesMwouldMyouMNOTMusuallyMpredictMinMtheM8MyearMold
MwhoMwasMstruckMbyMaMmovingMvehicle?M-
MAnswerMContusionsMonMtheMfrontMofMtheMheadM
ContrecoupMinjury
LiverMlaceration
FemurMfracture
TheMpediatricMburnMpatientMshouldMbeMfluidMresuscitatedMtoMaMgoalMofM-
MAnswerMUrineMoutputMofM1MmL/kg/hr
YouMareMtransportingMaM56MyearMoldMfemaleMwhoMwasMfoundMunresponsiveMatMtheM
bottomMofMherMbasementMstepsMfromMaMfreestandingMEDMtoMaMlevelM1MtraumaMcent
erMforMaMneurosurgicalMevaluation.
SheMisMintubatedMandMisMmechanicallyMventilated.MCTMofMherMheadMshowsMaMlargeMb
rightMwhiteMstarfishMpatternMonMherMCT.MVitalMsignsMareMPM48,MR14,MBPM200/110,MS
pO2M98%,METCO2M36MmmHg.MDuringMtransportMyouMdecideMtoMtreatMherMbloodMpress
ureMwithMnicardipine.MWhatMisMtheMmostMappropriateMsystolicMbloodMpressureMtargetMf
orMthisMpatient?M-MAnswerM160MmmHg
InMtheMabsenceMofMwholeMblood,MtheMpatientMrequiringMtraumaticMshockMresuscitation
MshouldMreceiveM-MAnswerMtoM1MtoM1MratioMofMPRBC,Mplatelets,MandMplasma
TXAMshouldMbeMadministeredMtoMtheMmultisystemMtraumaMpatientMwithMhemorrhagicMs
hockMtoM-MAnswerMPreventsMexistingMclotsMfromMbeingMbrokenMdown
PermissiveMhypotensionMdoesMnotMapplyMtoMtheMresuscitationMofMtheMtraumaMpatientM
withMwhichMofMtheMfollowingMfindings?M-MAnswerMSTARMpatternMonMheadMCT
WhichMofMtheMfollowingMtypesMofMradiationMwillMpenetrateMskinMbutMnotMwalls,Mconcr
ete,MandMshielding?M-MAnswerMBeta