FCCS Post Test exam practice questions
with accurate answers
Which of the following interventions has shown a reduced risk of
infectious complications and mortality in acute pancreatitis?
A. Aggressive and early crystalloid resuscitation
B early enteral nutrition
C. Prophylactic broad-spectrum antibiotics
D. Use of pentoxifylline (phosphodiesterase inhibitor) within 24
hours of admission Correct Answer B early enteral nutrition
A 35-year-old man develops acute respiratory distress syndrome
from smoke inhalation injury. He is receiving invasive mechanical
ventilation in volume assist control mode. His ventilator settings
are: tidal volume 350 mL (6 mL/kg ideal body weight), respiratory
rate 28 breaths/min, gas flow rate 80 L/min, and positive end-
expiratory pressure (PEEP) 10 cm H2O. His plateau pressure on
these settings is 26 cm H2O. Arterial blood gas analysis reveals:
pH 7.28, PCO2 50 mm Hg, PO2 50 mm Hg, bicarbonate 26
mmol/L, and oxygenation saturation 82%. Which of the following
is the most appropriate next step in management?
A. Increase PEEP to 14 cm H2O.
B. Increase the respiratory rate to 35 breaths/min.
C. Start a bicarbonate infusion.
D. Lower the tidal volume to 5 mL/kg ideal body weight. Correct
Answer A increase PEEP to 14
A 68-year-old man with Crohn disease was admitted with a small
bowel fistula. Now on postoperative day 2 after a small bowel
resection, he has hematochezia, nausea, vomiting, abdominal
pain, and distention. Heart rate is 134 beats/min and blood
pressure is 84/52 mm Hg. Hemoglobin is 6.2 g/dL. Pulse oximetry
has a poor waveform and readings are poor and inconsistent.
,Which of the following is the most likely causing the poor pulse
oximetry readings
A. Drop in hemoglobin
B. Excessive nail polish
C. Elevated carbon dioxide
D. Vasoconstriction Correct Answer D vasoconstriction
A 46-year-old man with a history of polysubstance abuse, body
mass index of 20, and prominent thyroid cartilage is found
obtunded. He is intubated and admitted to the ICU. He
subsequently regains consciousness, becomes agitated, and
violently pulls out his endotracheal tube. He is unable to breathe;
attempts to assist him with bag mask ventilation are unsuccessful.
Direct laryngoscopy reveals swollen, edematous vocal cords with
no glottic opening seen. His oxygen saturation is now 76%. Which
of the following methods is most appropriate to re-establish an
airway?
A. Establish airway patency by using Rapid Sequence Intubation
B. Attempt placement of a supraglottic airway (laryngeal mask
airway) and call for immediate surgical backup
C. Placement of a nasopharyngeal airway
D. Videolaryngoscopy with size 7.5 endotracheal tube Correct
Answer B B. Attempt placement of a supraglottic airway
(laryngeal mask airway) and call for immediate surgical backup
A 53-year-old woman presents to the emergency department with
epigastric pain that began acutely. She has tachycardia and
hypotension. An upright chest radiograph reveals
pneumoperitoneum. Her lactic acid is 4.3 mmol/L. After
administering 30 mL/kg normal saline solution, her blood pressure
is 78/43 mm Hg and her mean arterial pressure is 55 mm Hg.
After the bolus dynamic monitoring demonstrates low pulse
pressure variation and an IVC ultrasound shows little variability
with respiration. Which of the following is the most appropriate
, next intervention to achieve a mean arterial pressure target of 65
mm Hg?
A. 1-L bolus of normal saline
B norepinephrine
C phenylepherine
D tx 1 unit whole blood Correct Answer B norepinephrine
A 51-year-old male, helmeted motorcyclist with a history of
hypertension is hit by a car. He is found away from his
motorcycle. He is intubated at the scene and transported by
helicopter to the nearest trauma center. On arrival, he is
unresponsive and on no sedation. Heart rate is around 140
beats/min, blood pressure is 80/40 mm Hg, and he is
mechanically ventilated. He has had negligible urine output. He is
pale. Massive transfusion protocol is initiated. Which of the
following classes of shock is this patient exhibiting?
A class I shock
B class II shock
C class III Shock
D class IV shock Correct Answer Class IV shock
A 55-year-old woman presents to the emergency department with
shortness of breath and oxygen saturation 84%. She was
discharged from the hospital 2 days ago after a urinary tract
infection for which she received IV antibiotics and was sent home
on an oral regimen for 5 more days. Blood and sputum cultures
are obtained and empiric IV antibiotics are started for presumed
nosocomial pneumonia. Which of the following antimicrobial
regimens is most appropriate for this patient?
A. Cefepime plus levofloxacin plus vancomycin
B. Levofloxacin plus tobramycin plus imipenem
C. Meropenem plus trimethoprim-sulfamethoxazole plus
vancomycin
D. Piperacillin/tazobactam plus cefepime plus linezolid Correct
Answer A. Cefepime plus levofloxacin plus vancomycin
with accurate answers
Which of the following interventions has shown a reduced risk of
infectious complications and mortality in acute pancreatitis?
