IA MED CFRN FINAL TEST QUESTIONS
WITH 100% CORRECT ANSWERS LATEST
UPDATE
The patient's ABG pH 7.51, PO2 90, PCO2 20, HCO3 24. This represents the early
stages of a patient with - Answer- Aspirin overdose
A family of four presents to the ER with complaints of sudden onset headache,
nausea/vomiting, and the two children are significantly altered. The father states they
were decorating the Christmas tree when symptoms started suddenly for all four family
members. The clinician should suspect - Answer- carbon monoxide poisoning
A system that eliminates hierarchies when safety issues are a concern, facilitates
effective workload distribution, and utilizes resources like checklists and procedure
manuals is - Answer- Crew Resource Management
The symptoms of "the chokes" (Type 2 Decompression Sickness) are due to
Air embolism in the pulmonary artery
Non-cardiogenic pulmonary edema from activation of the inflammatory cascade
Small air emboli in the alveolar-capillary membranes
Air emboli in the CSF altering the responses of central chemoreceptors - Answer- Non-
cardiogenic pulmonary edema from activation of the inflammatory cascade
Which mechanical circulatory support device provides flow supporting tissue perfusion
and oxygenation? - Answer- V-A ECMO
A 30 pound 3 year old was rescued from a house fire. She presents with third-degree
burns over the entirety of her anterior and posterior thorax, anterior surfaces of both
legs, and the anterior surfaces of both arms. Using the consensus formula, how much
IV fluid should she receive in the first 8 hours post burn injury? - Answer- 1,153 mL
Which of the following is a classic manifestation of a digitalis overdose?
"Flying bug" hallucinations
Insatiable thirst
Fever > 105 F
,Patient Yellow/green vision halos around objects - Answer- Patient yellow green vision
You are transporting a ventilated patient. The patient is sedated, pain controlled, and
pharmacologically paralyzed. Vent settings volume assist control, Vt 520, f 18, FiO2 0.8,
PEEP 8, PIP 47, Auto-PEEP 0. You perform an inspiratory hold maneuver and obtain a
plateau pressure of 42.
You should FIRST - Answer- Decrease the tidal volume
In the event that the pilot is incapacitated after a hard landing, the emergency shut
down procedure for a helicopter is as follows - Answer- Throttle off, fuel off, battery off,
rotor break applied
You are transporting a patient with a lower GI bleed to a level 1 trauma center. She is
receiving her third unit of PRBCs, first unit of FFP, and first unit of platelets. When her
blood pressure cuff inflates to check an updated BP you notice her hand begin to
spasm. You should consider - Answer- Calcium administration
The patient is a 62 year old female who is 1-week post stent placement for an acute
infarction of her RCA. She has an acute onset of chest pain and dyspnea with a
productive cough with pink frothy sputum. This patient exhibits symptoms of - Answer-
Ruptured papillary muscle
A radio system that uses frequencies that are effective at penetrating buildings and
structures but are not effective for long range use are
UHF
VHF
Trunked system
Duplex - Answer- UHF
Which of the following delivery complications necessitates the placement of the
provider's hand in the mother's vagina?
Prolapsed cord
Nuchal cord
Shoulder dystocia
Cephalad presentation - Answer- Prolapsed cord
The patient with tissue hypoxia due to sepsis is experiencing
Stagnant hypoxia
Hypemic hypoxia
Histotoxic hypoxia
Infectious hypoxia - Answer- Stagnant hypoxia
, A patient with a shearing force applied to the ligamentum arteriosum may exhibit which
diagnostic finding?
Widened mediastinum on chest x-ray
Fractures of ribs 3-6
Fractures of ribs 10-11
Kerley-A lines - Answer- Widened mediastinum on chest X-ray.
A 65 year old Male with lung cancer presents with JVD and Hypotension. When you
auscultate heart sounds, you are unable to hear clear heart tones.
This patient may require which life-saving procedure?
Pericardiocentesis
Finger Thoracostomy
REBOA
Needle decompression - Answer- Pericardiocentesis
"Air taxi," or flying passengers for a fee is governed by FAR
Part 135
Part 125
Part 1841
Part 1462 - Answer- Part 135
Which of the following is a tenant of crew resource management?
