FCCS Exam UPDATED Exam Questions
and CORRECT Answers
What vessel(s) is involved:
STEMI in Leads II, III, aVF - CORRECT ANSWER - RCA
What vessel(s) is involved:
STEMI in Leads I, AVL, V5, V6 - CORRECT ANSWER - LAD
L Circumflex
What vessel(s) is involved:
STEMI in Leads V1-V4 - CORRECT ANSWER - LAD
L Circumflex
L Main
50 y/o Chole POD 5 has:
Fever, abdominal pain, WBC 14k, HR 110, BP 140/80 and RR 35.
What shows that the patient is critically ill? - CORRECT ANSWER - Tachypnea (RR 35)
Reasons for pulsus paradoxus - CORRECT ANSWER - Asthma exacerbation
COPD exacerbation
Pleural effusion
Pericarditis
Cardiac tamponade
60 yo ESRD, on HD, missed 2-3 days, respiratory distress, SOB.
BP 80/40, RR 35, JVD, pulsus paradoxus 20mmHg, CTA, heart sounds muffled.
, What is this patients most likely diagnosis? - CORRECT ANSWER - Cardiac tamponade
What is Beck's Triad - CORRECT ANSWER - Hypotension, Muffled Heart Sounds, JVD
**Characteristic for Cardiac Tamponade**
A patient is being resuscitated thru BVM. Chest wall is not rising, no breath sounds.
What is the most appropriate next step? - CORRECT ANSWER - Make sure the mask has
good seal and no leak
What neuromuscular blocking agent can you NOT give with HYPERKALEMIA? - CORRECT
ANSWER - Succinylcholine
- Causes hyperkalemia
After cardiac arrest, Vtach or Vfib arrest & ROSC is achieved, what do you do next? -
CORRECT ANSWER - Targeted temperature management:
32-36C for at least 24h - preserve brain function
What can cause VQ mismatch/ shunt effect? - CORRECT ANSWER - MC is PNA:
- alveoli filled with fluid/infiltrate & cannot get O2 exchange
or atelectasis
What are the 3 types of respiratory failure? - CORRECT ANSWER - Hypoxemic (PaO2
<50-60)
Hypercapnic (PaCO2 >50, pH <7.35)
and CORRECT Answers
What vessel(s) is involved:
STEMI in Leads II, III, aVF - CORRECT ANSWER - RCA
What vessel(s) is involved:
STEMI in Leads I, AVL, V5, V6 - CORRECT ANSWER - LAD
L Circumflex
What vessel(s) is involved:
STEMI in Leads V1-V4 - CORRECT ANSWER - LAD
L Circumflex
L Main
50 y/o Chole POD 5 has:
Fever, abdominal pain, WBC 14k, HR 110, BP 140/80 and RR 35.
What shows that the patient is critically ill? - CORRECT ANSWER - Tachypnea (RR 35)
Reasons for pulsus paradoxus - CORRECT ANSWER - Asthma exacerbation
COPD exacerbation
Pleural effusion
Pericarditis
Cardiac tamponade
60 yo ESRD, on HD, missed 2-3 days, respiratory distress, SOB.
BP 80/40, RR 35, JVD, pulsus paradoxus 20mmHg, CTA, heart sounds muffled.
, What is this patients most likely diagnosis? - CORRECT ANSWER - Cardiac tamponade
What is Beck's Triad - CORRECT ANSWER - Hypotension, Muffled Heart Sounds, JVD
**Characteristic for Cardiac Tamponade**
A patient is being resuscitated thru BVM. Chest wall is not rising, no breath sounds.
What is the most appropriate next step? - CORRECT ANSWER - Make sure the mask has
good seal and no leak
What neuromuscular blocking agent can you NOT give with HYPERKALEMIA? - CORRECT
ANSWER - Succinylcholine
- Causes hyperkalemia
After cardiac arrest, Vtach or Vfib arrest & ROSC is achieved, what do you do next? -
CORRECT ANSWER - Targeted temperature management:
32-36C for at least 24h - preserve brain function
What can cause VQ mismatch/ shunt effect? - CORRECT ANSWER - MC is PNA:
- alveoli filled with fluid/infiltrate & cannot get O2 exchange
or atelectasis
What are the 3 types of respiratory failure? - CORRECT ANSWER - Hypoxemic (PaO2
<50-60)
Hypercapnic (PaCO2 >50, pH <7.35)
