CFRN ACE General Medicine Exam with all Correct & 100%
Verified Answers |Latest Version |Already Graded A+
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
Which of the following types of radiation will penetrate skin but not walls, concrete, and
shielding? ✔Correct Answer-Beta
A 70 kg adult patient was rescued from a house fire and has third degree burns to her entire left
leg, entire left arm, and half of her anterior thorax. What is her estimated burned surface area?
✔Correct Answer-0.45
Which of the following is considered to be the fluid of choice for burn resuscitation?
✔Correct Answer-Lactated Ringers
You are preparing to perform a rapid sequence intubation on a combative patient with a GCS of
7 who was extricated from a vehicle after a high-mechanism MVA. Vital signs P 156, RR 38, BP
104/52, Sp02 98%. Lung sounds are equal bilaterally. Blood glucose is 78 mg/dL. Infared
temperature is
100.4 F. POCUS shows blood in morrison's pouch and kerley B lines in lung fields. There is lung
slide present. The patient is noted to be wearing a medical alert bracelet that he has a history of
an Arnold-Chieri Malformation. What should you HIGHLY consider when administering RSI drugs
to this patient? ✔Correct Answer-Administering a reduced dose of an induction agent
The patient is a 24 year old male who crashed a sedan into a tree at high speed. He is entrapped
in the vehicle and is complaining of severe abdominal pain. There is no evidence of head
trauma.
Verified Answers |Latest Version |Already Graded A+
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
Which of the following types of radiation will penetrate skin but not walls, concrete, and
shielding? ✔Correct Answer-Beta
A 70 kg adult patient was rescued from a house fire and has third degree burns to her entire left
leg, entire left arm, and half of her anterior thorax. What is her estimated burned surface area?
✔Correct Answer-0.45
Which of the following is considered to be the fluid of choice for burn resuscitation?
✔Correct Answer-Lactated Ringers
You are preparing to perform a rapid sequence intubation on a combative patient with a GCS of
7 who was extricated from a vehicle after a high-mechanism MVA. Vital signs P 156, RR 38, BP
104/52, Sp02 98%. Lung sounds are equal bilaterally. Blood glucose is 78 mg/dL. Infared
temperature is
100.4 F. POCUS shows blood in morrison's pouch and kerley B lines in lung fields. There is lung
slide present. The patient is noted to be wearing a medical alert bracelet that he has a history of
an Arnold-Chieri Malformation. What should you HIGHLY consider when administering RSI drugs
to this patient? ✔Correct Answer-Administering a reduced dose of an induction agent
The patient is a 24 year old male who crashed a sedan into a tree at high speed. He is entrapped
in the vehicle and is complaining of severe abdominal pain. There is no evidence of head
trauma.
