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FPC / CFRN - Review Exam - Version A with complete solutions (LATEST 2022) 132 Questions with 100% Correct Answers

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Normal value for monitoring PA pressures are? A. 2-6/8 - 14 mmHg B. 15 - 25/8 - 15 mmHg C. 25 - 35/20 - 30 mmHg D. None of the above - 15 - 25 / 8 - 15 mmHg Pulmonary systolic pressure is 15-25 mmHg. Pulmonary diastolic pressure is 8-15 mmHg. Initial intervention for managing a patient presenting with Bariobariatrauma is? A. Administer high flow oxygen B. Decrease oxygen to 4 L/min by NC C. Administer high flow oxygen by NRM 15 minutes prior to lift off D. Maintain cabin pressure at 2500 feet - Administer high flow oxygen by NRM 15 minutes prior to lift off. You are on the scene of a 21 YOM gunshot wound to the left chest. The left chest has been decompressed with a needle. The patient is intubated and continues to de-saturate and you note an increase in SQ air. How will manage this patient? A. Re-needle the left chest B. Advance ET tube below the level of the injury; right main stem intubation. C. Decrease respiratory rate down to 10 per minute D. Insert a chest tube - Advance E

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FPC / CFRN - Review Exam - Version A with complete solutions (LATEST
2022) 132 Questions with 100% Correct Answers

Normal value for monitoring PA pressures are?

A. 2-6/8 - 14 mmHg
B. 15 - 25/8 - 15 mmHg
C. 25 - 35/20 - 30 mmHg
D. None of the above Correct Answer: 15 - - 15 mmHg

Pulmonary systolic pressure is 15-25 mmHg.
Pulmonary diastolic pressure is 8-15 mmHg.

Initial intervention for managing a patient presenting with Bariobariatrauma is?

A. Administer high flow oxygen
B. Decrease oxygen to 4 L/min by NC
C. Administer high flow oxygen by NRM 15 minutes prior to lift off
D. Maintain cabin pressure at 2500 feet Correct Answer: Administer high flow oxygen by NRM
15 minutes prior to lift off.

You are on the scene of a 21 YOM gunshot wound to the left chest. The left chest has been
decompressed with a needle. The patient is intubated and continues to de-saturate and you note
an increase in SQ air. How will manage this patient?

A. Re-needle the left chest
B. Advance ET tube below the level of the injury; right main stem intubation.
C. Decrease respiratory rate down to 10 per minute
D. Insert a chest tube Correct Answer: Advance ET tube below the level of the injury; right
main stem intubation.

Drug of choice for treating a GI bleed is?

A. Normal saline
B. Nipride
C. Whole blood
D. Sandostatin Correct Answer: Sandostatin

Your patient has an ICP of 28. BP is 100/60. His cerebral perfusion pressure is approximately?

A. 100 mmHg
B. 70 - 90 mmHg
C. 60 mmHg
D. < 50 mmHg Correct Answer: Answer is < 50 mmHg

Normally ICP = 0-10 mmHg

,CPP = 70-90 mmHg
CPP = MAP - ICP
CPP = 73 - 28 --- 45 CPP


Normal MAP = 80-100 mmHg
MAP = P dia + 1/3(P sys - P dia)
MAP = 60 + .33(100 - 60) --- 73 MAP

An expanding ETT cuff in flight is an indication of what gas law?

A. Henry's
B. Dalton's
C. Boyle's
D. Charles Correct Answer: Boyle's law (expansion or contraction of a gas)

The air in the ETT cuff, for example, expands with altitude (ascent) and contracts during descent.

You are transporting a 30 YOM involved in a MCA from an outerlying facility. The 70 kg
patient is on a ventilator with FIO2 1.0, Vt 500, Rate 16, PIP 22 and Peep 5. The ABG results are
pH 7.01, pCO2 68, HCO2 12, base deficit - 8, pO2 280. Interpretation of the blood gas reveals?

A. Mixed disturbance
B. Metabolic acidosis
C. Respiratory acidosis
D. Compensated respiratory acidosis Correct Answer: Mixed disturbance

Metabolic and respiratory acidosis.

The pCO2 is high, resulting in a respiratory acidosis, and the pH and HCO3 are low, resulting in
a metabolic acidosis.

Normal Ranges:

pH : 7.35 - 7.45
pCO2 : 35 - 45
HCO3 : 22 - 26
pO2 : 80 - 100

You notice that your patient has the following waveform and is showing VT on the monitor.
Your initial intervention of the patient is to?

A. Synchronize cardiovert
B. Advance catheter by inflating the balloon
C. Administer precordial thump
D. Pull catheter back into the right ventricle Correct Answer: Synchronize cardiovert

, Pediatric dose for Epinephrine is? Correct Answer: 0.01 mg/kg (IV)

You arrive on the scene of 21 YOF involved a single roll-over accident who is approximately 28
weeks pregnant. Your assessment reveals palpation of fetal parts over the abdomen. What is your
diagnosis of the patient?

A. Liver laceration
B. Uterine rupture
C. Placenta previa
D. Abruptio placenta Correct Answer: Uterine rupture

Abruptio placenta Correct Answer: dark red, painful

Placenta previa Correct Answer: red, painless

Terbutaline dose Correct Answer: 0.25 (SQ)

Define postpartum hemorrhage Correct Answer: over 500 mL

Uterine rupture Correct Answer: Fetal parts can be palpated over abdomen

Your IABP begins to purge during ascent. The triggering mechanism for this function was
initiated as a result of which gas law?

A. Boyle's law
B. Gay-Lussac's law
C. Charles' law
D. Henry's law Correct Answer: Boyle's law

Beta-blockers are contraindicated with?

A. Narcotic overdose
B. TCA overdose
C. Cocaine overdose
D. Aspirin overdose Correct Answer: Cocaine overdose

The pediatric patient may be pre-treated with which medication prior to administering Anectine?

A. Etomidate
B. Atropine
C. Vasopressin
D. Vecuronium Correct Answer: Atropine

How should your flight suit fit to provide space of insulation per CAMTS recommendations?

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