A. Aggressive and early crystalloid resuscitation
B early enteral nutrition
C. Prophylactic broad-spectrum antibiotics
D. Use of pentoxifylline (phosphodiesterase inhibitor) within 24
hours of admission Correct Answer B early enteral nutrition
A 35-year-old man develops acute respiratory distress syndrome
from smoke inhalation injury. He is receiving invasive mechanical
ventilation in volume assist control mode. His ventilator settings
are: tidal volume 350 mL (6 mL/kg ideal body weight), respiratory
rate 28 breaths/min, gas flow rate 80 L/min, and positive end-
expiratory pressure (PEEP) 10 cm H2O. His plateau pressure on
these settings is 26 cm H2O. Arterial blood gas analysis reveals:
pH 7.28, PCO2 50 mm Hg, PO2 50 mm Hg, bicarbonate 26
mmol/L, and oxygenation saturation 82%. Which of the following
is the most appropriate next step in management?
A. Increase PEEP to 14 cm H2O.
B. Increase the respiratory rate to 35 breaths/min.
C. Start a bicarbonate infusion.
D. Lower the tidal volume to 5 mL/kg ideal body weight. Correct
Answer A increase PEEP to 14
A 68-year-old man with Crohn disease was admitted with a small
bowel fistula. Now on postoperative day 2 after a small bowel
resection, he has hematochezia, nausea, vomiting, abdominal
pain, and distention. Heart rate is 134 beats/min and blood
pressure is 84/52 mm Hg. Hemoglobin is 6.2 g/dL. Pulse oximetry
has a poor waveform and readings are poor and inconsistent.
,Which of the following is the most likely causing the poor pulse
oximetry readings
A. Drop in hemoglobin
B. Excessive nail polish
C. Elevated carbon dioxide
D. Vasoconstriction Correct Answer D vasoconstriction
A 46-year-old man with a history of polysubstance abuse, body
mass index of 20, and prominent thyroid cartilage is found
obtunded. He is intubated and admitted to the ICU. He
subsequently regains consciousness, becomes agitated, and
violently pulls out his endotracheal tube. He is unable to breathe;
attempts to assist him with bag mask ventilation are unsuccessful.
Direct laryngoscopy reveals swollen, edematous vocal cords with
no glottic opening seen. His oxygen saturation is now 76%. Which
of the following methods is most appropriate to re-establish an
airway?
A. Establish airway patency by using Rapid Sequence Intubation
B. Attempt placement of a supraglottic airway (laryngeal mask
airway) and call for immediate surgical backup
C. Placement of a nasopharyngeal airway
D. Videolaryngoscopy with size 7.5 endotracheal tube Correct
Answer B B. Attempt placement of a supraglottic airway
(laryngeal mask airway) and call for immediate surgical backup
A 53-year-old woman presents to the emergency department with
epigastric pain that began acutely. She has tachycardia and
hypotension. An upright chest radiograph reveals
pneumoperitoneum. Her lactic acid is 4.3 mmol/L. After
administering 30 mL/kg normal saline solution, her blood pressure
is 78/43 mm Hg and her mean arterial pressure is 55 mm Hg.
After the bolus dynamic monitoring demonstrates low pulse
pressure variation and an IVC ultrasound shows little variability
with respiration. Which of the following is the most appropriate
, next intervention to achieve a mean arterial pressure target of 65
mm Hg?
A. 1-L bolus of normal saline
B norepinephrine
C phenylepherine
D tx 1 unit whole blood Correct Answer B norepinephrine
A 51-year-old male, helmeted motorcyclist with a history of
hypertension is hit by a car. He is found away from his
motorcycle. He is intubated at the scene and transported by
helicopter to the nearest trauma center. On arrival, he is
unresponsive and on no sedation. Heart rate is around 140
beats/min, blood pressure is 80/40 mm Hg, and he is
mechanically ventilated. He has had negligible urine output. He is
pale. Massive transfusion protocol is initiated. Which of the
following classes of shock is this patient exhibiting?
A class I shock
B class II shock
C class III Shock
D class IV shock Correct Answer Class IV shock
A 55-year-old woman presents to the emergency department with
shortness of breath and oxygen saturation 84%. She was
discharged from the hospital 2 days ago after a urinary tract
infection for which she received IV antibiotics and was sent home
on an oral regimen for 5 more days. Blood and sputum cultures
are obtained and empiric IV antibiotics are started for presumed
nosocomial pneumonia. Which of the following antimicrobial
regimens is most appropriate for this patient?
A. Cefepime plus levofloxacin plus vancomycin
B. Levofloxacin plus tobramycin plus imipenem
C. Meropenem plus trimethoprim-sulfamethoxazole plus
vancomycin
D. Piperacillin/tazobactam plus cefepime plus linezolid Correct
Answer A. Cefepime plus levofloxacin plus vancomycin
