ACCS Review Practice Exam questions with answers

ACCS Review Practice Exam questions with |\ |\ |\ |\ |\ |\




answers

Average urine output per hour is approximately? - CORRECT
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ANSWERS ✔✔40 mL |\ |\




According to the Berlin Criteria, a patient is classified with severe
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ARDS when his Pao2/Fio2 ratio is? - CORRECT ANSWERS ✔✔Less
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than 100 |\




A patient is admitted to the ED with a possible CVA. Which
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diagnostic test is most appropriate for identification of an acute
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cerebral infarction? - CORRECT ANSWERS ✔✔CT Scan: checks
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chest, abdomen and brain (2-3 dimensions)
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Cerebral angiography - CORRECT ANSWERS ✔✔measures
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abnormal cerebral circulation |\ |\




PET scan - CORRECT ANSWERS ✔✔checks for cancer, brain
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disorders and heart diseases |\ |\ |\




A patient has been intubated in the ED and has a end tidal CO2
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reading of 4%. The specialist should suspect that the:
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A. patient has a pulmonary embolus
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B. ET tube is in the correct position
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,C. ET tube is in the esophagus
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D. ET tube is in the right main stem bronchus - CORRECT
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ANSWERS ✔✔B. ET tube is in the correct position |\ |\ |\ |\ |\ |\ |\ |\




*etco2 will be > if in the esophagus
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Post-operatively, Mr. Hart has a 2-3 mm ST segment elevation on |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


his 12 lead electrocardiograph. This is indicative of - CORRECT
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ANSWERS ✔✔Myocardial injury |\ |\




Which of the following would most accurately provide necessary
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information regarding fluid management in the care of a critically
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ill patient with pulmonary edema?
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A. Bedside PFT
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B. Intake and Output measurements
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C. Daily weights
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D. Pulmonary artery catheter - CORRECT ANSWERS ✔✔D.
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Pulmonary artery catheter |\ |\




A patient who was struck in the head with a blunt object is
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recovering in the ICU. He is angry, combative, and irritable. He
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opens his eyes, grunts, and withdraws when the sole of his foot
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is stimulated with a sharp object. What is his score on the
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Glasgow Coma scale? - CORRECT ANSWERS ✔✔8
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,Chest radiograph changes associated with congestive heart
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failure include: |\ |\




1. Bilateral radiolucency
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2. Increased pulmonary Vasculature
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3. Cardiomegaly
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A. 1 & 2 only
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B. 2&3 only
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C. 1& 3 only
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D. All of the above - CORRECT ANSWERS ✔✔B. 2 & 3
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1 is normal
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2 and 3 indicates CHF
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A 57 year old male is admitted to the ICU with chest pain
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radiating down his left arm. Which of the following lab tests
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would best confirm the diagnosis of myocardial infarction?
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A. PvO2
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B. Phosphate
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C. Troponin
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D. Lactate - CORRECT ANSWERS ✔✔C. Troponin
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, A 67 year old male with chest pain and shortness of breath is
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placed on a cardiac monitor in the intensive care unit. The
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following rhythm is observed on the monitor - what is the correct
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interpretation of a 3rd degree AV block? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔No PR interval |\ |\




Describe a 2nd degree AV block - CORRECT ANSWERS ✔✔P wave
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longer and skips a beat |\ |\ |\ |\




Describe a Multifocal PVC - CORRECT ANSWERS ✔✔it's |\ |\ |\ |\ |\ |\ |\ |\


unidentifiable = treat with O2 and amiodarone |\ |\ |\ |\ |\ |\




Which of the following tests should the adult critical care
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specialist recommend in order to confirm the diagnosis of
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pulmonary artery hypertension? |\ |\




A. pulmonary functions tests
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B. high resolution CT scan
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C. Right heart catheterization
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D. Six minute walk test - CORRECT ANSWERS ✔✔C. Right heart
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catheterization


A 76 y.o. male presents to the ED with shortness of breath. Upon
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entering the room the adult critical care specialist determines
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that the patient is alert and anxious on oxygen at 5L/min by
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nasal cannula. He is seated in the tripod position and using
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accessory muscles to breathe. He has audible crackles bilaterally,
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jugular venous distension, and +2 peripheral edema. The
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following patient data is obtained: |\ |\ |\ |\ |\