COMPLETE 70 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 75-year-old man with a history of hypertension is evaluated in the
emergency department for nausea, vomiting, and abdominal pain. He is
lethargic but can answer questions appropriately. His pulse is 130
beats/min, blood pressure 70/30 mm Hg, and respiratory rate 28
breaths/min. On physical examination, he is noted to have dry
mucous membranes, poor capillary refill, and a distended abdomen
with rebound tenderness. Arterial blood gas analysis reveals: pH 7.32,
PCO2 28 mmHg, PO2 74 mm Hg, bicarb - ANSWER--C
A 65-year-old man is septic, with perforated diverticulitis. He undergoes
emergent colectomy with creation of a colostomy. Multiple areas of
purulence are identified in the peritoneal cavity. Postoperatively, he
continues to be febrile and hypotensive. Chest radiograph is clear.
Central venous pressure is 18 mm Hg, and hemoglobin is 13g/dL. Which
of the following vasoactive drugs is most appropriate to administer
next?
A. Epinephrine
B. Phenylephrine
C. Norepinephrine
D. Dobutamine - ANSWER--C
, FCCS PRETEST NEWEST ACTUAL EXAM
COMPLETE 70 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 76-year-old woman with a history of congestive heart failure and
hypertension is admitted with altered mental status and mild upper
respiratory symptoms. According to family, her mental status has been
gradually declining over the past three to four days. Because of
generalized weakness and upper respiratory symptoms, she has had a
limited amount of food and drink for the past 72 hours. Her home
medications include metoprolol, lisinopril, and furosemide. Her family
states that she has been com - ANSWER--B
While fighting a house fire, a 38-year-old man fell 10 feet through a
burning roof into an actively burning bedroom. On arrival at the
emergency department two hours later, he has abdominal pain. His
focused assessment with sonography in trauma (FAST) examination
shows fluid between his spleen and left kidney. His voice is hoarse, and
he has carbonaceous sputum. He has blistering burns on his face and
insensate burns over his anterior chest, abdomen, and his entire left
upper extremity circumfer - ANSWER--A
A 72-year-old woman with a history of hypertension, type 2 diabetes
mellitus, and smoking develops sudden-onset severe chest pain
associated with difficulty breathing and diaphoresis. Her vital signs on
arrival in the emergency department are: blood pressure 165/92 mm
Hg, heart rate 101 beats/min, respiratory rate 29 breaths/min, and
oxygen saturation as measured by pulse oximetry 96% on room air.
, FCCS PRETEST NEWEST ACTUAL EXAM
COMPLETE 70 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Which of the following ECG findings is the most significant indicator for
immediate reperfusion in - ANSWER--B
A 45-year-old man is admitted to the hospital with fever, altered
mental status, and swelling and redness in the upper thigh and scrotal
area of four days' duration. He has a history of poorly controlled
diabetes and chronic renal insufficiency. On examination, he is
lethargic. Vital signs are: heart rate 79 beats/min, blood pressure 90/40
mm Hg, respiratory rate 33 breaths/min, SpO2 88%, and temperature
39°C (102.2°F). The right thigh has erythema and cutaneous gangrene.
Air is felt by palpat - ANSWER--B
A 75-year-old man with alcoholic cirrhosis develops upper
gastrointestinal bleeding on postoperative day two following total knee
arthroplasty. He has been started on a proton pump inhibitor infusion.
Four months ago, he underwent endoscopic banding of esophageal
varices. Which of the following is the best medication to add to his
regimen until more definitive endoscopy can be performed?
A. Protamine sulfate
B. Aminocaproic acid
C. Somatostatin
D. Tranexamic acid - ANSWER--C