FCCs Oracle Certification Exam (2024/ 2025)
Questions and Verified Answers| 100% Correct |
Grade A
Most important indicator that a patient has a severe illness? - ANSWERTachypnea
3 respiratory types, and their criteria - ANSWERHypoxemic (PaO2 <50-60)
Hypercapnic (PaCO2 >50, pH <7.36)
Mixed
Delta gap (formula, when and why it's used) - ANSWERDifference in AG from normal
- Difference in HCO3 from normal
In AG metabolic acidosis it's used. It tells you if there's underlying metabolic alkalosis
or respiratory acidosis with bicarb compensation IN ADDITION to the AG metabolic
acidosis. Both of those would result in a high bicarb to begin with, and a smaller
change in bicarb from normal.
Winter's formula (equation, what it measures) - ANSWER1.5[HCO3] + 8 +/- 2
If compensation is adequate in acid/base issues
How AG changes with albumin changes - ANSWERDecreases 2.5-3 for every 1
decrease in albumin
Hemodynamic changes after intubation - ANSWERHypo/hypertension
Arrhythmia
Tachycardia
Pressure support equation for BiPAP - ANSWERIPAP - EPAP
3 types of vent cycles - ANSWERVolume (preset tidal volume, relieves WOB the
most)
Time (constant pressure of time)
Flow (constant pressure until inspiratory flow is below 25% of peak)
Goal tidal volume - ANSWER10 cc/kg
Goal FiO2 on vent - ANSWERStart at 1.0, then decrease as SpO2 tolerates (goal of 92-
94 saturation)
Ppeak - ANSWERPeak inspiratory pressure
Pplat (try to keep it below ?) - ANSWERInspiratory plateau pressure (shows alveolar
distention)
30
Questions and Verified Answers| 100% Correct |
Grade A
Most important indicator that a patient has a severe illness? - ANSWERTachypnea
3 respiratory types, and their criteria - ANSWERHypoxemic (PaO2 <50-60)
Hypercapnic (PaCO2 >50, pH <7.36)
Mixed
Delta gap (formula, when and why it's used) - ANSWERDifference in AG from normal
- Difference in HCO3 from normal
In AG metabolic acidosis it's used. It tells you if there's underlying metabolic alkalosis
or respiratory acidosis with bicarb compensation IN ADDITION to the AG metabolic
acidosis. Both of those would result in a high bicarb to begin with, and a smaller
change in bicarb from normal.
Winter's formula (equation, what it measures) - ANSWER1.5[HCO3] + 8 +/- 2
If compensation is adequate in acid/base issues
How AG changes with albumin changes - ANSWERDecreases 2.5-3 for every 1
decrease in albumin
Hemodynamic changes after intubation - ANSWERHypo/hypertension
Arrhythmia
Tachycardia
Pressure support equation for BiPAP - ANSWERIPAP - EPAP
3 types of vent cycles - ANSWERVolume (preset tidal volume, relieves WOB the
most)
Time (constant pressure of time)
Flow (constant pressure until inspiratory flow is below 25% of peak)
Goal tidal volume - ANSWER10 cc/kg
Goal FiO2 on vent - ANSWERStart at 1.0, then decrease as SpO2 tolerates (goal of 92-
94 saturation)
Ppeak - ANSWERPeak inspiratory pressure
Pplat (try to keep it below ?) - ANSWERInspiratory plateau pressure (shows alveolar
distention)
30
