IA MED CFRN FINAL TEST QUESTIONS & ANSWERS
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
A 68 year old patient with difficulty breathing refractory to oxygen and pharmacologic
administration requires endotracheal intubation. Chest x-ray shows hyperinflated lungs
and a flattened diaphragm. Which of the following induction agents would be the best
for this patient? - Answer -Ketamine
,The time between the interruption of oxygen and the time a pilot is unable to perform
flying duties Is - Answer -Time of useful consciousness
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
The patient's hemodynamic values are CVP 12, PAWP 20, SVR 1200. What is this
patient experiencing?
Congestive heart failure
Hemorrhagic shock
Septic shock
Anaphylactic shock - Answer -Congestive Heart Failure
POCUS examination shows a collapsed IVC. The patient requires
Volume replacement
Inotropy
Diuresis
Reduction in CPP - Answer -Volume replacement
Beck's Triad indicates a_____
and includes findings of_____ - Answer -Pericardial tamponade; narrowed pulse
pressure, JVD, muffled heart sounds
Upon evacuating a downed aircraft, the crew should meet at
, The 12 o'clock position of the aircraft
The 6 o'clock position of the aircraft
The patient compartment, as that serves as an effective initial shelter
The 3 o'clock position of the aircraft - Answer -The 12 o'clock position of the AC
Sodium bicarbonate should be administered to the patient with a suspected TCA
overdose with
Widened QRS
Hypertension
Elevated ST segment
Shortened PR interval - Answer -Widened QRS
patient has just been intubated for severe respiratory distress. He is 140 kg and 6 feet in
height (72 inches). Ideal body weight is 77.6 kg. Using a lung protective strategy, which
tidal volume is most appropriate for him?
470 mL
700 mL
250 mL
285 mL - Answer -470 ml
The predominant acid-base disturbance in the patient with isolated septic shock is -
Answer -Metabolic acidosis
CAMTS regulations require_____
of space between the flight suit and the crew member's skin. - Answer -1/4 inch
The patient presents with a fever, vomiting, headache, and an inability to stretch their
hamstring This patient exhibits signs of
Meningitis
Rhabdomyolysis
Tiernan-Bifosky Syndrome
Wernicke's Encephalopathy - Answer -Meningitis
In herniation, brain tissue is displaced
Through the cerebral fissures
Through the foramen magnum
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
A 68 year old patient with difficulty breathing refractory to oxygen and pharmacologic
administration requires endotracheal intubation. Chest x-ray shows hyperinflated lungs
and a flattened diaphragm. Which of the following induction agents would be the best
for this patient? - Answer -Ketamine
,The time between the interruption of oxygen and the time a pilot is unable to perform
flying duties Is - Answer -Time of useful consciousness
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
The patient's hemodynamic values are CVP 12, PAWP 20, SVR 1200. What is this
patient experiencing?
Congestive heart failure
Hemorrhagic shock
Septic shock
Anaphylactic shock - Answer -Congestive Heart Failure
POCUS examination shows a collapsed IVC. The patient requires
Volume replacement
Inotropy
Diuresis
Reduction in CPP - Answer -Volume replacement
Beck's Triad indicates a_____
and includes findings of_____ - Answer -Pericardial tamponade; narrowed pulse
pressure, JVD, muffled heart sounds
Upon evacuating a downed aircraft, the crew should meet at
, The 12 o'clock position of the aircraft
The 6 o'clock position of the aircraft
The patient compartment, as that serves as an effective initial shelter
The 3 o'clock position of the aircraft - Answer -The 12 o'clock position of the AC
Sodium bicarbonate should be administered to the patient with a suspected TCA
overdose with
Widened QRS
Hypertension
Elevated ST segment
Shortened PR interval - Answer -Widened QRS
patient has just been intubated for severe respiratory distress. He is 140 kg and 6 feet in
height (72 inches). Ideal body weight is 77.6 kg. Using a lung protective strategy, which
tidal volume is most appropriate for him?
470 mL
700 mL
250 mL
285 mL - Answer -470 ml
The predominant acid-base disturbance in the patient with isolated septic shock is -
Answer -Metabolic acidosis
CAMTS regulations require_____
of space between the flight suit and the crew member's skin. - Answer -1/4 inch
The patient presents with a fever, vomiting, headache, and an inability to stretch their
hamstring This patient exhibits signs of
Meningitis
Rhabdomyolysis
Tiernan-Bifosky Syndrome
Wernicke's Encephalopathy - Answer -Meningitis
In herniation, brain tissue is displaced
Through the cerebral fissures
Through the foramen magnum
