FP-C Review UPDATED ACTUAL Exam
Questions and CORRECT Answers
MAP - CORRECT ANSWER - [(2 x DBP) + SBP] / 3
Average arterial pressure during a single cardiac cycle.
Kehr's Sign - CORRECT ANSWER - Shoulder pain as referred pain due to blood or other
irritants in the peritoneal cavity. Left shoulder pain is classic of splenic injury.
Parkland Formula - CORRECT ANSWER - 4ml x kg x BSA = fluid in 24 hrs, half in first
8.
Do not count 1st degree BSA.
Consensus Formula - CORRECT ANSWER - 2-4ml x kg x BSA = fluid in 24 hrs, half in
first 8.
Do not count 1st degree BSA.
Electrical Alternans - CORRECT ANSWER - An ECG phenomenon of alternating QRS
complex amplitude or axis between beats (high, low, high). Also a wandering baseline may be
seen. It is seen in cardiac tamponade and is thought to be related to changes in the ventricular
electrical axis due to fluid in the pericardium.
Potassium - CORRECT ANSWER - 3.5 to 5.0
Major intracellular cation (+)
,Hamman's Sign - CORRECT ANSWER - A crunching sound auscultated on the anterior
chest wall and is synchronized to the patient's heartbeat. Often associated with tracheobronchial
injury.
Beck's Triad - CORRECT ANSWER - Signs of cardiac tamponade: low arterial blood
pressure, JVD (unless the patient is hypovolemic), and distant, muffled heart sounds. Pulsus
paradoxus, a fall in the systolic blood pressure >15 mmHg during normal inspiration and a
narrowing pulse pressure may also be observed.
Bariobariatrauma - CORRECT ANSWER - Nitrogen release in obese patients during
ascent. Administer high flow oxygen 15 minutes prior to lift off to wash out nitrogen
ELT Frequency - CORRECT ANSWER - 121.5
Sodium - CORRECT ANSWER - 135 to 145
Major extracellular cation (+)
Chloride - CORRECT ANSWER - 95 to 107
Major extracellular anion (-)
Phlebostatic Axis - CORRECT ANSWER - Point where pressure measurements are made
with invasive lines. Fourth intercostal space, level of atria.
Barotitis Media - CORRECT ANSWER - Middle ear pain that can affect the patient
during descent.
Barondontalgia - CORRECT ANSWER - Toothache that can affect the patient during
ascent as trapped gases in dental work expand.
Newtons First Law - CORRECT ANSWER - An object in motion tends to stay in motion
unless acted upon by an outside force.
, Newtons Second Law - CORRECT ANSWER - Force = mass x acceleration
Newtons Third Law - CORRECT ANSWER - Every action has an equal and opposite
reaction
Hypoventilation causes... - CORRECT ANSWER - Decreased minute volume, CO2
retention, pH reduction, respiratory acidosis. (Opioid overdose)
Leftward shift... - CORRECT ANSWER - Low temp, low 2-3 DPG (massive infusion),
aLkalosis, Lots of CO
Rightward shift... - CORRECT ANSWER - Raised temp, raised 2-3 DPG, raised acidosis,
reduced oxygenation
Lactate - CORRECT ANSWER - 0.7-2.1
Greater than 4 is clinically significant for shock.
A PaCO2 decrease of 10mmHg causes... - CORRECT ANSWER - pH increase of 0.8, K
decrease of 0.5
Normal minute volume - CORRECT ANSWER - 4-8 L/min
Normal tidal volume - CORRECT ANSWER - 6-10 ml/kg
ARDS Tidal Volume - CORRECT ANSWER - 4-6 ml/kg
Dead Space Calculation - CORRECT ANSWER - Roughly 1/3 tidal volume (1 ml/lb)
Questions and CORRECT Answers
MAP - CORRECT ANSWER - [(2 x DBP) + SBP] / 3
Average arterial pressure during a single cardiac cycle.
Kehr's Sign - CORRECT ANSWER - Shoulder pain as referred pain due to blood or other
irritants in the peritoneal cavity. Left shoulder pain is classic of splenic injury.
Parkland Formula - CORRECT ANSWER - 4ml x kg x BSA = fluid in 24 hrs, half in first
8.
Do not count 1st degree BSA.
Consensus Formula - CORRECT ANSWER - 2-4ml x kg x BSA = fluid in 24 hrs, half in
first 8.
Do not count 1st degree BSA.
Electrical Alternans - CORRECT ANSWER - An ECG phenomenon of alternating QRS
complex amplitude or axis between beats (high, low, high). Also a wandering baseline may be
seen. It is seen in cardiac tamponade and is thought to be related to changes in the ventricular
electrical axis due to fluid in the pericardium.
Potassium - CORRECT ANSWER - 3.5 to 5.0
Major intracellular cation (+)
,Hamman's Sign - CORRECT ANSWER - A crunching sound auscultated on the anterior
chest wall and is synchronized to the patient's heartbeat. Often associated with tracheobronchial
injury.
Beck's Triad - CORRECT ANSWER - Signs of cardiac tamponade: low arterial blood
pressure, JVD (unless the patient is hypovolemic), and distant, muffled heart sounds. Pulsus
paradoxus, a fall in the systolic blood pressure >15 mmHg during normal inspiration and a
narrowing pulse pressure may also be observed.
Bariobariatrauma - CORRECT ANSWER - Nitrogen release in obese patients during
ascent. Administer high flow oxygen 15 minutes prior to lift off to wash out nitrogen
ELT Frequency - CORRECT ANSWER - 121.5
Sodium - CORRECT ANSWER - 135 to 145
Major extracellular cation (+)
Chloride - CORRECT ANSWER - 95 to 107
Major extracellular anion (-)
Phlebostatic Axis - CORRECT ANSWER - Point where pressure measurements are made
with invasive lines. Fourth intercostal space, level of atria.
Barotitis Media - CORRECT ANSWER - Middle ear pain that can affect the patient
during descent.
Barondontalgia - CORRECT ANSWER - Toothache that can affect the patient during
ascent as trapped gases in dental work expand.
Newtons First Law - CORRECT ANSWER - An object in motion tends to stay in motion
unless acted upon by an outside force.
, Newtons Second Law - CORRECT ANSWER - Force = mass x acceleration
Newtons Third Law - CORRECT ANSWER - Every action has an equal and opposite
reaction
Hypoventilation causes... - CORRECT ANSWER - Decreased minute volume, CO2
retention, pH reduction, respiratory acidosis. (Opioid overdose)
Leftward shift... - CORRECT ANSWER - Low temp, low 2-3 DPG (massive infusion),
aLkalosis, Lots of CO
Rightward shift... - CORRECT ANSWER - Raised temp, raised 2-3 DPG, raised acidosis,
reduced oxygenation
Lactate - CORRECT ANSWER - 0.7-2.1
Greater than 4 is clinically significant for shock.
A PaCO2 decrease of 10mmHg causes... - CORRECT ANSWER - pH increase of 0.8, K
decrease of 0.5
Normal minute volume - CORRECT ANSWER - 4-8 L/min
Normal tidal volume - CORRECT ANSWER - 6-10 ml/kg
ARDS Tidal Volume - CORRECT ANSWER - 4-6 ml/kg
Dead Space Calculation - CORRECT ANSWER - Roughly 1/3 tidal volume (1 ml/lb)
