ACCS Exam Practice Questions With Correct Solutions Latest Rated A+ 2023/2024

ACCS Exam Practice Questions With Correct Solutions Latest Rated A+ 2023/2024. A patient who was struck in the head with a blunt object is recovering in the ICU. He is angry, combative, and irritable. He opens his eyes, grunts, and withdraws when the sole of his foot is stimulated with a sharp object. What is his score on the Glasgow Coma scale? - Answer 8 Chest radiograph changes associated with congestive heart failure include: 1. Bilateral radiolucency 2. Increased pulmonary Vasculature 3. Cardiomegaly A. 1 & 2 only B. 2&3 only C. 1& 3 only D. All of the above - Answer B. 2 & 3 1 is normal 2 and 3 indicates CHF A 57 year old male is admitted to the ICU with chest pain radiating down his left arm. Which of the following lab tests would best confirm the diagnosis of myocardial infarction? A. PvO2 B. Phosphate C. Troponin D. Lactate - Answer C. Troponin A 67 year old male with chest pain and shortness of breath is placed on a cardiac monitor in the intensive care unit. The following rhythm is observed on the monitor - what is the correct interpretation of a 3rd degree AV block? - Answer No PR interval Describe a 2nd degree AV block - Answer P wave longer and skips a beat Describe a Multifocal PVC - Answer it's unidentifiable = treat with O2 and amiodarone Which of the following tests should the adult critical care specialist recommend in order to confirm the diagnosis of pulmonary artery hypertension? A. pulmonary functions tests B. high resolution CT scan C. Right heart catheterization D. Six minute walk test - Answer C. Right heart catheterization A 76 y.o. male presents to the ED with shortness of breath. Upon entering the room the adult critical care specialist determines that the patient is alert and anxious on oxygen at 5L/min by nasal cannula. He is seated in the tripod position and using accessory muscles to breathe. He has audible crackles bilaterally, jugular venous distension, and +2 peripheral edema. The following patient data is obtained: HR 110/min RR 31/min BP 154/92 mmHg Spo2 90% Which of the following tests should the specialist recommend to confirm a suspicion of congestive heart failure? A. troponin B. brain natriuretic peptide C. magnesium level D. MB fraction of creatinine phosphokinase - Answer B. Brain natriuretic peptide The adult critical care specialist assigned to the cardiovascular intensive care unit hears an alarm sound in Room 4. Upon entering the room, the specialist notes that the pulmonary artery pressure tracing is dampened. The specialist should: - Answer flush the catheter * dampening means it's wet and not reading Mrs. Smith is in her third postoperative day following repair of fractured hip. A chest radiograph obtained tis morning reveals a left lower lobe infiltrate. Patient assessment data includes: Temp: 102*F (39*C) HR 100, RR 24, Sat 92%, BP 90/70 RBC 4, Hb 11 Hct 39, WBC 20000, Platelets 250,000 What therapy should the specialist recommend? A. anti-infective agent B. beta agonist aerosol C. sustained maximal inspiration D. oral expectorant - Answer A. anti-infective agent A mildly obese 48 year old female presented to the ED complaining of chest discomfort. She denied any cough, fever, night seats, or weight loss. Her physical examination revealed: Temp 37.8*C, HR 100, RR 14, BP 110/70. She reported that she had a transthoracic echocardiogram two days previously that demonstrated a positive bubble study and an estimated peak pulmonary arterial systolic pressure of 59. Chest examination revealed bilateral vesicular breath sounds and resonance to percussion. Cardiac examination revealed a regular rhythm with normal heart sounds and no murmurs or pericardial friction rub. The abdomen was soft, nontender, an without hepatosplenomegaly. There was no cyanosis, clubbing or edema. The specialist should recommend initial therapy for. A. a left to right cardiac shunt B. refractory hypoxemia C. increased system vascular resistance D. pulmonary arterial hypertension. - Answer D. pulmonary arterial hypertension A 17 year old male is admitted to the ED after a MVA in which he sustained blunt chest trauma. While being transported to radiology, he complains of shortness of breath and severe chest pain. The adult critical care specialist is asked to assess the patient. The following CT image shows increased aeration on the left side, the specialist should recommend: - Answer insertion of a left chest tube ACCS Review Practice Exam With Complete Solutions. A 66 year old woman presents to the ED with shortness of breath. She appears alert and anxious on oxygen via nasal cannula at 5L/min. She is seated in the tripod position and using accessory muscles to breathe. Further assessment reveals bilateral audible crackles, jugular venous distension and +3 peripheral edema. The following patient data is available: HR 110, RR 31, BP 154/92, Spo2 90%, BNP 1100 (Brain Natriuretic Peptide) The specialist should recommend initiation of therapy for - Answer Congestive heart failure Mr. Jones is admitted to the critical care unit with a 2-day history of vomiting and abdominal pain. His admission lab results include: Glucose 256 Na+ 133 K+ 5.8 Cl- 95 Hco3 15 ABG: 7.28, 35 co2, 88 Pao2, 98%, 16 The specialist should initially recommend administration of: - Answer Insulin Norma values: Glucose <100 Na+ 135-145 K+ 35-45 Cl- 95-105 HCO3 22-26 Ms. Brown presents with acute shortness of breath and chest pain during the last trimester of her pregnancy. She complains of dizziness and anxiety with a heart rate of 125/min and blood pressure of 80/50 mmHg. Which of the following diagnostic procedures should the adult critical care specialist recommend? 1. Cerebral angiogram 2. Ventilation-perfusion scan 3. Arterial blood gas 4. PET scan - Answer 2 & 3 The adult critical care specialist is summoned to the ICU where a male patient with a past history of tobacco abuse and tuberculosis recently coughed up approximately 1 cup of bright red blood. He appears uncomfortable and in respiratory distress. Auscultation reveals rhonchi that are more pronounced on the right than the left. The chest radiograph demonstrates diffuse bilateral infiltrates. During the physical exam, the patient coughs up 450 mL of bright red blood.