FCCS Review Test Questions and
Answers11
What type of respiratory failure happens with OD? - ANSWERS-hypercapnic
Classical example of shunt as a cause for V/Q mismatch? - ANSWERS-anything that causes dz in
alveoli
PNA
atelectasis
alveoli filled with anything other than air -> blood, pus, fluid
Pt has cardiac arrest, CPT, unresponsive. What do you do? - ANSWERS-target temperature
management. (cool to *33-36 C*)
leave cool for 24 hours
rewarm by .25 degrees every hour
cool people w/ *IV femoral catheter OR pads on body*
If you cannot intubate pt d/t difficult airway use - ANSWERS-laryngeal mask airway
Hyperkalemia pt who needs to be intubated. What drug do you NEVER use? - ANSWERS-
Succinylcholine
can worsen hyper K
what drug blunts the vagal response during intubation? - ANSWERS-Lidocaine
, How do you estimate the difficulty of intubation? - ANSWERS-use thyromental distance= less
than 3 fingers (6 cm) from Adam's apple will be a difficult airway
larynx is anterior <6
What is pulses paradoxus? - ANSWERS-decrease in BP > 10 mmHg with inspiration
* normal decrease of 2-4 mmHg with inspiration. When physiology is exaggerated we call it
pulsus paradoxes
* negative pressure on inspiration to draw air in
* increase VR
Most reliable sign in a critically ill patient? - ANSWERS-tachypnea
How do you diagnose airway obstruction? - ANSWERS-FEV1/FVC <70%
Once airway obstruction is diagnosed, how do you determine whether it is d/t asthma or COPD?
- ANSWERS-Give pt bronchodilator. if >12% improvement of FEV1 then asthma
The *Global* initiate for Chronic *Obstructive Lung Disease* (GOLD) categorizes airflow
limitation into how many stages? - ANSWERS-4 stages of COPD
GOLD 1 spirometric findings - ANSWERS-mild:
Answers11
What type of respiratory failure happens with OD? - ANSWERS-hypercapnic
Classical example of shunt as a cause for V/Q mismatch? - ANSWERS-anything that causes dz in
alveoli
PNA
atelectasis
alveoli filled with anything other than air -> blood, pus, fluid
Pt has cardiac arrest, CPT, unresponsive. What do you do? - ANSWERS-target temperature
management. (cool to *33-36 C*)
leave cool for 24 hours
rewarm by .25 degrees every hour
cool people w/ *IV femoral catheter OR pads on body*
If you cannot intubate pt d/t difficult airway use - ANSWERS-laryngeal mask airway
Hyperkalemia pt who needs to be intubated. What drug do you NEVER use? - ANSWERS-
Succinylcholine
can worsen hyper K
what drug blunts the vagal response during intubation? - ANSWERS-Lidocaine
, How do you estimate the difficulty of intubation? - ANSWERS-use thyromental distance= less
than 3 fingers (6 cm) from Adam's apple will be a difficult airway
larynx is anterior <6
What is pulses paradoxus? - ANSWERS-decrease in BP > 10 mmHg with inspiration
* normal decrease of 2-4 mmHg with inspiration. When physiology is exaggerated we call it
pulsus paradoxes
* negative pressure on inspiration to draw air in
* increase VR
Most reliable sign in a critically ill patient? - ANSWERS-tachypnea
How do you diagnose airway obstruction? - ANSWERS-FEV1/FVC <70%
Once airway obstruction is diagnosed, how do you determine whether it is d/t asthma or COPD?
- ANSWERS-Give pt bronchodilator. if >12% improvement of FEV1 then asthma
The *Global* initiate for Chronic *Obstructive Lung Disease* (GOLD) categorizes airflow
limitation into how many stages? - ANSWERS-4 stages of COPD
GOLD 1 spirometric findings - ANSWERS-mild:
