FPC CFRN REVIEW VERSION A SCRIPT
UPDATED TESTED SOLUTIONS
⫸ Initial intervention for managing a patient presenting with
Bariobariatrauma is?
A. Administer high flow oxygen
B. Decrease oxygen to 4 L/min by NC
C. Administer high flow oxygen by NRM 15 minutes prior to lift off
D. Maintain cabin pressure at 2500 feet Answer: Administer high flow
oxygen by NRM 15 minutes prior to lift off.
⫸ You are on the scene of a 21 YOM gunshot wound to the left chest.
The left chest has been decompressed with a needle. The patient is
intubated and continues to de-saturate and you note an increase in SQ
air. How will manage this patient?
A. Re-needle the left chest
B. Advance ET tube below the level of the injury; right main stem
intubation.
C. Decrease respiratory rate down to 10 per minute
D. Insert a chest tube Answer: Advance ET tube below the level of the
injury; right main stem intubation.
⫸ Drug of choice for treating a GI bleed is?
,A. Normal saline
B. Nipride
C. Whole blood
D. Sandostatin Answer: Sandostatin
⫸ Your patient has an ICP of 28. BP is 100/60. His cerebral perfusion
pressure is approximately?
A. 100 mmHg
B. 70 - 90 mmHg
C. 60 mmHg
D. < 50 mmHg Answer: Answer is < 50 mmHg
Normally ICP = 0-10 mmHg
CPP = 70-90 mmHg
CPP = MAP - ICP
CPP = 73 - 28 --- 45 CPP
Normal MAP = 80-100 mmHg
MAP = P dia + 1/3(P sys - P dia)
MAP = 60 + .33(100 - 60) --- 73 MAP
,⫸ An expanding ETT cuff in flight is an indication of what gas law?
A. Henry's
B. Dalton's
C. Boyle's
D. Charles Answer: Boyle's law (expansion or contraction of a gas)
The air in the ETT cuff, for example, expands with altitude (ascent) and
contracts during descent.
⫸ You are transporting a 30 YOM involved in a MCA from an
outerlying facility. The 70 kg patient is on a ventilator with FIO2 1.0, Vt
500, Rate 16, PIP 22 and Peep 5. The ABG results are pH 7.01, pCO2
68, HCO2 12, base deficit - 8, pO2 280. Interpretation of the blood gas
reveals?
A. Mixed disturbance
B. Metabolic acidosis
C. Respiratory acidosis
D. Compensated respiratory acidosis Answer: Mixed disturbance
Metabolic and respiratory acidosis.
, The pCO2 is high, resulting in a respiratory acidosis, and the pH and
HCO3 are low, resulting in a metabolic acidosis.
Normal Ranges:
pH : 7.35 - 7.45
pCO2 : 35 - 45
HCO3 : 22 - 26
pO2 : 80 - 100
⫸ You notice that your patient has the following waveform and is
showing VT on the monitor. Your initial intervention of the patient is to?
A. Synchronize cardiovert
B. Advance catheter by inflating the balloon
C. Administer precordial thump
D. Pull catheter back into the right ventricle Answer: Synchronize
cardiovert
⫸ Pediatric dose for Epinephrine is? Answer: 0.01 mg/kg (IV)
⫸ You arrive on the scene of 21 YOF involved a single roll-over
accident who is approximately 28 weeks pregnant. Your assessment
reveals palpation of fetal parts over the abdomen. What is your diagnosis
of the patient?
UPDATED TESTED SOLUTIONS
⫸ Initial intervention for managing a patient presenting with
Bariobariatrauma is?
A. Administer high flow oxygen
B. Decrease oxygen to 4 L/min by NC
C. Administer high flow oxygen by NRM 15 minutes prior to lift off
D. Maintain cabin pressure at 2500 feet Answer: Administer high flow
oxygen by NRM 15 minutes prior to lift off.
⫸ You are on the scene of a 21 YOM gunshot wound to the left chest.
The left chest has been decompressed with a needle. The patient is
intubated and continues to de-saturate and you note an increase in SQ
air. How will manage this patient?
A. Re-needle the left chest
B. Advance ET tube below the level of the injury; right main stem
intubation.
C. Decrease respiratory rate down to 10 per minute
D. Insert a chest tube Answer: Advance ET tube below the level of the
injury; right main stem intubation.
⫸ Drug of choice for treating a GI bleed is?
,A. Normal saline
B. Nipride
C. Whole blood
D. Sandostatin Answer: Sandostatin
⫸ Your patient has an ICP of 28. BP is 100/60. His cerebral perfusion
pressure is approximately?
A. 100 mmHg
B. 70 - 90 mmHg
C. 60 mmHg
D. < 50 mmHg Answer: Answer is < 50 mmHg
Normally ICP = 0-10 mmHg
CPP = 70-90 mmHg
CPP = MAP - ICP
CPP = 73 - 28 --- 45 CPP
Normal MAP = 80-100 mmHg
MAP = P dia + 1/3(P sys - P dia)
MAP = 60 + .33(100 - 60) --- 73 MAP
,⫸ An expanding ETT cuff in flight is an indication of what gas law?
A. Henry's
B. Dalton's
C. Boyle's
D. Charles Answer: Boyle's law (expansion or contraction of a gas)
The air in the ETT cuff, for example, expands with altitude (ascent) and
contracts during descent.
⫸ You are transporting a 30 YOM involved in a MCA from an
outerlying facility. The 70 kg patient is on a ventilator with FIO2 1.0, Vt
500, Rate 16, PIP 22 and Peep 5. The ABG results are pH 7.01, pCO2
68, HCO2 12, base deficit - 8, pO2 280. Interpretation of the blood gas
reveals?
A. Mixed disturbance
B. Metabolic acidosis
C. Respiratory acidosis
D. Compensated respiratory acidosis Answer: Mixed disturbance
Metabolic and respiratory acidosis.
, The pCO2 is high, resulting in a respiratory acidosis, and the pH and
HCO3 are low, resulting in a metabolic acidosis.
Normal Ranges:
pH : 7.35 - 7.45
pCO2 : 35 - 45
HCO3 : 22 - 26
pO2 : 80 - 100
⫸ You notice that your patient has the following waveform and is
showing VT on the monitor. Your initial intervention of the patient is to?
A. Synchronize cardiovert
B. Advance catheter by inflating the balloon
C. Administer precordial thump
D. Pull catheter back into the right ventricle Answer: Synchronize
cardiovert
⫸ Pediatric dose for Epinephrine is? Answer: 0.01 mg/kg (IV)
⫸ You arrive on the scene of 21 YOF involved a single roll-over
accident who is approximately 28 weeks pregnant. Your assessment
reveals palpation of fetal parts over the abdomen. What is your diagnosis
of the patient?
