FPC & CFRN Review Exam – Version B Practice Test
Hypothyroidism
Primarily in men
Hypothroidism occurs primarily in women, almost ex-
clusively over the age of sixty, with 90% of the cases
1. Myxedema coma is also known
occurring in the winter months.
as...
A. Thyroid storm
B. Adrenal insufficiency
C. Hypothyroidism
D. Hyperaldosteronism
2. Most common presentation of a
patient with hypothyroidism are Hypovolemic shock
all of the following, Except...
A. Cold intolerance with coarse
hair
B. Almost exclusively over the age
of sixty
C. >90% of cases occur in the win-
ter
D. Primarily in men
3. Your patient presents with follow-
ing parameters: CVP 0, CI 1, PA S/D
, FPC & CFRN Review Exam – Version B Practice Test
8/4, wedge 3, and SVR 1,800. What Careful interpretation of the CVP is important!
is your diagnosis?
Central venous pressure (CVP) describes the pressure of
A. Hypovolemic shock blood in the thoracic vena cava, near the right atrium of
B. Right ventricular infarction the heart.
C. CHF
CVP reflects the amount of blood returning to the heart
D. Sepsis
and the ability of the heart to pump the blood into the
arterial system.
4.
, FPC & CFRN Review Exam – Version B Practice Test
Drug of choice for profound hy- Levophed
potension in septic shock is?
Sepsis is by far the most common cause of distributive
A. Isotonic crystalloid solution shock.
B. Levophed
C. Nipride
D. Dobutamine
5. The average normal ICP range Normal ICP range is 0-10 mmHg, but range can go as
is... high as 15 mmHg.
A. 0-10 mmHg
B. 10-20 mmHg
C. 20-30 mmHg
D. >30 mmHg
6. The formula to calculate MAP is 2 × DBP + SBP / 3
A. 2/3 DBP × SBP (normal 80-100 mmHg)
B. 2 × DBP + SBP divided by 3
C. 2 × SBP + DBP
D. 2 + DBP × SBP divided by 3
7. Normal coronary perfusion pres- Normal 50-60 mmHg
sure (CPP) is
Coronary perfusion pressure: (CPP) = DBP-PAWP
A. 50-60 mmHg
B. 70-90 mmHg
C. 80-100 mmHg
D. <50 mmHg
8. The patient presents with the Neurogenic shock
following hemodynamic parame-
SVR < 800, think distributive shock. Next look at the CI;
, FPC & CFRN Review Exam – Version B Practice Test
ters: CVP 1, CI 1.7, PA S/D 12/6, is it less than 2.5? Hypotension and either a normal
wedge 6, and SVR 300. Vital signs heart and/or bradycardia present narrows the type of
are 78/40, HR 60, RR 16, SaO2 98%. distributive shock as being neurogenic shock.
The most likely cause is...
A. RVMI
B. Neurogenic shock
C. Septic shock
D. Hypovolemic shock
9. Severe hypothermic Pt's are at V-Fib
highest risk for which of the fol-
lowing rhythm? Severe: 20-28 (coma, VF common)
A. A-Fib
B. Asystole
C. V-Fib
D. Sinus Brady
10. The drug of choice for a patient Dantrolene
exhibiting signs and symptoms of
malignant hyperthermia is: Malignant hyperthermia: Characteristic signs are mus-
cular rigidity, followed by a hypercatabolic state; with in-
A. Anectine creased oxygen consumption, increased carbon dioxide
B. Sodium bicarbonate production (hypercapnea, usually measured by capnog-
C. Dantrolene raphy), tachycardia (fast heart rate), and an increase
D. Glucagon in body temperature (hyperthermia) at a rate of up to
~2°C per hour, temperatures up to 42°C (108°F) are not
uncommon.
11. Induction agent of choice with Ketamine (ketalar)
bronchospastic patients
Hypothyroidism
Primarily in men
Hypothroidism occurs primarily in women, almost ex-
clusively over the age of sixty, with 90% of the cases
1. Myxedema coma is also known
occurring in the winter months.
as...
A. Thyroid storm
B. Adrenal insufficiency
C. Hypothyroidism
D. Hyperaldosteronism
2. Most common presentation of a
patient with hypothyroidism are Hypovolemic shock
all of the following, Except...
A. Cold intolerance with coarse
hair
B. Almost exclusively over the age
of sixty
C. >90% of cases occur in the win-
ter
D. Primarily in men
3. Your patient presents with follow-
ing parameters: CVP 0, CI 1, PA S/D
, FPC & CFRN Review Exam – Version B Practice Test
8/4, wedge 3, and SVR 1,800. What Careful interpretation of the CVP is important!
is your diagnosis?
Central venous pressure (CVP) describes the pressure of
A. Hypovolemic shock blood in the thoracic vena cava, near the right atrium of
B. Right ventricular infarction the heart.
C. CHF
CVP reflects the amount of blood returning to the heart
D. Sepsis
and the ability of the heart to pump the blood into the
arterial system.
4.
, FPC & CFRN Review Exam – Version B Practice Test
Drug of choice for profound hy- Levophed
potension in septic shock is?
Sepsis is by far the most common cause of distributive
A. Isotonic crystalloid solution shock.
B. Levophed
C. Nipride
D. Dobutamine
5. The average normal ICP range Normal ICP range is 0-10 mmHg, but range can go as
is... high as 15 mmHg.
A. 0-10 mmHg
B. 10-20 mmHg
C. 20-30 mmHg
D. >30 mmHg
6. The formula to calculate MAP is 2 × DBP + SBP / 3
A. 2/3 DBP × SBP (normal 80-100 mmHg)
B. 2 × DBP + SBP divided by 3
C. 2 × SBP + DBP
D. 2 + DBP × SBP divided by 3
7. Normal coronary perfusion pres- Normal 50-60 mmHg
sure (CPP) is
Coronary perfusion pressure: (CPP) = DBP-PAWP
A. 50-60 mmHg
B. 70-90 mmHg
C. 80-100 mmHg
D. <50 mmHg
8. The patient presents with the Neurogenic shock
following hemodynamic parame-
SVR < 800, think distributive shock. Next look at the CI;
, FPC & CFRN Review Exam – Version B Practice Test
ters: CVP 1, CI 1.7, PA S/D 12/6, is it less than 2.5? Hypotension and either a normal
wedge 6, and SVR 300. Vital signs heart and/or bradycardia present narrows the type of
are 78/40, HR 60, RR 16, SaO2 98%. distributive shock as being neurogenic shock.
The most likely cause is...
A. RVMI
B. Neurogenic shock
C. Septic shock
D. Hypovolemic shock
9. Severe hypothermic Pt's are at V-Fib
highest risk for which of the fol-
lowing rhythm? Severe: 20-28 (coma, VF common)
A. A-Fib
B. Asystole
C. V-Fib
D. Sinus Brady
10. The drug of choice for a patient Dantrolene
exhibiting signs and symptoms of
malignant hyperthermia is: Malignant hyperthermia: Characteristic signs are mus-
cular rigidity, followed by a hypercatabolic state; with in-
A. Anectine creased oxygen consumption, increased carbon dioxide
B. Sodium bicarbonate production (hypercapnea, usually measured by capnog-
C. Dantrolene raphy), tachycardia (fast heart rate), and an increase
D. Glucagon in body temperature (hyperthermia) at a rate of up to
~2°C per hour, temperatures up to 42°C (108°F) are not
uncommon.
11. Induction agent of choice with Ketamine (ketalar)
bronchospastic patients
