CFRN ACE General Medicine questions and
answers 2024\2025
Which of the following patients has the highest degree of shock?
30 year old male. Found unresponsive behind gas station with signs of head trauma and a deformed
right arm. GCS 3. HR 110. BP 98/62.
86 year old female after fall down concrete steps. GCS 11. HR 110, BP
212/106.
54 year old female. Lateral impact MVA. Wishes to refuse transport to the hospital. GCS 15. HR 100. BP
106/54.
24 year old male. GSW to femur. GCS 15. HR 140, BP 82/40.
- correct answer 24 year old male. Elevated HR low BP
A baby was rescued from a house fire. His entire torso (front and back) has full-thickness burns.
He has partial burns to the entire left arm and entire left leg. How much fluid should the baby receive in
the first 8 hours post burn if he is 3 kg?
- correct answer 357 mL
Which of the following patients who were in a structure fire should be intubated without delay?
- correct answer Patient presenting with carbonaceous sputum
Indicates impending swelling and closing of the airway.
A patient with altered mental status has been pulled from a car that was found on fire in an alleyway.
There is no obvious signs that the car was involved in a collision. The patient has extensive second and
third degree burns over most of his body. Vital signs are P166, R34, BP 64/26, Sp02 100%. This patient
, almost certainly has
- correct answer A traumatic injury that is not immediately apparent.
Which of the following injuries would you NOT usually predict in the 8 year old who was struck by a
moving vehicle?
- correct answer Contusions on the front of the head
Contrecoup injury
Liver laceration
Femur fracture
The pediatric burn patient should be fluid resuscitated to a goal of
- correct answer Urine output of 1 mL/kg/hr
You are transporting a 56 year old female who was found unresponsive at the bottom of her basement
steps from a freestanding ED to a level 1 trauma center for a neurosurgical evaluation.
She is intubated and is mechanically ventilated. CT of her head shows a large bright white starfish
pattern on her CT. Vital signs are P 48, R14, BP 200/110, SpO2 98%, ETCO2 36 mmHg. During transport
you decide to treat her blood pressure with nicardipine. What is the most appropriate systolic blood
pressure target for this patient?
- correct answer 160 mmHg
In the absence of whole blood, the patient requiring traumatic shock resuscitation should receive
- correct answer to 1 to 1 ratio of PRBC, platelets, and plasma
TXA should be administered to the multisystem trauma patient with hemorrhagic shock to
- correct answer Prevents existing clots from being broken down
Permissive hypotension does not apply to the resuscitation of the trauma patient with which of the
following findings?
- correct answer STAR pattern on head CT
answers 2024\2025
Which of the following patients has the highest degree of shock?
30 year old male. Found unresponsive behind gas station with signs of head trauma and a deformed
right arm. GCS 3. HR 110. BP 98/62.
86 year old female after fall down concrete steps. GCS 11. HR 110, BP
212/106.
54 year old female. Lateral impact MVA. Wishes to refuse transport to the hospital. GCS 15. HR 100. BP
106/54.
24 year old male. GSW to femur. GCS 15. HR 140, BP 82/40.
- correct answer 24 year old male. Elevated HR low BP
A baby was rescued from a house fire. His entire torso (front and back) has full-thickness burns.
He has partial burns to the entire left arm and entire left leg. How much fluid should the baby receive in
the first 8 hours post burn if he is 3 kg?
- correct answer 357 mL
Which of the following patients who were in a structure fire should be intubated without delay?
- correct answer Patient presenting with carbonaceous sputum
Indicates impending swelling and closing of the airway.
A patient with altered mental status has been pulled from a car that was found on fire in an alleyway.
There is no obvious signs that the car was involved in a collision. The patient has extensive second and
third degree burns over most of his body. Vital signs are P166, R34, BP 64/26, Sp02 100%. This patient
, almost certainly has
- correct answer A traumatic injury that is not immediately apparent.
Which of the following injuries would you NOT usually predict in the 8 year old who was struck by a
moving vehicle?
- correct answer Contusions on the front of the head
Contrecoup injury
Liver laceration
Femur fracture
The pediatric burn patient should be fluid resuscitated to a goal of
- correct answer Urine output of 1 mL/kg/hr
You are transporting a 56 year old female who was found unresponsive at the bottom of her basement
steps from a freestanding ED to a level 1 trauma center for a neurosurgical evaluation.
She is intubated and is mechanically ventilated. CT of her head shows a large bright white starfish
pattern on her CT. Vital signs are P 48, R14, BP 200/110, SpO2 98%, ETCO2 36 mmHg. During transport
you decide to treat her blood pressure with nicardipine. What is the most appropriate systolic blood
pressure target for this patient?
- correct answer 160 mmHg
In the absence of whole blood, the patient requiring traumatic shock resuscitation should receive
- correct answer to 1 to 1 ratio of PRBC, platelets, and plasma
TXA should be administered to the multisystem trauma patient with hemorrhagic shock to
- correct answer Prevents existing clots from being broken down
Permissive hypotension does not apply to the resuscitation of the trauma patient with which of the
following findings?
- correct answer STAR pattern on head CT
