FCCS IDENTIFYING THE CRITICALLY ILL PATIENT AND ETHICS IN
CRITICAL CARE MEDICINE QUESTIONS AND ANSWERS
What does DIRECT stand for in terms of critical care management? - CORRECT ANSWER✅✅Detection
Intervention
Reassessment
Effective
Communication
Team Work
What is the greatest source of injury and death in healthcare? - CORRECT ANSWER✅✅communication
error
What populations are usually much slower to exhibit the typical s/s of acute illness? - CORRECT
ANSWER✅✅Young and otherwise healthy patients.
Those who are immunosuppressed or debilitated may not demonstrate a vigorous and clinically obvious
inflammatory response.
What type of assessment approach should be done with the seriously ill pt? - CORRECT
ANSWER✅✅Primary and secondary
What factor usually provides the greatest contribution to dx? - CORRECT ANSWER✅✅Hx
What does the primary survey look like? - CORRECT ANSWER✅✅What is the main physiological
problem?
Assess Hx, ABCs, and vital signs
Get ABG and blood glucose
Give O2 and fluids
What does the secondary survey look like? - CORRECT ANSWER✅✅What is the underlying cause?
, More detailed hx (past procedures, chronic diseases, fam hx, present complaint, etc.)
Examine ORGAN SYSTEMS
More studies
Refine and specify tx to organ systems
What is after the initial primary tx new symptoms occur and ongoing deterioration develops? - CORRECT
ANSWER✅✅Repeat primary survey, followed by a detailed secondary survey
What are the most important 2 indicators of critical illness? - CORRECT ANSWER✅✅Tachypnea
Metabolic acidosis
What is paradoxical breathing?
What is it a severe sign of? - CORRECT ANSWER✅✅When the diaphragm moves in the opposite
direction than it should, causing the abdomen deflate and chest to inflate during inhalation.
Sign of severe respiratory compromise.
What is Kussmaul breathing?
What may it indicate? - CORRECT ANSWER✅✅rapid, deep, labored breathing
Severe metabolic acidosis
What is Cheyne-Stokes respiration?
What may it indicate? - CORRECT ANSWER✅✅Periodic breathing w/ apnea or hypopnea.
Usually indicates severe brainstem injury or cardiac dysfunction
CRITICAL CARE MEDICINE QUESTIONS AND ANSWERS
What does DIRECT stand for in terms of critical care management? - CORRECT ANSWER✅✅Detection
Intervention
Reassessment
Effective
Communication
Team Work
What is the greatest source of injury and death in healthcare? - CORRECT ANSWER✅✅communication
error
What populations are usually much slower to exhibit the typical s/s of acute illness? - CORRECT
ANSWER✅✅Young and otherwise healthy patients.
Those who are immunosuppressed or debilitated may not demonstrate a vigorous and clinically obvious
inflammatory response.
What type of assessment approach should be done with the seriously ill pt? - CORRECT
ANSWER✅✅Primary and secondary
What factor usually provides the greatest contribution to dx? - CORRECT ANSWER✅✅Hx
What does the primary survey look like? - CORRECT ANSWER✅✅What is the main physiological
problem?
Assess Hx, ABCs, and vital signs
Get ABG and blood glucose
Give O2 and fluids
What does the secondary survey look like? - CORRECT ANSWER✅✅What is the underlying cause?
, More detailed hx (past procedures, chronic diseases, fam hx, present complaint, etc.)
Examine ORGAN SYSTEMS
More studies
Refine and specify tx to organ systems
What is after the initial primary tx new symptoms occur and ongoing deterioration develops? - CORRECT
ANSWER✅✅Repeat primary survey, followed by a detailed secondary survey
What are the most important 2 indicators of critical illness? - CORRECT ANSWER✅✅Tachypnea
Metabolic acidosis
What is paradoxical breathing?
What is it a severe sign of? - CORRECT ANSWER✅✅When the diaphragm moves in the opposite
direction than it should, causing the abdomen deflate and chest to inflate during inhalation.
Sign of severe respiratory compromise.
What is Kussmaul breathing?
What may it indicate? - CORRECT ANSWER✅✅rapid, deep, labored breathing
Severe metabolic acidosis
What is Cheyne-Stokes respiration?
What may it indicate? - CORRECT ANSWER✅✅Periodic breathing w/ apnea or hypopnea.
Usually indicates severe brainstem injury or cardiac dysfunction
