FLIGHT BRIDGE FPC CERTIFICATION
EVALUATION FULL QUESTIONS AND
SOLUTIONS VERIFIED PREPARATION
MATERIAL
●● Proper uncuffed ETT size for 4 year old?
Answer: 5.0 ETT (Age in years / 4) + 4. (4/4) + 4 = 5.0
●● You perform a needle thoracostomy on your neonate w/ a suspected
"air leak". Which would indicate that initial treatment was unsuccessful?
Answer: A shift of the trachea away from the needle after procedure.
●● 10 y/o male fell. ALOC upon arrival. EMS states brief LOC &
lucidness period before current decrease in GCS. What type of head
trauma is this?
Answer: Epidural Bleed
●● A diving accident result in a patient having no lower extremity
movement, however they can Flex their arms but not extend them where
is the fracture?
Answer: C7 *Pearls* C3-C5 controls the phrenic nerve & diaphragm.
C5-C6 control elbow flexion. C7 controls wrist and elbow extension.
,●● A 1 year old has left upper lobe PNA. BP 70/36, HR 138, RR 48,
SpO2 87% T 102.1. ABG 7.20, PaCO2 68, PAO2 65%. The presentation
will result in what changes (Shift)?
Answer: Right shift due to decreased SaO2/pH and increase CO2, Temp.
●● If the IABP migrates upward, what is likely to be affected?
Answer: Left Radial. An intra aortic balloon pump is positioned so the
tip is approximately 1 to 2 cm below the origin of the left subclavian
artery and above the renal arteries. If the balloon migrates up and blocks
the left subclavian it will result in a loss of perfusion to the left arm and
left radial. If it migrates down it will cause loss of renal perfusion and
urine output will decrease or stop altogether. Check pulses and you're an
output every 15 minutes.
●● A neonate w/ choanal atresia would have difficulty w/ all of the
following except? A) Sleeping B) Breathing C) Feeding D) Diuresis
Answer: D) Diuresis, Choanal atresia is narrowing of nasal airway.
Results in difficulty breathing and sleeping. Requires surgical
intervention.
●● Neonate experiencing repetitive motion of bicycling and lip
smacking. What type of seizure do you suspect?
Answer: Subtle. Repetitive mouth/tongue movements, bicycling, eye
deviation/blinking.
,●● When checking a Pplat, any pressure above _______ can cause
ventilator lung injury & barotrauma?
Answer: 30 mmHg
●● If a patient receiving an IABP urine output stopped in transport.
What likely happened?
Answer: Renal artery occlusion secondary to balloon downward
migration.
●● Primary trigger for IABP operations is?
Answer: ECG waveform
●● Patient has a low central venous pressure (CVP), low systemic
vascular resistance (SVR) & adequate cardiac index (CI). What is the
diagnosis?
Answer: Neurogenic shock --> which results in a loss of the sympathetic
tone, leaving parasympathetic tone only. Loss of sympathetic tone
results in loss of vascular tone, associated with low central venous
pressure and low systemic vascular resistance. Cardiac index often
remains unchanged
●● Dicrotic notch represents what on an A-Line?
Answer: Aortic valve closure. Closes the same time as pulmonic valve.
Brings coronary reperfusion.
, ●● Dicrotic notch represents what on pulmonary artery waveform?
Answer: Pulmonic valve closure. Closes the same time as the aortic
valve.
●● A patient in initial shock state most likely has which acid-base
disorder?
Answer: Respiratory alkalosis. Initial response to stress is increased RR,
followed by increase HR. Increase RR leads to respiratory alkalosis in
early shock.
●● 13 y/o insulin dependent diabetes has labs: Na: 150, Cl 103, glucose
504, WBC 12.3. Bands 14%. What is the most likely cause of the patient
DKA state.
Answer: Acute infection. Infection is the most common cause of diabetic
ketoacidosis and Insulin dependent patients due to the increased need for
insulin. Inpatients with increased O2 demand the liver secretesincrease
amounts of glycogen for ATP production.
●● A 12 year old current pH 7.52. Previous pH was 7.41 & their
potassium was 4.7 mEq/L. What is the expected new K+.
Answer: 4.1 mEq/L. For every 0.10 in pH, there is a corresponding
decrease in potassium by 0.6.
