Version B
1. Myxedema coma is also known as?
A. Thyroid storm
B. Adrenal insufficiency
C. Hypothryroidism
D. Hyperaldosteronism
2. Most common presentation of a patient with hypothyroidism are all of the
following, EXCEPT:
A. Cold intolerance with coarse hair
B. Almost exclusively over age 60
C. > 90 % of cases occur in the winter
D. Primarily in men
3. Your patient presents with following parameters: CVP 0, CI 1.4, PA S/D 10/4,
wedge 3 and SVR 1800. What is the most likely cause?
A. Hypovolemic shock
B. Cardiogenic shock
C. RVMI
D. Neurogenic shock
4. Drug of choice for profound hypotension in septic shock is?
A. Isotonic crystalloid solution
B. Levophed
C. Nipride
D. Dobutamine
5. Normal ICP readings are?
A. 0 – 10 mmHg
B. 10 – 20 mmHg
C. 20 – 30 mmHg
D. > 30 mmHg
Original October 2006 1 For PHI Internal Use Only
Orchid Lopez RN, CFRN, NREMT-P
Clinical Educator
, 6. The formula to calculate MAP is:
A. 2/3 DBP X SBP
B. 2 x DBP + SBP divided by 3
C. 2 x SBP + DBP
D. 2 + DBP x SBP divided by 3
7. Normal coronary perfusion pressure (CPP) is:
A. 50 – 60 mmHg
B. 70 – 90 mmHg
C. 80 – 100 mmHg
D. < 50 mmHg
8. The following ECG reveals?
A. Sinus tachycardia
B. Poor R wave progression
C. WPW
D. Paced rhythm
Original October 2006 2 For PHI Internal Use Only
Orchid Lopez RN, CFRN, NREMT-P
Clinical Educator
, 9. The patient presents with the following parameters: CVP 1, CI 1.7, PA S/D
12/6, wedge 6 and SVR 300. The most likely cause is?
A. RVMI
B. Neurogenic shock
C. Septic shock
D. Hypovolemic shock
10. The following ECG reveals?
A. First degree AV block
B. Second degree AV block
C. Sinus bradycardia
D. Complete heart block
11. Severe hypothermic patients are at highest risk for which of the following rhythm ?
A. Atrial fibrillation
B. Asystole
C. Ventricular fibrillation
D. Sinus bradycardia
Original October 2006 3 For PHI Internal Use Only
Orchid Lopez RN, CFRN, NREMT-P
Clinical Educator