Flight Bridge FPC Practice Exams Latest Update
2025-2026 150 Questions and 100% Verified
Correct Answers Guaranteed A+
____________ is a drug that has potent alpha effects and is used to increase systemic
vascular resistance (SVR) in profound vasodilatory redistributive shock states such as
sepsis and neurogenic shock. - CORRECT ANSWER: Phenylephrine (Neo-Synephrine)
is a potent alpha stimulating medication often used in the septic shock or neurogenic
shock patient. It has potent alpha effects without causing an increase in heart rate and
O2 demand. Often phenylephrine will be a 3rd line vasopressor medication after
Levophed (norepinephrine), and vasopressin drips have been administered.
A 16-year-old sustained an aortic arch tear during a motor vehicle collision, which is
commonly associated with which of the following? - CORRECT ANSWER:
Acceleration/deceleration injury
A 3-hour-old neonate is found to be polycythemic. What is the likely cause? -
CORRECT ANSWER: Polycythemia can result from a small drop in fetal hemoglobin
(HbF), which leads to a significant decrease in SpO2. Polycythemia may also result if
the newborn receives too much blood from the placenta at birth, as may occur if the
newborn is held below the level of the placenta for a time before the umbilical cord is
clamped.
A 30-week gestation neonate with a hypoplastic left heart is on FiO2 of 18% with a
corresponding pre-ductal SpO2 of 71%. The team is currently at 2,000 feet, and the
patient has an increase in SpO2 to 73%. What is the initial intervention for this patient? -
CORRECT ANSWER: Cyanotic heart defects, such as the hypoplastic left heart are
dependent on ductal flow. As such, prostaglandin administration at 0.05-0.1 mcg/kg/min,
given concurrently with the practice of limiting the FiO2 are key interventions with this
patient.
A 32-week premature neonate is experiencing respiratory distress. Which drug may be
administered in preparation for transport? - CORRECT ANSWER: Surfactant
,A 40-year-old male patient with a history of a traumatic brain injury is being transported
by helicopter to a regional facility. During the flight, you review the medical records and
note that the patient presented to the emergency department that morning with low
serum osmolality, hyponatremia, and a high urine specific gravity. You suspect this
patient may be suffering from: - CORRECT ANSWER: Syndrome of inappropriate anti-
diuretic hormone (SIADH)
A 6-year-old is complaining of increasing dyspnea, nonproductive cough, and fever. The
mother states the patient has a loud "barking cough." Current vitals: BP 78/38, HR 146,
RR 36, SpO2 92% on room air. Based on your assessment, what would your initial
diagnosis be for this patient? - CORRECT ANSWER: Laryngotracheobronchitis AKA
croup.
A child aspirated a coin, and their left lung is hyperinflated. Where is the coin? -
CORRECT ANSWER: Bronchus
A neonate has an order for continuous prostaglandin administration. What is the starting
dose? - CORRECT ANSWER: 0.05-0.1 mcg/kg/min
A neonate has sudden decompensation two days after going home with parents. The
infant was full-term and seemingly healthy. On assessment, the pre-ductal SpO2 on the
right hand is 90%, and lower extremity SpO2 is 70%. No femoral pulses are noted, and
there is a distended abdomen. What is the suspected clinical diagnosis? - CORRECT
ANSWER: If the assessment reveals no femoral pulses and a lower SpO2 on the lower
extremities in comparison to the upper pre-ductal SpO2, this indicates a left side outflow
obstruction defect such as coarctation of the aorta, hypoplastic left heart, Tetralogy of
Fallot, or transposition of the great vessels.
A neonate has sudden decompensation two days after going home with parents. The
infant was full-term and seemingly healthy. On assessment, the pre-ductal SpO2 on the
right hand is 90%, and lower extremity SpO2 is 70%. No femoral pulses are noted, and
there is a distended abdomen. What is the suspected clinical diagnosis? - CORRECT
ANSWER: Left outflow obstruction defect
, A patient complaining of chest pain was noted to have a drop in their blood pressure
after administration of nitroglycerin. The patient is diaphoretic and complaining of pain
as 10/10. A 12-lead ECG reveals ST elevation in leads III, and aVF, and reciprocal
changes noted predominantly in lead aVL. What type of myocardial infarction (MI) is
suspected? - CORRECT ANSWER: Inferior wall MI
A patient experiencing an aplastic sickle cell crisis typically presents with pallor,
tachycardia, weakness, and fatigue as well as: - CORRECT ANSWER: facial rash
A patient has left systolic failure and a cardiac index (CI) of 1.3. Which medication would
improve contractility? - CORRECT ANSWER: Dobutamine
A patient has received two units of packed red blood cells (PRBCs). The patient's initial
hemoglobin and hematocrit (H&H) was 6 g/dL and 18%. What is their expected H&H
after receiving the two units? - CORRECT ANSWER: 8 g/dL and 24%
A patient has sustained significant head, chest and abdominal trauma from a motor
vehicle collision. They have received five units of packed red blood cells thus far. They
continue to bleed profusely from all wounds despite direct pressure to control bleeding
secondary to suspected disseminated intravascular coagulation (DIC). What treatment
do you expect to administer? - CORRECT ANSWER: Platelets, cryoprecipitate and
fresh frozen plasma
A patient has the following parameters: CVP 28, CI 1.2, PA S/D 48/29, PCWP 27, SVR
1700. What diagnosis is suspected? - CORRECT ANSWER: Cardiogenic shock - CVP
is a direct indication of preload, with a normal CVP of 2-6 mmHg. A CVP of 28 should
alert to an overload state. The CI is low and a reflection of cardiac output despite an
SVR that is high at 1700. The PA systolic and diastolic pressures, as well as the PCWP,
are elevated.
A patient in initial shock most likely will suffer from which acid-base disorder? -
CORRECT ANSWER: respiratory alkalosis
2025-2026 150 Questions and 100% Verified
Correct Answers Guaranteed A+
____________ is a drug that has potent alpha effects and is used to increase systemic
vascular resistance (SVR) in profound vasodilatory redistributive shock states such as
sepsis and neurogenic shock. - CORRECT ANSWER: Phenylephrine (Neo-Synephrine)
is a potent alpha stimulating medication often used in the septic shock or neurogenic
shock patient. It has potent alpha effects without causing an increase in heart rate and
O2 demand. Often phenylephrine will be a 3rd line vasopressor medication after
Levophed (norepinephrine), and vasopressin drips have been administered.
A 16-year-old sustained an aortic arch tear during a motor vehicle collision, which is
commonly associated with which of the following? - CORRECT ANSWER:
Acceleration/deceleration injury
A 3-hour-old neonate is found to be polycythemic. What is the likely cause? -
CORRECT ANSWER: Polycythemia can result from a small drop in fetal hemoglobin
(HbF), which leads to a significant decrease in SpO2. