CCS EXAM QUESTIONS WITH
COMPLETE ANSWERS { GRADED+}
Tension Pneumothorax - ✔✔Orders Blood pressure monitor, Cardiac
monitor, Pulse oximetry
Exam General, Chest, Heart
Orders Needle thoracostomy, Oxygen
Clock Advance with next available result to results of needle
thoracostomy.
Orders Tube thoracostomy, Intravenous access, Morphine, Normal
saline 0.9% NaCl
Clock Advance with next available result to tube thoracostomy results.
Exam General. Skin, HEENT, Chest, Heart, Abdomen, Extremities ±
,Others
Orders Chest X-ray portable, Check blood pressure
Clock Advance with next available result to chest X-ray results.
Location Change to intensive care unit
Clock Advance with next available result to case end.
End Orders CBC, BMP, Troponin, Counsel family/patient
Rheumatoid Arthritis - ✔✔Exam Extremities ± Others
Orders CBC, Rheumatoid factor, Cyclic citrullinated peptide, ANA, ESR,
Arthrocentesis, Synovial fluid (analysis and culture), X-rays of
affected joints, Ibuprofen
Clock Reschedule patient in 3 days after all results are reported.
Orders Methotrexate (or other DMARD), Advise patient exercise
program
(or Consult physical medicine), LFT, BMP, Counsel patient/
,family, Reassure
Clock Reschedule patient in 2 weeks to reassess exam.
Exam Extremities ± Others
Clock Reschedule patient in 1-2 months for follow-up exam and labs.
Case will end before next appointment.
End Orders Consult, rheumatology
Aortic Dissection - ✔✔Orders Blood pressure monitor, Cardiac monitor,
Pulse oximetry
Exam General, HEENT, Chest, Heart, Extremities
Orders Chest X-ray, ECG, Troponin, D-dimer, CBC, BMP, PT/PTT,
Intravenous access, Morphine, Oxygen
Clock Advance to Chest X-ray results
Orders Esmolol (or nitroprusside or labetalol)
Clock Advance clock to additional results and to check if vital signs
, have improved.
Orders Vital signs, Chest CT with contrast (or echocardiography)
Clock Advance clock to chest CT results.
Orders Open heart surgery, type and crossmatch blood
Clock Advance to surgical consult and case end.
End Orders None
Asthma - ✔✔Exam General, Skin, Lymph nodes, HEENT, Chest, Heart,
Abdomen, Extremities
Orders Pulse oximetry, Peak flow
Clock Advance to peak flow results.
Orders Albuterol, Prednisone
Clock Advance clock 10 minutes.
Exam Chest
Orders Peak flow, Vital signs, Counseling asthma care, Counsel
COMPLETE ANSWERS { GRADED+}
Tension Pneumothorax - ✔✔Orders Blood pressure monitor, Cardiac
monitor, Pulse oximetry
Exam General, Chest, Heart
Orders Needle thoracostomy, Oxygen
Clock Advance with next available result to results of needle
thoracostomy.
Orders Tube thoracostomy, Intravenous access, Morphine, Normal
saline 0.9% NaCl
Clock Advance with next available result to tube thoracostomy results.
Exam General. Skin, HEENT, Chest, Heart, Abdomen, Extremities ±
,Others
Orders Chest X-ray portable, Check blood pressure
Clock Advance with next available result to chest X-ray results.
Location Change to intensive care unit
Clock Advance with next available result to case end.
End Orders CBC, BMP, Troponin, Counsel family/patient
Rheumatoid Arthritis - ✔✔Exam Extremities ± Others
Orders CBC, Rheumatoid factor, Cyclic citrullinated peptide, ANA, ESR,
Arthrocentesis, Synovial fluid (analysis and culture), X-rays of
affected joints, Ibuprofen
Clock Reschedule patient in 3 days after all results are reported.
Orders Methotrexate (or other DMARD), Advise patient exercise
program
(or Consult physical medicine), LFT, BMP, Counsel patient/
,family, Reassure
Clock Reschedule patient in 2 weeks to reassess exam.
Exam Extremities ± Others
Clock Reschedule patient in 1-2 months for follow-up exam and labs.
Case will end before next appointment.
End Orders Consult, rheumatology
Aortic Dissection - ✔✔Orders Blood pressure monitor, Cardiac monitor,
Pulse oximetry
Exam General, HEENT, Chest, Heart, Extremities
Orders Chest X-ray, ECG, Troponin, D-dimer, CBC, BMP, PT/PTT,
Intravenous access, Morphine, Oxygen
Clock Advance to Chest X-ray results
Orders Esmolol (or nitroprusside or labetalol)
Clock Advance clock to additional results and to check if vital signs
, have improved.
Orders Vital signs, Chest CT with contrast (or echocardiography)
Clock Advance clock to chest CT results.
Orders Open heart surgery, type and crossmatch blood
Clock Advance to surgical consult and case end.
End Orders None
Asthma - ✔✔Exam General, Skin, Lymph nodes, HEENT, Chest, Heart,
Abdomen, Extremities
Orders Pulse oximetry, Peak flow
Clock Advance to peak flow results.
Orders Albuterol, Prednisone
Clock Advance clock 10 minutes.
Exam Chest
Orders Peak flow, Vital signs, Counseling asthma care, Counsel
