1|Page
FCCS PRETEST EXAM 2024 ACTUAL
EXAM 150 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / ALREADY
GRADED A+
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
,2|Page
Which of the following would not be an expected
laboratory finding associated with preeclampsia?
A. Alanine aminotransferase level of 60 U/L
B. Normal glucose level
C. Decreased fibrinogen level
D. Normal bilirubin level - ....ANSWER...C
Hyponatremia - indications for 3% NS? -
....ANSWER...Seizures or AMS
What speed/rate can Na be correct in hyponatremia? -
....ANSWER...8 mEq/24 hours
43 yo m with hx of CAD comes with left hemiparesis x 1
hour. CT shows no bleed. What do we do? -
....ANSWER...Administer TPA/TNK
22 yo m after MVA; incomprehensible sounds, no eye
opening to painful stimuli, CT scan shows increased ICP
and subdural bleed; what is the first thing we do? -
....ANSWER...Elevate head of bed to 30-45 degrees
,3|Page
Male presents with no breath sounds and tracheal deviation
to the left side, what do we do? - ....ANSWER...16 gauge
needle cdecompression
BP 86/52, HR 126, RR 29; what class of shock is this? -
....ANSWER...Three/ Progressive Stage
Male after MVA; FAST shows bleeding, on way to OR his
BP tanks, what do we do to resuscitate? -
....ANSWER...1:1:1 RBCS, platelets, FFP
male presents after MVA in cervical spine collar; while
waiting for xray the SpO2 drops to 85%, left pupil is larger
than right, he does not respond, only grunts, moves limbs
to pain; what do we do? - ....ANSWER...intubate with
inline intubation
NSTEMI or STEMI what do we want our SpO2 to stay
above? - ....ANSWER...> 94%
Who should go to cath lab IMMEDIATELY with
NSTEMI? - ....ANSWER...If they have shock with
NSTEMI =immediate cath lab/CABG
, 4|Page
After STEMI, what drug has been shown to decrease risk
of mortality? - ....ANSWER...ACE inhibitors
Loose stools after treatment for UTI with antibiotics; MRI
shows pancolitis, what is the tx? - ....ANSWER...IVF,
metronidazole, PO Vanco
(It's CDIFF)
Hospital day 14, pt with tachycardia; culture from central
line = gram + cocci what do we do? -
....ANSWER...Remove with line and treat with vanco
Fever and headache with period of confusion in 20 year
old patient; what is the likely cause? How do we treat? -
....ANSWER...Cause: Neisseria meningitidis
(meningococcal)
Tx: Vanco, ceftriaxone
45 year old male with AMS, redness on upper thigh and
scrotal area x 4 days (gangrenous); hx of poor controlled
DM
FCCS PRETEST EXAM 2024 ACTUAL
EXAM 150 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / ALREADY
GRADED A+
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
,2|Page
Which of the following would not be an expected
laboratory finding associated with preeclampsia?
A. Alanine aminotransferase level of 60 U/L
B. Normal glucose level
C. Decreased fibrinogen level
D. Normal bilirubin level - ....ANSWER...C
Hyponatremia - indications for 3% NS? -
....ANSWER...Seizures or AMS
What speed/rate can Na be correct in hyponatremia? -
....ANSWER...8 mEq/24 hours
43 yo m with hx of CAD comes with left hemiparesis x 1
hour. CT shows no bleed. What do we do? -
....ANSWER...Administer TPA/TNK
22 yo m after MVA; incomprehensible sounds, no eye
opening to painful stimuli, CT scan shows increased ICP
and subdural bleed; what is the first thing we do? -
....ANSWER...Elevate head of bed to 30-45 degrees
,3|Page
Male presents with no breath sounds and tracheal deviation
to the left side, what do we do? - ....ANSWER...16 gauge
needle cdecompression
BP 86/52, HR 126, RR 29; what class of shock is this? -
....ANSWER...Three/ Progressive Stage
Male after MVA; FAST shows bleeding, on way to OR his
BP tanks, what do we do to resuscitate? -
....ANSWER...1:1:1 RBCS, platelets, FFP
male presents after MVA in cervical spine collar; while
waiting for xray the SpO2 drops to 85%, left pupil is larger
than right, he does not respond, only grunts, moves limbs
to pain; what do we do? - ....ANSWER...intubate with
inline intubation
NSTEMI or STEMI what do we want our SpO2 to stay
above? - ....ANSWER...> 94%
Who should go to cath lab IMMEDIATELY with
NSTEMI? - ....ANSWER...If they have shock with
NSTEMI =immediate cath lab/CABG
, 4|Page
After STEMI, what drug has been shown to decrease risk
of mortality? - ....ANSWER...ACE inhibitors
Loose stools after treatment for UTI with antibiotics; MRI
shows pancolitis, what is the tx? - ....ANSWER...IVF,
metronidazole, PO Vanco
(It's CDIFF)
Hospital day 14, pt with tachycardia; culture from central
line = gram + cocci what do we do? -
....ANSWER...Remove with line and treat with vanco
Fever and headache with period of confusion in 20 year
old patient; what is the likely cause? How do we treat? -
....ANSWER...Cause: Neisseria meningitidis
(meningococcal)
Tx: Vanco, ceftriaxone
45 year old male with AMS, redness on upper thigh and
scrotal area x 4 days (gangrenous); hx of poor controlled
DM
