FPC / CFRN REVIEW EXAM VERSION B TEST QUESTIONS WITH ACCURATE SOLUTIONS
Myxedema coma is also known as...
A. Thyroid storm
B. Adrenal insufficiency
C. Hypothyroidism
D. Hyperaldosteronism
Hypothyroidism
Most common presentation of a patient with hypothyroidism are all of the following,
Except...
A. Cold intolerance with coarse hair
B. Almost exclusively over the age of sixty
C. >90% of cases occur in the winter
D. Primarily in men
Primarily in men
Hypothroidism occurs primarily in women, almost exclusively over the age of sixty, with
90% of the cases occurring in the winter months.
Your patient presents with following parameters: CVP 0, CI 1, PA S/D 8/4, wedge 3, and SVR
1,800. What is your diagnosis?
,A. Hypovolemic shock
B. Right ventricular infarction
C. CHF
D. Sepsis
Hypovolemic shock
Careful interpretation of the CVP is important!
Central venous pressure (CVP) describes the pressure of blood in the thoracic vena cava,
near the right atrium of the heart.
CVP reflects the amount of blood returning to the heart and the ability of the heart to pump
the blood into the arterial system.
Recommended urinary output when managing a burn patient without an electrical injury is:
A. 100 mL/hr
B. 10-20 mL/hr
C. 30-50 mL/hr
D. >100 mL/hr
30-50 mL/hr
Hydrofluoric burns can be managed with copious amounts of water and...
A. Calcium gluconate
B. Osmotic diuretics
,C. Glucagon
D. Pyroxidine
Calcium gluconate
Hydrofluoric acid exposure is often treated with calcium gluconate, a source of Ca2+ that
sequesters the fluoride ions. HF chemical burns can be treated with a water wash and
2.5% calcium gluconate gel or special rinsing solutions. However, because it is absorbed,
medical treatment is necessary; rinsing off is not enough and in some cases, amputation
may be necessary.
The management approach for a patient experiencing brain herniation can include all of the
following, EXCEPT:
A. Serum sodium goal 155
B. Serum osmolality less than 320
C. Hypertonic saline, mannitol
D. Hyperventilation to maintain EtCO2 at 20-30 mmHg
Hyperventilation to maintain EtCO2 at 20-30 mmHg
Routine hyperventilation is not longer recommended in the initial management of the
patient with traumatic brain injury. The patient's EtCO2 should be maintained between 35-
45 mmHg.
Classic picture of neurogenic shock presents with...
A. Hypertension
, B. Absence of tachycardia
C. Cool skin
D. Pallor
Absence of tachycardia
Loss of sympathetic tone below the level of the injury results in loss of autoregulation, a
decrease in vascular tone, and inability of the heart to increase its intrinisic rate. The
classic picture of neurogenic shock presents with the absence of tachycardia.
You are transporting a patient with a spinal cord injury above T6 level. His baseline vital
signs prior to lift off: BP 160/80, HR 62, RR 20. During transport, the patient begins to
complain of a throbbing
headache with nasal stuffiness. Your assessment reveals that the patient is becoming
increasingly agitated. His skin color is flushed and profusely diaphoretic. Repeat vital signs
are a BP 206/100, HR
52, RR 26. Your initial management of the patient would be...
A. Insert a foley catheter
B. Administer nitroglycerin to help reduce blood pressure
C. Hang a Nipride drip if diastolic is greater than 130 mmHg
D. Do nothing because increased HTN is expected with altitude and spinal cord injuries.
Insert a foley catheter
Autonomic dysreflexia (AD), also known as "autonomic hyperreflexia or hyperreflexia," is a
potentially life-threatening condition, which can be considered a medical emergency
requiring immediate attention.
Myxedema coma is also known as...
A. Thyroid storm
B. Adrenal insufficiency
C. Hypothyroidism
D. Hyperaldosteronism
Hypothyroidism
Most common presentation of a patient with hypothyroidism are all of the following,
Except...
A. Cold intolerance with coarse hair
B. Almost exclusively over the age of sixty
C. >90% of cases occur in the winter
D. Primarily in men
Primarily in men
Hypothroidism occurs primarily in women, almost exclusively over the age of sixty, with
90% of the cases occurring in the winter months.
Your patient presents with following parameters: CVP 0, CI 1, PA S/D 8/4, wedge 3, and SVR
1,800. What is your diagnosis?
,A. Hypovolemic shock
B. Right ventricular infarction
C. CHF
D. Sepsis
Hypovolemic shock
Careful interpretation of the CVP is important!
Central venous pressure (CVP) describes the pressure of blood in the thoracic vena cava,
near the right atrium of the heart.
CVP reflects the amount of blood returning to the heart and the ability of the heart to pump
the blood into the arterial system.
Recommended urinary output when managing a burn patient without an electrical injury is:
A. 100 mL/hr
B. 10-20 mL/hr
C. 30-50 mL/hr
D. >100 mL/hr
30-50 mL/hr
Hydrofluoric burns can be managed with copious amounts of water and...
A. Calcium gluconate
B. Osmotic diuretics
,C. Glucagon
D. Pyroxidine
Calcium gluconate
Hydrofluoric acid exposure is often treated with calcium gluconate, a source of Ca2+ that
sequesters the fluoride ions. HF chemical burns can be treated with a water wash and
2.5% calcium gluconate gel or special rinsing solutions. However, because it is absorbed,
medical treatment is necessary; rinsing off is not enough and in some cases, amputation
may be necessary.
The management approach for a patient experiencing brain herniation can include all of the
following, EXCEPT:
A. Serum sodium goal 155
B. Serum osmolality less than 320
C. Hypertonic saline, mannitol
D. Hyperventilation to maintain EtCO2 at 20-30 mmHg
Hyperventilation to maintain EtCO2 at 20-30 mmHg
Routine hyperventilation is not longer recommended in the initial management of the
patient with traumatic brain injury. The patient's EtCO2 should be maintained between 35-
45 mmHg.
Classic picture of neurogenic shock presents with...
A. Hypertension
, B. Absence of tachycardia
C. Cool skin
D. Pallor
Absence of tachycardia
Loss of sympathetic tone below the level of the injury results in loss of autoregulation, a
decrease in vascular tone, and inability of the heart to increase its intrinisic rate. The
classic picture of neurogenic shock presents with the absence of tachycardia.
You are transporting a patient with a spinal cord injury above T6 level. His baseline vital
signs prior to lift off: BP 160/80, HR 62, RR 20. During transport, the patient begins to
complain of a throbbing
headache with nasal stuffiness. Your assessment reveals that the patient is becoming
increasingly agitated. His skin color is flushed and profusely diaphoretic. Repeat vital signs
are a BP 206/100, HR
52, RR 26. Your initial management of the patient would be...
A. Insert a foley catheter
B. Administer nitroglycerin to help reduce blood pressure
C. Hang a Nipride drip if diastolic is greater than 130 mmHg
D. Do nothing because increased HTN is expected with altitude and spinal cord injuries.
Insert a foley catheter
Autonomic dysreflexia (AD), also known as "autonomic hyperreflexia or hyperreflexia," is a
potentially life-threatening condition, which can be considered a medical emergency
requiring immediate attention.
