FPC / CFRN - Review Exam - Version B Questions and Answers Updated 2026

FPC / CFRN - Review Exam - Version
B Questions and Answers Updated
2026
MyxedemaMcomaMisMalsoMknownMas...



A.MThyroidMstorm

B.MAdrenalMinsufficiency

C.MHypothyroidism

D.MHyperaldosteronismM-MAnswerMHypothyroidism



MostMcommonMpresentationMofMaMpatientMwithMhypothyroidismMareMallMofMtheMfollowi
ng,MExcept...



A.MColdMintoleranceMwithMcoarseMhair

B.MAlmostMexclusivelyMoverMtheMageMofMsixty

C.M>90%MofMcasesMoccurMinMtheMwinter

D.MPrimarilyMinMmenM-MAnswerMPrimarilyMinMmen



HypothroidismMoccursMprimarilyMinMwomen,MalmostMexclusivelyMoverMtheMageMofMsixty,
MwithM90%MofMtheMcasesMoccurringMinMtheMwinterMmonths.



YourMpatientMpresentsMwithMfollowingMparameters:MCVPM0,MCIM1,MPAMS/DM8/4,Mwedge
M3,MandMSVRM1,800.MWhatMisMyourMdiagnosis?



A.MHypovolemicMshock

B.MRightMventricularMinfarction

C.MCHF

D.MSepsisM-MAnswerMHypovolemicMshock



CarefulMinterpretationMofMtheMCVPMisMimportant!

,CentralMvenousMpressureM(CVP)MdescribesMtheMpressureMofMbloodMinMtheMthoracicMven
aMcava,MnearMtheMrightMatriumMofMtheMheart.



CVPMreflectsMtheMamountMofMbloodMreturningMtoMtheMheartMandMtheMabilityMofMtheM
heartMtoMpumpMtheMbloodMintoMtheMarterialMsystem.



DrugMofMchoiceMforMprofoundMhypotensionMinMsepticMshockMis?



A.MIsotonicMcrystalloidMsolution

B.MLevophed

C.MNipride

D.MDobutamineM-MAnswerMLevophed



SepsisMisMbyMfarMtheMmostMcommonMcauseMofMdistributiveMshock.



TheMaverageMnormalMICPMrangeMis...



A.M0-10MmmHg

B.M10-20MmmHg

C.M20-30MmmHg

D.M>30MmmHgM-MAnswerMNormalMICPMrangeMisM0-
10MmmHg,MbutMrangeMcanMgoMasMhighMasM15MmmHg.



TheMformulaMtoMcalculateMMAPMis



A.M2/3MDBPM×MSBP

B.M2M×MDBPM+MSBPMdividedMbyM3

C.M2M×MSBPM+MDBP

D.M2M+MDBPM×MSBPMdividedMbyM3M-MAnswerM2M×MDBPM+MSBPM/M3



(normalM80-100MmmHg)

,NormalMcoronaryMperfusionMpressureM(CPP)Mis



A.M50-60MmmHg

B.M70-90MmmHg

C.M80-100MmmHg

D.M<50MmmHgM-MAnswerMNormalM50-60MmmHg



CoronaryMperfusionMpressure:M(CPP)M=MDBP-PAWP



TheMpatientMpresentsMwithMtheMfollowingMhemodynamicMparameters:MCVPM1,MCIM1.7,M
PAMS/DM12/6,MwedgeM6,MandMSVRM300.MVitalMsignsMareM78/40,MHRM60,MRRM16,MSaO
2M98%.MTheMmostMlikelyMcauseMis...



A.MRVMI

B.MNeurogenicMshock

C.MSepticMshock

D.MHypovolemicMshockM-MAnswerMNeurogenicMshock



SVRM<M800,MthinkMdistributiveMshock.MNextMlookMatMtheMCI;MisMitMlessMthanM2.5?MHy
potensionMandMeitherMaMnormalMheartMand/orMbradycardiaMpresentMnarrowsMtheMtype
MofMdistributiveMshockMasMbeingMneurogenicMshock.



SevereMhypothermicMPt'sMareMatMhighestMriskMforMwhichMofMtheMfollowingMrhythm?



A.MA-Fib

B.MAsystole

C.MV-Fib

D.MSinusMBradyM-MAnswerMV-Fib



Severe:M20-28M(coma,MVFMcommon)



TheMdrugMofMchoiceMforMaMpatientMexhibitingMsignsMandMsymptomsMofMmalignantMhyp
erthermiaMis:

, A.MAnectine

B.MSodiumMbicarbonate

C.MDantrolene

D.MGlucagonM-MAnswerMDantrolene



MalignantMhyperthermia:MCharacteristicMsignsMareMmuscularMrigidity,MfollowedMbyMaMhyp
ercatabolicMstate;MwithMincreasedMoxygenMconsumption,MincreasedMcarbonMdioxideMprodu
ctionM(hypercapnea,MusuallyMmeasuredMbyMcapnography),MtachycardiaM(fastMheartMrate),
MandManMincreaseMinMbodyMtemperatureM(hyperthermia)MatMaMrateMofMupMtoM~2°CMp
erMhour,MtemperaturesMupMtoM42°CM(108°F)MareMnotMuncommon.



InductionMagentMofMchoiceMwithMbronchospasticMpatientsM-MAnswerMKetamineM(ketalar)



Ativan:MindicationMdose,MmaxM-MAnswerMLorazepam,Mseizures,M1-2Mmg,MmaxM4Mmg



MannitolMdoseM-MAnswerM1-2Mg/kg



Mannitol:ManMosmoticMdiuretic,MactsMbyMosmosisMtoMensureMurineMproductionMandMma
yMpreventMhemeMdepositionMinMtheMkidney.



CanMbeMadministeredMtoMavoidMacuteMrenalMfailureMwhenMfluidMadministrationMhasMbe
enMineffective.



DrugMchoiceMforMcyclicMantidepressantMODM-MAnswerMSodiumMbicarbonate



DrugMchoiceMforMbeta-blockerMODM-MAnswerMGlucagon



FentanylMdoseM-MAnswerMSublimazeM(3Mμg/kg)



TreatmentMforMmalignantMhyperthermiaM-MAnswerMDantriumM(dantrolene)



DrugMforMGIMbleedsM-MAnswerMSandostatinM(octreotide)