FCCS EXAM (FUNDAMENTALS OF CRITICAL CARE
SUPPORT) LATEST EXAM ACTUAL EXAM 150
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|ALREADY GRADED A+
What vessel(s) is involved:
STEMI in Leads II, III, aVF - ANSWER: RCA
What vessel(s) is involved:
STEMI in Leads I, AVL, V5, V6 - ANSWER: LAD
L Circumflex
What vessel(s) is involved:
STEMI in Leads V1-V4 - ANSWER: LAD
L Circumflex
L Main
50 y/o Chole POD 5 has:
Fever, abdominal pain, WBC 14k, HR 110, BP 140/80 and RR 35.
What shows that the patient is critically ill? - ANSWER: Tachypnea (RR 35)
Reasons for pulsus paradoxus - ANSWER: Asthma exacerbation
COPD exacerbation
Pleural effusion
Pericarditis
Cardiac tamponade
60 yo ESRD, on HD, missed 2-3 days, respiratory distress, SOB.
BP 80/40, RR 35, JVD, pulsus paradoxus 20mmHg, CTA, heart sounds muffled.
What is this patients most likely diagnosis? - ANSWER: Cardiac tamponade
What is Beck's Triad - ANSWER: Hypotension, Muffled Heart Sounds, JVD
**Characteristic for Cardiac Tamponade**
A patient is being resuscitated thru BVM. Chest wall is not rising, no breath sounds.
What is the most appropriate next step? - ANSWER: Make sure the mask has good
seal and no leak
What neuromuscular blocking agent can you NOT give with HYPERKALEMIA? -
ANSWER: Succinylcholine
- Causes hyperkalemia
, After cardiac arrest, Vtach or Vfib arrest & ROSC is achieved, what do you do next? -
ANSWER: Targeted temperature management:
32-36C for at least 24h - preserve brain function
What can cause VQ mismatch/ shunt effect? - ANSWER: MC is PNA:
- alveoli filled with fluid/infiltrate & cannot get O2 exchange
or atelectasis
What are the 3 types of respiratory failure? - ANSWER: Hypoxemic (PaO2 <50-60)
Hypercapnic (PaCO2 >50, pH <7.35)
Mixed
What type of respiratory failure do OD patients have? - ANSWER: Acute hypercapnic
respiratory failure - suppress breathing and cannot wash out CO2 d/t CNS depression
Start PEEP at _____. Max PEEP ______. - ANSWER: Start: 5-8
Max: ~24
Initial tidal volume set up for ventilator - ANSWER: 6-8mL/kg of ideal body weight
What is Pplat - ANSWER: Inspiratory Plateau pressure: should be less than 30cm H2O
Indicator of alveolar distention
What is PIP? - ANSWER: Peak inspiratory pressure.
Normal <40cm H2O
Reflects how hard ventilation must work to deliver a breath
Increased PIP and normal Pplat indicates a _________ problem - ANSWER:
Resistance
Increased PIP and high Pplat indicates a __________ problem - ANSWER: Compliance
What is Auto-PEEP - ANSWER: Breath stacking
Air retained by the patient because exhalation is not long enough.
Increases intrathoracic pressure & decreased VR & CO --> HoTN
How do you decrease auto-PEEP? - ANSWER: Decrease RR
Decrease TV
Increase Gas Flow Rate
What should auto-PEEP or the pressure at the end of expiration be? - ANSWER: Zero
or a negative number
SUPPORT) LATEST EXAM ACTUAL EXAM 150
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|ALREADY GRADED A+
What vessel(s) is involved:
STEMI in Leads II, III, aVF - ANSWER: RCA
What vessel(s) is involved:
STEMI in Leads I, AVL, V5, V6 - ANSWER: LAD
L Circumflex
What vessel(s) is involved:
STEMI in Leads V1-V4 - ANSWER: LAD
L Circumflex
L Main
50 y/o Chole POD 5 has:
Fever, abdominal pain, WBC 14k, HR 110, BP 140/80 and RR 35.
What shows that the patient is critically ill? - ANSWER: Tachypnea (RR 35)
Reasons for pulsus paradoxus - ANSWER: Asthma exacerbation
COPD exacerbation
Pleural effusion
Pericarditis
Cardiac tamponade
60 yo ESRD, on HD, missed 2-3 days, respiratory distress, SOB.
BP 80/40, RR 35, JVD, pulsus paradoxus 20mmHg, CTA, heart sounds muffled.
What is this patients most likely diagnosis? - ANSWER: Cardiac tamponade
What is Beck's Triad - ANSWER: Hypotension, Muffled Heart Sounds, JVD
**Characteristic for Cardiac Tamponade**
A patient is being resuscitated thru BVM. Chest wall is not rising, no breath sounds.
What is the most appropriate next step? - ANSWER: Make sure the mask has good
seal and no leak
What neuromuscular blocking agent can you NOT give with HYPERKALEMIA? -
ANSWER: Succinylcholine
- Causes hyperkalemia
, After cardiac arrest, Vtach or Vfib arrest & ROSC is achieved, what do you do next? -
ANSWER: Targeted temperature management:
32-36C for at least 24h - preserve brain function
What can cause VQ mismatch/ shunt effect? - ANSWER: MC is PNA:
- alveoli filled with fluid/infiltrate & cannot get O2 exchange
or atelectasis
What are the 3 types of respiratory failure? - ANSWER: Hypoxemic (PaO2 <50-60)
Hypercapnic (PaCO2 >50, pH <7.35)
Mixed
What type of respiratory failure do OD patients have? - ANSWER: Acute hypercapnic
respiratory failure - suppress breathing and cannot wash out CO2 d/t CNS depression
Start PEEP at _____. Max PEEP ______. - ANSWER: Start: 5-8
Max: ~24
Initial tidal volume set up for ventilator - ANSWER: 6-8mL/kg of ideal body weight
What is Pplat - ANSWER: Inspiratory Plateau pressure: should be less than 30cm H2O
Indicator of alveolar distention
What is PIP? - ANSWER: Peak inspiratory pressure.
Normal <40cm H2O
Reflects how hard ventilation must work to deliver a breath
Increased PIP and normal Pplat indicates a _________ problem - ANSWER:
Resistance
Increased PIP and high Pplat indicates a __________ problem - ANSWER: Compliance
What is Auto-PEEP - ANSWER: Breath stacking
Air retained by the patient because exhalation is not long enough.
Increases intrathoracic pressure & decreased VR & CO --> HoTN
How do you decrease auto-PEEP? - ANSWER: Decrease RR
Decrease TV
Increase Gas Flow Rate
What should auto-PEEP or the pressure at the end of expiration be? - ANSWER: Zero
or a negative number
