FCCS TEST Questions and Answers
Verified Solutions Latest Update
Question:
A 72-year-old woman with a history of hypertension, type 2 diabetes mellitus, and
smoking develops sudden-onset severe chest pain associated with difficulty breathing
and diaphoresis. Her vital signs on arrival in the emergency department are: blood
pressure, 165/92 mm Hg; heart rate, 101 beats/min; respiratory rate, 29 breaths/min;
and oxygen saturation as measured by pulse oximetry, 96% on room air. Which of the
following ECG findings is the most significant indicator for immediate reperfusion in pt
management A. ST segment depression B. ST segment elevation C. T wave inversions
D. Peaked T waves
Answer:
B. ST segment elevation
Question:
A 72-year-old man presents to the emergency department with congestive heart failure
exacerbation. He is awake and alert but in distress. He is using accessory respiratory
muscles and says it is hard to breathe. His vitals signs are: heart rate, 120 beats/min;
blood pressure, 120/80 mm Hg; respiratory rate, 34 breaths/min; and oxygen
saturation, 90% on 8 L of oxygen by simple face mask. Physical examination reveals
bilateral lower extremity edema and crackles in the posterior lung fields. A chest
radiograph demonstrates bilateral fluffy infiltrates consistent with pulmonary edema.
Arterial blood gas analysis demonstrates: pH 7.30, PCO2 50 mm Hg, and PO2 64 mm
Hg. In addition to diuresis, which of the following is the best next step in this patient's
management? A. Intubate and initiate invasive mechanical ventilation B. Initiate
noninvasive positive pressure ventilation C. Switch to nonrebreather oxygen mask D.
Swi
Answer:
B noninvasive positive pressure ventilation
, Question:
A 27-year-old man is admitted to the ICU with a subarachnoid hemorrhage after a
motor vehicle crash. On examination, his initial Glasgow Coma Scale score was 8 with
labored respirations. He was intubated in the emergency department and placed on a
ventilator. Shortly after arrival to the unit, his pulse oximeter (SpO2) reads 57%, with
heart rate of 46 beats/min and no pulse. Which of the following is the safest and most
immediate method to verify correct endotracheal tube placement? A. Palpation over
the epigastrium for abdominal distension B. Manual bag-mask breathing C. Qualitative
exhaled carbon dioxide monitor or detector D. Portable chest radiograph
Answer:
C exhaled CO2 monitor/detector
Question:
A 52-year-old man presents after a motor vehicle crash with hypotension and obvious
signs of hemorrhagic shock. His focused assessment with sonography in trauma (FAST)
examination is positive, and an emergent surgical consultation is obtained for
operative intervention. While awaiting the surgeon and transportation to the operating
room for definitive hemorrhage control, his blood pressure continues to decline and
resuscitation is begun. Which of the following is the best strategy for resuscitation in
this setting of massive hemorrhage? A. Infusion of packed red blood cells only until
laboratory results are available to assess for the presence of coagulopathy and
thrombocytopenia B. Balanced resuscitation using a combination of packed red blood
cells, fresh frozen plasma, and platelets in a 1:1:1 ratio C. Limited infusion of IV fluids
or blood products until definitive control of hemorrhage is achieved, regardless
Answer:
B. RBCS:FFP:Plate 1:1:1 ratio
Question:
A 75-year-old woman is admitted to the emergency department with altered mental
status. A CT scan of her head shows an intracranial hemorrhage. A decision is made to
intubate her, but there is concern for increased intracranial pressure. Which of the
following pretreatment agents is most appropriate before performing rapid sequence
intubation? A. Nimbex B succinylcholine C vecuronium D rocuronium
Answer:
B succinylcholine
Verified Solutions Latest Update
Question:
A 72-year-old woman with a history of hypertension, type 2 diabetes mellitus, and
smoking develops sudden-onset severe chest pain associated with difficulty breathing
and diaphoresis. Her vital signs on arrival in the emergency department are: blood
pressure, 165/92 mm Hg; heart rate, 101 beats/min; respiratory rate, 29 breaths/min;
and oxygen saturation as measured by pulse oximetry, 96% on room air. Which of the
following ECG findings is the most significant indicator for immediate reperfusion in pt
management A. ST segment depression B. ST segment elevation C. T wave inversions
D. Peaked T waves
Answer:
B. ST segment elevation
Question:
A 72-year-old man presents to the emergency department with congestive heart failure
exacerbation. He is awake and alert but in distress. He is using accessory respiratory
muscles and says it is hard to breathe. His vitals signs are: heart rate, 120 beats/min;
blood pressure, 120/80 mm Hg; respiratory rate, 34 breaths/min; and oxygen
saturation, 90% on 8 L of oxygen by simple face mask. Physical examination reveals
bilateral lower extremity edema and crackles in the posterior lung fields. A chest
radiograph demonstrates bilateral fluffy infiltrates consistent with pulmonary edema.
Arterial blood gas analysis demonstrates: pH 7.30, PCO2 50 mm Hg, and PO2 64 mm
Hg. In addition to diuresis, which of the following is the best next step in this patient's
management? A. Intubate and initiate invasive mechanical ventilation B. Initiate
noninvasive positive pressure ventilation C. Switch to nonrebreather oxygen mask D.
Swi
Answer:
B noninvasive positive pressure ventilation
, Question:
A 27-year-old man is admitted to the ICU with a subarachnoid hemorrhage after a
motor vehicle crash. On examination, his initial Glasgow Coma Scale score was 8 with
labored respirations. He was intubated in the emergency department and placed on a
ventilator. Shortly after arrival to the unit, his pulse oximeter (SpO2) reads 57%, with
heart rate of 46 beats/min and no pulse. Which of the following is the safest and most
immediate method to verify correct endotracheal tube placement? A. Palpation over
the epigastrium for abdominal distension B. Manual bag-mask breathing C. Qualitative
exhaled carbon dioxide monitor or detector D. Portable chest radiograph
Answer:
C exhaled CO2 monitor/detector
Question:
A 52-year-old man presents after a motor vehicle crash with hypotension and obvious
signs of hemorrhagic shock. His focused assessment with sonography in trauma (FAST)
examination is positive, and an emergent surgical consultation is obtained for
operative intervention. While awaiting the surgeon and transportation to the operating
room for definitive hemorrhage control, his blood pressure continues to decline and
resuscitation is begun. Which of the following is the best strategy for resuscitation in
this setting of massive hemorrhage? A. Infusion of packed red blood cells only until
laboratory results are available to assess for the presence of coagulopathy and
thrombocytopenia B. Balanced resuscitation using a combination of packed red blood
cells, fresh frozen plasma, and platelets in a 1:1:1 ratio C. Limited infusion of IV fluids
or blood products until definitive control of hemorrhage is achieved, regardless
Answer:
B. RBCS:FFP:Plate 1:1:1 ratio
Question:
A 75-year-old woman is admitted to the emergency department with altered mental
status. A CT scan of her head shows an intracranial hemorrhage. A decision is made to
intubate her, but there is concern for increased intracranial pressure. Which of the
following pretreatment agents is most appropriate before performing rapid sequence
intubation? A. Nimbex B succinylcholine C vecuronium D rocuronium
Answer:
B succinylcholine
