FCCS EXAM (Fundamentals of Critical Care Support)
REAL EXAM 2025 |SCCM VERIFIED STUDY QUIDE|
ANSWERED GRADED A
What is the single most important indicator in critical illness?
tachypnea
Beck's Triad
hypotension, JVD, muffled heart sounds
- a/w cardiac tamponade
What is the thyromental distance?
It is the distance in finger breadths between the anterior prominence of the thyroid cartilage (adam's
apple) and the tip of the mandible (chin). It is an estimate of the length of the mandible and the
available space anterior to the larynx
What does it mean when the thyromental space is < 3 fingerbreadths?
- approx 6 cm
- indicates the larynx might be more anterior and therefore difficult to visualize during laryngoscopy
,** a more acute angulation of the stylet at the distal end of the endotracheal tube may be helpful.
Serial ________ counts are required to monitor for heparin-induced thrombocytopenia.
PLT
Argatroban is an alternative anticoagulant in patients with known _____________________ .
heparin-induced thrombocytopenia
Patients who are adequately anticoagulated with warfarin who have ACS still require_____________ but
anticoagulation with heparin or alternative agents is generally not needed unless the international
normalized ratio is less than 2.0.
antiplatelet therapy
ACE inhibitors and NSTEMI
An angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker should be
administered in the first 24 hours to patients with NSTE-ACS and evidence of pulmonary congestion or
left ventricular ejection fraction <40% unless contraindications are present.
Statin and NSTEMI
,A statin should be initiated or continued after consideration of contraindications.
Aldosterone blockade and NSTEMI
This is an option in patients receiving an ACE inhibitor and β-blocker who have an ejection fraction
<40%, diabetes or heart failure, and no contraindications.
Patients with STEMI have a high likelihood that a thrombus occludes a coronary artery, resulting in a
wave front of myocardial necrosis that begins at the endocardial surface within 15 minutes. The
infarction progresses outward to the epicardium over approximately ______ hours unless collateral
flow, spontaneous reperfusion, or reperfusion via an intervention is established.
SIX HOURS
The most common finding in patients w/ STEMI in NSR is ____________ indicating decreased left
ventricular compliance at the end of ventricular filling
S4 heart sound
A right-sided ECG is indicated in patients with an ________ to determine if ST-segment elevation
suggesting right ventricular infarction is present.
- inferior STEMI
- II,III, aVF
- supplied by RCA
, II, III, aVF
Inferior wall leads (RCA)
Patient is apneic w/ a pulse. What do you do?
Bag them.
- One handed bag compressions should be delivered 10-20 times per min. Each compression should take
place over 1 second.
** If patient starts spontaneously breathing, try to be synchronous with their respiratory efforts.
** If/once the patient is breathing easily and adequate Vt are being inhaled, enough to produce minute
ventilation, stop bagging.
What is the goal of manual mask ventilation?
to provide adequate minute ventilation: the product of the tidal volume delivered during each
resuscitation bag compression and the number of compressions per min.
** The total gas volume within most adult resus bags is 1 to 1.5 LITERS
Bag mask should be connected to ________% oxygen and flow at a rate of _______
100% oxygen at a rate of 15L/min
REAL EXAM 2025 |SCCM VERIFIED STUDY QUIDE|
ANSWERED GRADED A
What is the single most important indicator in critical illness?
tachypnea
Beck's Triad
hypotension, JVD, muffled heart sounds
- a/w cardiac tamponade
What is the thyromental distance?
It is the distance in finger breadths between the anterior prominence of the thyroid cartilage (adam's
apple) and the tip of the mandible (chin). It is an estimate of the length of the mandible and the
available space anterior to the larynx
What does it mean when the thyromental space is < 3 fingerbreadths?
- approx 6 cm
- indicates the larynx might be more anterior and therefore difficult to visualize during laryngoscopy
,** a more acute angulation of the stylet at the distal end of the endotracheal tube may be helpful.
Serial ________ counts are required to monitor for heparin-induced thrombocytopenia.
PLT
Argatroban is an alternative anticoagulant in patients with known _____________________ .
heparin-induced thrombocytopenia
Patients who are adequately anticoagulated with warfarin who have ACS still require_____________ but
anticoagulation with heparin or alternative agents is generally not needed unless the international
normalized ratio is less than 2.0.
antiplatelet therapy
ACE inhibitors and NSTEMI
An angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker should be
administered in the first 24 hours to patients with NSTE-ACS and evidence of pulmonary congestion or
left ventricular ejection fraction <40% unless contraindications are present.
Statin and NSTEMI
,A statin should be initiated or continued after consideration of contraindications.
Aldosterone blockade and NSTEMI
This is an option in patients receiving an ACE inhibitor and β-blocker who have an ejection fraction
<40%, diabetes or heart failure, and no contraindications.
Patients with STEMI have a high likelihood that a thrombus occludes a coronary artery, resulting in a
wave front of myocardial necrosis that begins at the endocardial surface within 15 minutes. The
infarction progresses outward to the epicardium over approximately ______ hours unless collateral
flow, spontaneous reperfusion, or reperfusion via an intervention is established.
SIX HOURS
The most common finding in patients w/ STEMI in NSR is ____________ indicating decreased left
ventricular compliance at the end of ventricular filling
S4 heart sound
A right-sided ECG is indicated in patients with an ________ to determine if ST-segment elevation
suggesting right ventricular infarction is present.
- inferior STEMI
- II,III, aVF
- supplied by RCA
, II, III, aVF
Inferior wall leads (RCA)
Patient is apneic w/ a pulse. What do you do?
Bag them.
- One handed bag compressions should be delivered 10-20 times per min. Each compression should take
place over 1 second.
** If patient starts spontaneously breathing, try to be synchronous with their respiratory efforts.
** If/once the patient is breathing easily and adequate Vt are being inhaled, enough to produce minute
ventilation, stop bagging.
What is the goal of manual mask ventilation?
to provide adequate minute ventilation: the product of the tidal volume delivered during each
resuscitation bag compression and the number of compressions per min.
** The total gas volume within most adult resus bags is 1 to 1.5 LITERS
Bag mask should be connected to ________% oxygen and flow at a rate of _______
100% oxygen at a rate of 15L/min
