FCCS EXAM LATEST
Which of the following would not be an expected laboratory finding
associated with preeclampsia?
A. Alanine aminotransferase level of 60 U/L
B. Normal glucose level
C. Decreased fibrinogen level
D. Normal bilirubin level - ANSWERS-C
Hyponatremia - indications for 3% NS? - ANSWERS-Seizures or AMS
What speed/rate can Na be correct in hyponatremia? - ANSWERS-8
mEq/24 hours
43 yo m with hx of CAD comes with left hemiparesis x 1 hour. CT
shows no bleed. What do we do? - ANSWERS-Administer TPA/TNK
22 yo m after MVA; incomprehensible sounds, no eye opening to
painful stimuli, CT scan shows increased ICP and subdural bleed; what
is the first thing we do? - ANSWERS-Elevate head of bed to 30-45
degrees
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PAGE
1
, FCCS EXAM LATEST
Male presents with no breath sounds and tracheal deviation to the left
side, what do we do? - ANSWERS-16 gauge needle cdecompression
BP 86/52, HR 126, RR 29; what class of shock is this? - ANSWERS-
Three/ Progressive Stage
Male after MVA; FAST shows bleeding, on way to OR his BP tanks,
what do we do to resuscitate? - ANSWERS-1:1:1 RBCS, platelets, FFP
male presents after MVA in cervical spine collar; while waiting for xray
the SpO2 drops to 85%, left pupil is larger than right, he does not
respond, only grunts, moves limbs to pain; what do we do? -
ANSWERS-intubate with inline intubation
NSTEMI or STEMI what do we want our SpO2 to stay above? -
ANSWERS-> 94%
Who should go to cath lab IMMEDIATELY with NSTEMI? -
ANSWERS-If they have shock with NSTEMI =immediate cath
lab/CABG
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PAGE
2
, FCCS EXAM LATEST
After STEMI, what drug has been shown to decrease risk of mortality? -
ANSWERS-ACE inhibitors
Loose stools after treatment for UTI with antibiotics; MRI shows
pancolitis, what is the tx? - ANSWERS-IVF, metronidazole, PO Vanco
(It's CDIFF)
Hospital day 14, pt with tachycardia; culture from central line = gram +
cocci what do we do? - ANSWERS-Remove with line and treat with
vanco
Fever and headache with period of confusion in 20 year old patient;
what is the likely cause? How do we treat? - ANSWERS-Cause:
Neisseria meningitidis (meningococcal)
Tx: Vanco, ceftriaxone
45 year old male with AMS, redness on upper thigh and scrotal area x 4
days (gangrenous); hx of poor controlled DM
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PAGE
3
Which of the following would not be an expected laboratory finding
associated with preeclampsia?
A. Alanine aminotransferase level of 60 U/L
B. Normal glucose level
C. Decreased fibrinogen level
D. Normal bilirubin level - ANSWERS-C
Hyponatremia - indications for 3% NS? - ANSWERS-Seizures or AMS
What speed/rate can Na be correct in hyponatremia? - ANSWERS-8
mEq/24 hours
43 yo m with hx of CAD comes with left hemiparesis x 1 hour. CT
shows no bleed. What do we do? - ANSWERS-Administer TPA/TNK
22 yo m after MVA; incomprehensible sounds, no eye opening to
painful stimuli, CT scan shows increased ICP and subdural bleed; what
is the first thing we do? - ANSWERS-Elevate head of bed to 30-45
degrees
END OF
PAGE
1
, FCCS EXAM LATEST
Male presents with no breath sounds and tracheal deviation to the left
side, what do we do? - ANSWERS-16 gauge needle cdecompression
BP 86/52, HR 126, RR 29; what class of shock is this? - ANSWERS-
Three/ Progressive Stage
Male after MVA; FAST shows bleeding, on way to OR his BP tanks,
what do we do to resuscitate? - ANSWERS-1:1:1 RBCS, platelets, FFP
male presents after MVA in cervical spine collar; while waiting for xray
the SpO2 drops to 85%, left pupil is larger than right, he does not
respond, only grunts, moves limbs to pain; what do we do? -
ANSWERS-intubate with inline intubation
NSTEMI or STEMI what do we want our SpO2 to stay above? -
ANSWERS-> 94%
Who should go to cath lab IMMEDIATELY with NSTEMI? -
ANSWERS-If they have shock with NSTEMI =immediate cath
lab/CABG
END OF
PAGE
2
, FCCS EXAM LATEST
After STEMI, what drug has been shown to decrease risk of mortality? -
ANSWERS-ACE inhibitors
Loose stools after treatment for UTI with antibiotics; MRI shows
pancolitis, what is the tx? - ANSWERS-IVF, metronidazole, PO Vanco
(It's CDIFF)
Hospital day 14, pt with tachycardia; culture from central line = gram +
cocci what do we do? - ANSWERS-Remove with line and treat with
vanco
Fever and headache with period of confusion in 20 year old patient;
what is the likely cause? How do we treat? - ANSWERS-Cause:
Neisseria meningitidis (meningococcal)
Tx: Vanco, ceftriaxone
45 year old male with AMS, redness on upper thigh and scrotal area x 4
days (gangrenous); hx of poor controlled DM
END OF
PAGE
3
