ISFM FSVO ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ You are caring for a patient with a suspected stroke whose symptoms started
2 hours ago. The CT was normal with no sign of hemorrhage. The patient
does not have any contraindications to fibrinolytic therapy. Which treatment
is best?a. start fibrinolytic therapy ASAPb. hold fibrinolytic therapy for 24
hoursc. order an echo before fibrinolytic administrationd. wait for MRI
result.
Answer: a. start fibrinolytic therapy ASAP
◍ a/an-.
Answer: without
◍ For STEMI pt, maximum goal time for ED door-to-balloon-inflation time
for PCI?a. 150 minsb. 180 minsc. 120 minsd. 90 mins.
Answer: 90 mins
◍ brady-.
Answer: slow
◍ Which is the recommended oral dose of ASA for a pt w/ suspected ACS?a.
81 mgb. 325-650 mgc. 160-325 mgd. 40 mg.
Answer: 160-325 mg
◍ chest compressions during for adult rate.
Answer: 100-120/min
◍ effect of excessive ventilationa. decresed cardiac outputb. decreased
intrathoracic pressurec. increased perfusion pressured. increased venous
return.
, Answer: decreased cardiac output
◍ temperature to achieve targeted temperature management after cardiac
arrest.
Answer: 32-36C
◍ 3 mins into cardiac arrest resuscitation attempt, one member of your team
inserts an endotracheal tube while another performs chest compressions.
Capnography shows a persistent waveform & a PETCO2 of 8mmHg. What
is the significance of the finding?a. chest compression may not be
effectiveb. The endotrachael tube is in the esophagusc. the team is
ventilating the patient too oftend. the patient meets the criteria for
termination of efforts.
Answer: a. chest compression may not be effective
◍ Your patient is in cardiac arrest and has been intubated. to assess CPR
quality, you should.
Answer: monitor the patient's PETCO2
◍ dys-.
Answer: abnormal
◍ tachy-.
Answer: fast
◍ peri-.
Answer: around
◍ trans-.
Answer: across
◍ In addition to clinical assessment, which is the most reliable method to
confirm & monitor correct placement of an endotracheal tube?.
Answer: continous waveform capnography
◍ post-.
Answer: after
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
, distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air..
Answer: answer has to do with acute coronary syndrome
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. When applied, the
cardiac monitor initially showed ventricular tachycardia, which then quickly
changed to ventricular fibrillation. What do we do?a. chest compressionb.
vasoactive medsc. vascular accessd. advanced airway.
Answer: a. chest compression
◍ pre-.
Answer: before
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. Despite 2 defib
attempt, the patient remains in V-fib. Which drug & dose should be given?a.
lidocaine 1 mg/kgb. amiodarone 300mgc. epi 1mgd. atropine 1 mg.
Answer: epi 1 mg
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. despite the drug
provided above & continuous CPR, the patient remains in v-fib. which drug
should be given next?a. atropine 1mgb. mag sulfate 1gc. amiodarone
300mgd. epi 1 mg.
Answer: c. amiodarone 300mg
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. The patient has
returned of spontaneous circulation (ROSC) & is not able to follow
commands. Which immediate post-cardiac arrest care intervention do you
choose for the patient?a. extubateb. check glucosec. give epid. initiate
targeted temp. management.
Answer: initiate targeted temperature management(the guideline no longer
has post-arrest optimal glucose level)
◍ hyper-.
Answer: excessive
◍ A 45M has coronary artery stents placed 2 days ago. Today, he is in severe
distress & crushing chest discomfort. he is pale, diaphoretic, & cool to the
touch. His radial pulse is very weak. Blood pressure is 64/40 mm Hg,
respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially showed
ventricular tachycardia, which quickly changed to v-fib. what would you
have done first if the patient had not gone into v-fib?a. give atropine 1mgb.
establish IVc. do a 12 leadd. performed synchronized cardioversion.
Answer: performed synchronized cardioversion
◍ hypo-.
Answer: insufficient
◍ During post-cardiac arrest, which is recommended duration of targeted
temp. management after reaching the correct temperature range?a. at least
24 hoursb. 0-8 hourc. at least 36 hoursd. at least 48 hours.
Answer: at least 24 hours
◍ intra-.
Answer: within
◍ auto-.
Answer: self
◍ hetero-.