●● VFR weather minimum must meet national standard or exceed FAA
14 CFR part 135.203 part 135.205 as followed?
EVALUATION FULL QUESTIONS AND
SOLUTIONS VERIFIED PREPARATION
MATERIAL
●● Proper uncuffed ETT size for 4 year old?
Answer: 5.0 ETT (Age in years / 4) + 4. (4/4) + 4 = 5.0
●● You perform a needle thoracostomy on your neonate w/ a suspected
"air leak". Which would indicate that initial treatment was unsuccessful?
Answer: A shift of the trachea away from the needle after procedure.
●● 10 y/o male fell. ALOC upon arrival. EMS states brief LOC &
lucidness period before current decrease in GCS. What type of head
trauma is this?
Answer: Epidural Bleed
●● A diving accident result in a patient having no lower extremity
movement, however they can Flex their arms but not extend them where
is the fracture?
Answer: C7 *Pearls* C3-C5 controls the phrenic nerve & diaphragm.
C5-C6 control elbow flexion. C7 controls wrist and elbow extension.
,●● A 1 year old has left upper lobe PNA. BP 70/36, HR 138, RR 48,
SpO2 87% T 102.1. ABG 7.20, PaCO2 68, PAO2 65%. The presentation
will result in what changes (Shift)?
Answer: Right shift due to decreased SaO2/pH and increase CO2, Temp.
●● If the IABP migrates upward, what is likely to be affected?
Answer: Left Radial. An intra aortic balloon pump is positioned so the
tip is approximately 1 to 2 cm below the origin of the left subclavian
artery and above the renal arteries. If the balloon migrates up and blocks
the left subclavian it will result in a loss of perfusion to the left arm and
left radial. If it migrates down it will cause loss of renal perfusion and
urine output will decrease or stop altogether. Check pulses and you're an
output every 15 minutes.
●● A neonate w/ choanal atresia would have difficulty w/ all of the
following except? A) Sleeping B) Breathing C) Feeding D) Diuresis
Answer: D) Diuresis, Choanal atresia is narrowing of nasal airway.
Results in difficulty breathing and sleeping. Requires surgical
intervention.
●● Neonate experiencing repetitive motion of bicycling and lip
smacking. What type of seizure do you suspect?
Answer: Subtle. Repetitive mouth/tongue movements, bicycling, eye
deviation/blinking.
,●● When checking a Pplat, any pressure above _______ can cause
ventilator lung injury & barotrauma?
Answer: 30 mmHg
●● If a patient receiving an IABP urine output stopped in transport.
What likely happened?
Answer: Renal artery occlusion secondary to balloon downward
migration.
●● Primary trigger for IABP operations is?
Answer: ECG waveform
●● Patient has a low central venous pressure (CVP), low systemic
vascular resistance (SVR) & adequate cardiac index (CI). What is the
diagnosis?
Answer: Neurogenic shock --> which results in a loss of the sympathetic
tone, leaving parasympathetic tone only. Loss of sympathetic tone
results in loss of vascular tone, associated with low central venous
pressure and low systemic vascular resistance. Cardiac index often
remains unchanged
●● Dicrotic notch represents what on an A-Line?
Answer: Aortic valve closure. Closes the same time as pulmonic valve.
Brings coronary reperfusion.
, ●● Dicrotic notch represents what on pulmonary artery waveform?
Answer: Pulmonic valve closure. Closes the same time as the aortic
valve.
●● A patient in initial shock state most likely has which acid-base
disorder?
Answer: Respiratory alkalosis. Initial response to stress is increased RR,
followed by increase HR. Increase RR leads to respiratory alkalosis in
early shock.
●● 13 y/o insulin dependent diabetes has labs: Na: 150, Cl 103, glucose
504, WBC 12.3. Bands 14%. What is the most likely cause of the patient
DKA state.
Answer: Acute infection. Infection is the most common cause of diabetic
ketoacidosis and Insulin dependent patients due to the increased need for
insulin. Inpatients with increased O2 demand the liver secretesincrease
amounts of glycogen for ATP production.
●● A 12 year old current pH 7.52. Previous pH was 7.41 & their
potassium was 4.7 mEq/L. What is the expected new K+.
Answer: 4.1 mEq/L. For every 0.10 in pH, there is a corresponding
decrease in potassium by 0.6.
●● VFR weather minimum must meet national standard or exceed FAA
14 CFR part 135.203 part 135.205 as followed?
