FPC / CFRN - Review Exam - Version A
Normal value for monitoring PA pressures are?
A. 2-6/8 - 14 mmHg
B. 15 - 25/8 - 15 mmHg
C. 25 - 35/20 - 30 mmHg
D. None of the above VERIFIED ANS: 15 - - 15 mmHg
Pulmonary systolic pressure is 15-25 mmHg.
Pulmonary diastolic pressure is 8-15 mmHg.
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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: Synchronize cardiovert
Pediatric dose for Epinephrine is? VERIFIED ANS: 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?
A. Liver laceration
B. Uterine rupture
C. Placenta previa
D. Abruptio placenta VERIFIED ANS: Uterine rupture
Abruptio placenta VERIFIED ANS: dark red, painful
Placenta previa VERIFIED ANS: red, painless
Normal value for monitoring PA pressures are?
A. 2-6/8 - 14 mmHg
B. 15 - 25/8 - 15 mmHg
C. 25 - 35/20 - 30 mmHg
D. None of the above VERIFIED ANS: 15 - - 15 mmHg
Pulmonary systolic pressure is 15-25 mmHg.
Pulmonary diastolic pressure is 8-15 mmHg.
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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: 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 VERIFIED ANS: Synchronize cardiovert
Pediatric dose for Epinephrine is? VERIFIED ANS: 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?
A. Liver laceration
B. Uterine rupture
C. Placenta previa
D. Abruptio placenta VERIFIED ANS: Uterine rupture
Abruptio placenta VERIFIED ANS: dark red, painful
Placenta previa VERIFIED ANS: red, painless