FCCS REVIEW AND PRETEST EXAM LATEST 2026 UPDATED
QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
Hyponatremia - indications for 3% NS? - Answers -Seizures or AMS
What speed/rate can Na be correct in hyponatremia? - Answers -8 mEq/24 hours
43 yo m with hx of CAD comes with left hemiparesis x 1 hour. CT shows no bleed. What do we
do? - Answers -Administer TPA/TNK
22 yo m after MVA; incomprehensible sounds, no eye opening to painful stimuli, CT scan shows
increased ICP and subdural bleed; what is the first thing we do? - Answers -Elevate head of bed
to 30-45 degrees
Male presents with no breath sounds and tracheal deviation to the left side, what do we do? -
Answers -16 gauge needle cdecompression
BP 86/52, HR 126, RR 29; what class of shock is this? - Answers -Three/ Progressive Stage
1|Page
,Male after MVA; FAST shows bleeding, on way to OR his BP tanks, what do we do to resuscitate?
- Answers -1:1:1 RBCS, platelets, FFP
male presents after MVA in cervical spine collar; while waiting for xray the SpO2 drops to 85%,
left pupil is larger than right, he does not respond, only grunts, moves limbs to pain; what do we
do? - Answers -intubate with inline intubation
NSTEMI or STEMI what do we want our SpO2 to stay above? - Answers -> 94%
Who should go to cath lab IMMEDIATELY with NSTEMI? - Answers -If they have shock with
NSTEMI =immediate cath lab/CABG
After STEMI, what drug has been shown to decrease risk of mortality? - Answers -ACE inhibitors
Loose stools after treatment for UTI with antibiotics; MRI shows pancolitis, what is the tx? -
Answers -IVF, metronidazole, PO Vanco
(It's CDIFF)
Hospital day 14, pt with tachycardia; culture from central line = gram + cocci what do we do? -
Answers -Remove with line and treat with vanco
2|Page
, Fever and headache with period of confusion in 20 year old patient; what is the likely cause?
How do we treat? - Answers -Cause: Neisseria meningitidis (meningococcal)
Tx: Vanco, ceftriaxone
45 year old male with AMS, redness on upper thigh and scrotal area x 4 days (gangrenous); hx of
poor controlled DM
What is it?
How to treat? - Answers -Fournier's cellulitis
Tx: Surgery immediately, then beta lactam, clindamycin (blocks toxin release), vanco
Breast cancer patient with dry mucus membranes; BP 88/40. White blood cells 1.1
(neutropenia); diagnosed with neutropenia fever and sepsis, how to treat this patient? -
Answers -1) get cultures
2) give broad spectrum ABs
Ekg changes of hyperkalemia, treatment? - Answers -Changes: Peaked T, sine wave, wide QRS
Tx: Calcium gluconate 10%; CANDIK
3|Page
QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
Hyponatremia - indications for 3% NS? - Answers -Seizures or AMS
What speed/rate can Na be correct in hyponatremia? - Answers -8 mEq/24 hours
43 yo m with hx of CAD comes with left hemiparesis x 1 hour. CT shows no bleed. What do we
do? - Answers -Administer TPA/TNK
22 yo m after MVA; incomprehensible sounds, no eye opening to painful stimuli, CT scan shows
increased ICP and subdural bleed; what is the first thing we do? - Answers -Elevate head of bed
to 30-45 degrees
Male presents with no breath sounds and tracheal deviation to the left side, what do we do? -
Answers -16 gauge needle cdecompression
BP 86/52, HR 126, RR 29; what class of shock is this? - Answers -Three/ Progressive Stage
1|Page
,Male after MVA; FAST shows bleeding, on way to OR his BP tanks, what do we do to resuscitate?
- Answers -1:1:1 RBCS, platelets, FFP
male presents after MVA in cervical spine collar; while waiting for xray the SpO2 drops to 85%,
left pupil is larger than right, he does not respond, only grunts, moves limbs to pain; what do we
do? - Answers -intubate with inline intubation
NSTEMI or STEMI what do we want our SpO2 to stay above? - Answers -> 94%
Who should go to cath lab IMMEDIATELY with NSTEMI? - Answers -If they have shock with
NSTEMI =immediate cath lab/CABG
After STEMI, what drug has been shown to decrease risk of mortality? - Answers -ACE inhibitors
Loose stools after treatment for UTI with antibiotics; MRI shows pancolitis, what is the tx? -
Answers -IVF, metronidazole, PO Vanco
(It's CDIFF)
Hospital day 14, pt with tachycardia; culture from central line = gram + cocci what do we do? -
Answers -Remove with line and treat with vanco
2|Page
, Fever and headache with period of confusion in 20 year old patient; what is the likely cause?
How do we treat? - Answers -Cause: Neisseria meningitidis (meningococcal)
Tx: Vanco, ceftriaxone
45 year old male with AMS, redness on upper thigh and scrotal area x 4 days (gangrenous); hx of
poor controlled DM
What is it?
How to treat? - Answers -Fournier's cellulitis
Tx: Surgery immediately, then beta lactam, clindamycin (blocks toxin release), vanco
Breast cancer patient with dry mucus membranes; BP 88/40. White blood cells 1.1
(neutropenia); diagnosed with neutropenia fever and sepsis, how to treat this patient? -
Answers -1) get cultures
2) give broad spectrum ABs
Ekg changes of hyperkalemia, treatment? - Answers -Changes: Peaked T, sine wave, wide QRS
Tx: Calcium gluconate 10%; CANDIK
3|Page
