FCCS: Fundamentals of Critical Care Support Pretest | Grade A| Questions and Verified Answers| 100% Correct (Latest 2023/ 2024 Update )

FCCS: Fundamentals of Critical Care Support Pretest | Grade A| Questions and Verified Answers| 100% Correct (Latest 2023/ 2024 Update ) Q: A 75-year-old man with a long history of smoking, chronic lung disease, and treatment noncompliance is brought to the emergency department by his daughter. He has had progressive dyspnea. He is awake, alert, and in moderate distress, with the use of accessory muscles during inspiration and expiration and a respiratory rate of 30 beats/min. There are audible expiratory wheezes. Which of the following pharmacologic treatments should be initiated? A. Inhaled beta2-agonist B. Aerosolized racemic e Answer: A Q: A 65-year-old woman is admitted with pulmonary edema due to acute diastolic left ventricular failure. She is alert and oriented but has a respiratory rate of 30 breaths/min and a room air SpO2 of 88%. On examination, she has 4 cm jugular venous distention and end-inspiratory crackles in her lung fields bilaterally. Room air arterial blood gas analysis shows: pH 7.28, PCO2 48 mm Hg, and PO2 58 mm Hg. Along with diuresis and antihypertensive therapy, she is placed on bilevel noninvasive ventilatio Answer: C Q: An 18-year-old, 55-kg (121-lb) woman has just been intubated for an acute asthma attack. She has been sedated and paralyzed in order to facilitate ventilation. Arterial blood gas analysis immediately before intubation revealed: pH 7.08, PCO2 75 mm Hg, and PO2 63 mm Hg on FIO2 0.4. On bagging, diffuse high-pitched wheezes are heard. Which of the following is the most appropriate initial ventilator mode for this patient? A. Continuous positive airway pressure B. Pressure support ventilation C. Answer: C Q: A 56-year-old man presents to the emergency department with a three-day history of fever, shaking chills, cough, and sputum production. He was previously in good health and takes only amlodipine for a history of hypertension. In the emergency department, his heart rate is 130 beats/min, respiratory rate 32breaths/min, blood pressure 80/40 mm Hg, temperature 38.8°C (102°F), and oxygen saturation 92% on 6 liters of oxygen by nasal cannula. Pulmonary examination demonstrates crackles and bronchia Answer: B Q: A 56-year-old man is admitted to the ICU for pneumonia. He is intubated, with the following settings: assist control, tidal volume 550 mL, respiratory rate 12 breaths/min, positive end-expiratory pressure 5 cm H2O, FIO2 1.0. Vital signs are: temperature 38.7°C (101.6°F), heart rate 122 beats/min, respiratory rate 20 breaths/min, blood pressure (BP) 88/46 mmHg, SpO2 97%. A central venous line and arterial line have been placed. He has been started on broad-spectrum antibiotics. Which of the fol Answer: B Q: A 75-year-old man with a history of hypertension is evaluated in the emergency department for nausea, vomiting, and abdominal pain. He is lethargic but can answer questions appropriately. His pulse is 130 beats/min, blood pressure 70/30 mm Hg, and respiratory rate 28 breaths/min. On physical examination, he is noted to have dry mucous membranes, poor capillary refill, and a distended abdomen with rebound tenderness. Arterial blood gas analysis reveals: pH 7.32, PCO2 28 mmHg, PO2 74 mm Hg, bicarb Answer: C Q: A 65-year-old man is septic, with perforated diverticulitis. He undergoes emergent colectomy with creation of a colostomy. Multiple areas of purulence are identified in the peritoneal cavity. Postoperatively, he continues to be febrile and hypotensive. Chest radiograph is clear. Central venous pressure is 18 mm Hg, and hemoglobin is 13g/dL. Which of the following vasoactive drugs is most appropriate to administer next? A. Epinephrine B. Phenylephrine C. Norepinephrine D. Dobutamine Answer: C Q: A 76-year-old woman with a history of congestive heart failure and hypertension is admitted with altered mental status and mild upper respiratory symptoms. According to family, her mental status has been gradually declining over the past three to four days. Because of generalized weakness and upper respiratory symptoms, she has had a limited amount of food and drink for the past 72 hours. Her home medications include metoprolol, lisinopril, and furosemide. Her family states that she has been com Answer: B Q: While fighting a house fire, a 38-year-old man fell 10 feet through a burning roof into an actively burning bedroom. On arrival at the emergency department two hours later, he has abdominal pain. His focused assessment with sonography in trauma (FAST) examination shows fluid between his spleen and left kidney. His voice is hoarse, and he has carbonaceous sputum. He has blistering burns on his face and insensate burns over his anterior chest, abdomen, and his entire left upper extremity circumfer Answer: A