Answer: different
QUESTIONS WITH ANSWERS GRADED
A+
◍ You are caring for a patient with a suspected stroke whose symptoms started
2 hours ago. The CT was normal with no sign of hemorrhage. The patient
does not have any contraindications to fibrinolytic therapy. Which treatment
is best?a. start fibrinolytic therapy ASAPb. hold fibrinolytic therapy for 24
hoursc. order an echo before fibrinolytic administrationd. wait for MRI
result.
Answer: a. start fibrinolytic therapy ASAP
◍ a/an-.
Answer: without
◍ For STEMI pt, maximum goal time for ED door-to-balloon-inflation time
for PCI?a. 150 minsb. 180 minsc. 120 minsd. 90 mins.
Answer: 90 mins
◍ brady-.
Answer: slow
◍ Which is the recommended oral dose of ASA for a pt w/ suspected ACS?a.
81 mgb. 325-650 mgc. 160-325 mgd. 40 mg.
Answer: 160-325 mg
◍ chest compressions during for adult rate.
Answer: 100-120/min
◍ effect of excessive ventilationa. decresed cardiac outputb. decreased
intrathoracic pressurec. increased perfusion pressured. increased venous
return.
, Answer: decreased cardiac output
◍ temperature to achieve targeted temperature management after cardiac
arrest.
Answer: 32-36C
◍ 3 mins into cardiac arrest resuscitation attempt, one member of your team
inserts an endotracheal tube while another performs chest compressions.
Capnography shows a persistent waveform & a PETCO2 of 8mmHg. What
is the significance of the finding?a. chest compression may not be
effectiveb. The endotrachael tube is in the esophagusc. the team is
ventilating the patient too oftend. the patient meets the criteria for
termination of efforts.
Answer: a. chest compression may not be effective
◍ Your patient is in cardiac arrest and has been intubated. to assess CPR
quality, you should.
Answer: monitor the patient's PETCO2
◍ dys-.
Answer: abnormal
◍ tachy-.
Answer: fast
◍ peri-.
Answer: around
◍ trans-.
Answer: across
◍ In addition to clinical assessment, which is the most reliable method to
confirm & monitor correct placement of an endotracheal tube?.
Answer: continous waveform capnography
◍ post-.
Answer: after
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
, distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air..
Answer: answer has to do with acute coronary syndrome
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. When applied, the
cardiac monitor initially showed ventricular tachycardia, which then quickly
changed to ventricular fibrillation. What do we do?a. chest compressionb.
vasoactive medsc. vascular accessd. advanced airway.
Answer: a. chest compression
◍ pre-.
Answer: before
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. Despite 2 defib
attempt, the patient remains in V-fib. Which drug & dose should be given?a.
lidocaine 1 mg/kgb. amiodarone 300mgc. epi 1mgd. atropine 1 mg.
Answer: epi 1 mg
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. despite the drug
provided above & continuous CPR, the patient remains in v-fib. which drug
should be given next?a. atropine 1mgb. mag sulfate 1gc. amiodarone
300mgd. epi 1 mg.
Answer: c. amiodarone 300mg
◍ A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic,
, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. The patient has
returned of spontaneous circulation (ROSC) & is not able to follow
commands. Which immediate post-cardiac arrest care intervention do you
choose for the patient?a. extubateb. check glucosec. give epid. initiate
targeted temp. management.
Answer: initiate targeted temperature management(the guideline no longer
has post-arrest optimal glucose level)
◍ hyper-.
Answer: excessive
◍ A 45M has coronary artery stents placed 2 days ago. Today, he is in severe
distress & crushing chest discomfort. he is pale, diaphoretic, & cool to the
touch. His radial pulse is very weak. Blood pressure is 64/40 mm Hg,
respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially showed
ventricular tachycardia, which quickly changed to v-fib. what would you
have done first if the patient had not gone into v-fib?a. give atropine 1mgb.
establish IVc. do a 12 leadd. performed synchronized cardioversion.
Answer: performed synchronized cardioversion
◍ hypo-.
Answer: insufficient
◍ During post-cardiac arrest, which is recommended duration of targeted
temp. management after reaching the correct temperature range?a. at least
24 hoursb. 0-8 hourc. at least 36 hoursd. at least 48 hours.
Answer: at least 24 hours
◍ intra-.
Answer: within
◍ auto-.
Answer: self
◍ hetero-.
Answer: different
