FPC Prep Questions 2

FPC Prep Questions 2023 You are transporting a pt who recently underwent a thoracotomy. You notice the water in the waterseal chamber of his pleural tube falls during inspiration and rises during expiration. This indicates what? a) Tension Pneumothorax b) Normal findings c) Tube not draining appropriately d) Tube not in pleural space Ans- B. During transport of a burn pt, you notice an absent P wave and an increased QRS interval on the EKG. Initial EKG showed ST in the 160's with a peaked T wave. What electrolyte abnormality do you suspect? a) Hypomagnesmia b) Hyperkalemia c) Hypercalcemia d) Hypokalemia Ans- B. The flight team knows that when treating a pt with severe sepsis, monitoring the CVP, MAP, urine output and SVO2 are essential for identifying endpoints for resuscitation. What is the goal for the SVO2 in these severe sepsis patients? a) 40-50 b) 55-65 c) 65-70 d) 75-80 Ans- C. You are transporting a 30yom who was involved in a MVC. He has a closed femur fracture with a history of drinking and driving. Which problems may occur in flight? a) Histoxic, Hypemic b) Stagnant, Hypemic c) Hypoxic, Stagnant d) Hypoxic, Hypemic Ans- A. What is the CAMTS VFR local/day flying minimums? a) 200' ceiling, 1/2 mile visibility b) 1000' ceiling, 2 mile visibility c) 500' ceiling, 1 mile visibility d) 800' ceiling, 2 mile visibility Ans- D. Assessment of scene safety includes monitoring all of the following elements except; a) Aircraft safety b) Landing zone safety c) Mechanism of injury d) Hazardous materials Ans- C. You are transporting a pt with a diagnosis of CHF who has been receiving high doses of Lasix. On assessment, you notice generalized muscle weakness, flat neck veins and diminished DTRs. You suspect hyponatremia in this pt. What other findings would help you confirm this diagnosis? a) Oliguria b) Increased specific gravity of urine c) Dry mucous membranes d) Abdominal cramping Ans- D. The central line reading obtained in the ICU prior to your arrival shows: CVP 13, CI 1.4, and PCWP 18. This could indicate what problem for the pt? a) Hypovolemia b) Heart Failure c) Anaphylactic shock d) None of the above Ans- B. Which of the following is not a treatment strategy when dealing with rhabdomyolosis and myoglobinuria? a) Mannitol b) Fluid resuscitation c) Vasopressin administration d) NAHCO3 treatment Ans- C. What best describes oversensing? a) Ventricular failure to pacemaker firing b) Failure to sense the pt's QRS complexes c) Pacemaker senses the T wave or other signals and is inhibited d) Failure of the pacemaker to respond to atrial impulse sensing with ventricular pacing Ans- C. The primary trigger used for most IABP operations is the? a) PA catheter b) A-line c) CVP waveform d) ECG waveform Ans- D. Fluid loss in a dehydrated patient will most critically increase serum levels of which of the following? a) Sodium b) Calcium c) Chloride d) Potassium Ans- A. Identify the following ABG: pH 7.28, PaCO2 20, HCO3 17, PaO2 80, BE-8 Select one: a) Partially compensated Metabolic Acidosis b) Uncompensated Metabolic Alkalosis c) Compensated Respiratory Acidosis d) Compensated Respiratory Alkalosis Ans- A. A 62-year-old female is complaining of chest pain. She has a past medical history of HTN, hypertriglyceridemia, CAD, and DM. Current vitals are: BP 152/90, HR 82, and RR 22. Upon auscultation, you note a split S2 on expiration and single S2 on inspiration. You obtain a 12-lead and note a normal P wave with each QRS complex and PR interval measuring 0.2 seconds. The QRS complexes measure 0.14 seconds and are positive in leads V5 and V6 and negative in V1. What do these findings indicate? a) LBBB b) Unstable VT c) RBBB d) Second degree type I AV block Ans- A. The flight team recognizes that DIC is a common complication of? a) Abruptio placenta b) Placenta previa c) Ectopic pregnancy d) Ovarian rupture Ans- A. What is the normal SVR measurement? a) 400-1000 dyne-sec/cm b) 800-1200 dyne-sec/cm c) 200-400 dyne-sec/cm d) dyne-sec/cm Ans- B. An expanding ETT in flight is an indication of what gas law? a) Charle's law b) Dalton's law c) Henry's law d) Boyle's law Ans- D. Which of the following pulmonary artery pressures are within normal limits? a) PAP 28/18, wedge = 20 b) PAP 30/20, wedge = 10 c) PAP 24/14, wedge = 12 d) PAP 34/24, wedge = 12 Ans- C. You are SCUBA diving in a local lake and descend to 99' below the surface. At this point in the descent you are experiencing how many ATM's? a) 3 ATM b) 1 ATM c) 2 ATM d) 4 ATM Ans- D. Which medication below would be the most beneficial for a pt suffering from a heatstroke event? a) Adenosine b) Solu-Medrol c) Mannitol d) Cimetadine Ans- D. Which of the following can be associated with a poor prognosis in a pt with severe acute respiratory syndrome? a) Significant elevated Lactate b) Significant leukocytosis c) An elevation in CO2 d) Fever over 103 Ans- A. Your pt had a recent craniotomy to remove a tumor. He is currently awake, alert and answering your questions appropriately. He shows no signs of any neurologic deficits. His VS are: BP 112/76, HR 86, RR 18/m, O2 @ 97% on 2L, FSBG 96 mg/dl. Since the craniotomy, he has been urinating approximately 50 ml/hr. Within the last couple of hours, his urine output has increased to 350 ml/hr and has a specific gravity of 1.001. What would you suspect? a) Hypervolemia b) Diabetes Insipidus c) SIADH d) Development of type 2 diabetes Ans- B. Which of the following statements below is inaccurate regarding heat stroke? a) Oxygen supply exceeds demand b) Core temp can exceed 104F c) Level of consciousness is decreased d) Respiratory alkalosis is a common finding in heat stroke Ans- A