Any crew member, regardless of discipline, has the right to voice safety
concerns
The pilot will assume full responsibility of situational awareness during flight operations
so the crew can focus on patient care
The air medical crew may voice their views on how the pilot should fly the aircraft
The mechanics may decide which medical equipment the medical crew may or may not
carry - Answer- Any crew member, regardless of discipline, has the right to voice safety
Concerns
You are transporting a patient with a large subarachnoid hemorrhage. He is intubated,
sedated, and has pain controlled. The patient remains persistently hypertensive. Vital
signs P 44, RR 16 (vent), BP 220/116, Sp02 99%. Which approach to managing the
patient's blood pressure is the BEST approach? - Answer- Nicardipine titrated to a
systolic BP of 160 mmHg
Hemodynamic values are CO 3.5, CVP 14, PAWP 21, SVR 1200. This patient requires -
Answer- Positive inotropy and diuretics
WITH 100% CORRECT ANSWERS LATEST
UPDATE
The patient's ABG pH 7.51, PO2 90, PCO2 20, HCO3 24. This represents the early
stages of a patient with - Answer- Aspirin overdose
A family of four presents to the ER with complaints of sudden onset headache,
nausea/vomiting, and the two children are significantly altered. The father states they
were decorating the Christmas tree when symptoms started suddenly for all four family
members. The clinician should suspect - Answer- carbon monoxide poisoning
A system that eliminates hierarchies when safety issues are a concern, facilitates
effective workload distribution, and utilizes resources like checklists and procedure
manuals is - Answer- Crew Resource Management
The symptoms of "the chokes" (Type 2 Decompression Sickness) are due to
Air embolism in the pulmonary artery
Non-cardiogenic pulmonary edema from activation of the inflammatory cascade
Small air emboli in the alveolar-capillary membranes
Air emboli in the CSF altering the responses of central chemoreceptors - Answer- Non-
cardiogenic pulmonary edema from activation of the inflammatory cascade
Which mechanical circulatory support device provides flow supporting tissue perfusion
and oxygenation? - Answer- V-A ECMO
A 30 pound 3 year old was rescued from a house fire. She presents with third-degree
burns over the entirety of her anterior and posterior thorax, anterior surfaces of both
legs, and the anterior surfaces of both arms. Using the consensus formula, how much
IV fluid should she receive in the first 8 hours post burn injury? - Answer- 1,153 mL
Which of the following is a classic manifestation of a digitalis overdose?
"Flying bug" hallucinations
Insatiable thirst
Fever > 105 F
,Patient Yellow/green vision halos around objects - Answer- Patient yellow green vision
You are transporting a ventilated patient. The patient is sedated, pain controlled, and
pharmacologically paralyzed. Vent settings volume assist control, Vt 520, f 18, FiO2 0.8,
PEEP 8, PIP 47, Auto-PEEP 0. You perform an inspiratory hold maneuver and obtain a
plateau pressure of 42.
You should FIRST - Answer- Decrease the tidal volume
In the event that the pilot is incapacitated after a hard landing, the emergency shut
down procedure for a helicopter is as follows - Answer- Throttle off, fuel off, battery off,
rotor break applied
You are transporting a patient with a lower GI bleed to a level 1 trauma center. She is
receiving her third unit of PRBCs, first unit of FFP, and first unit of platelets. When her
blood pressure cuff inflates to check an updated BP you notice her hand begin to
spasm. You should consider - Answer- Calcium administration
The patient is a 62 year old female who is 1-week post stent placement for an acute
infarction of her RCA. She has an acute onset of chest pain and dyspnea with a
productive cough with pink frothy sputum. This patient exhibits symptoms of - Answer-
Ruptured papillary muscle
A radio system that uses frequencies that are effective at penetrating buildings and
structures but are not effective for long range use are
UHF
VHF
Trunked system
Duplex - Answer- UHF
Which of the following delivery complications necessitates the placement of the
provider's hand in the mother's vagina?
Prolapsed cord
Nuchal cord
Shoulder dystocia
Cephalad presentation - Answer- Prolapsed cord
The patient with tissue hypoxia due to sepsis is experiencing
Stagnant hypoxia
Hypemic hypoxia
Histotoxic hypoxia
Infectious hypoxia - Answer- Stagnant hypoxia
, A patient with a shearing force applied to the ligamentum arteriosum may exhibit which
diagnostic finding?
Widened mediastinum on chest x-ray
Fractures of ribs 3-6
Fractures of ribs 10-11
Kerley-A lines - Answer- Widened mediastinum on chest X-ray.
A 65 year old Male with lung cancer presents with JVD and Hypotension. When you
auscultate heart sounds, you are unable to hear clear heart tones.
This patient may require which life-saving procedure?
Pericardiocentesis
Finger Thoracostomy
REBOA
Needle decompression - Answer- Pericardiocentesis
"Air taxi," or flying passengers for a fee is governed by FAR
Part 135
Part 125
Part 1841
Part 1462 - Answer- Part 135
Which of the following is a tenant of crew resource management?
Any crew member, regardless of discipline, has the right to voice safety
concerns
The pilot will assume full responsibility of situational awareness during flight operations
so the crew can focus on patient care
The air medical crew may voice their views on how the pilot should fly the aircraft
The mechanics may decide which medical equipment the medical crew may or may not
carry - Answer- Any crew member, regardless of discipline, has the right to voice safety
Concerns
You are transporting a patient with a large subarachnoid hemorrhage. He is intubated,
sedated, and has pain controlled. The patient remains persistently hypertensive. Vital
signs P 44, RR 16 (vent), BP 220/116, Sp02 99%. Which approach to managing the
patient's blood pressure is the BEST approach? - Answer- Nicardipine titrated to a
systolic BP of 160 mmHg
Hemodynamic values are CO 3.5, CVP 14, PAWP 21, SVR 1200. This patient requires -
Answer- Positive inotropy and diuretics
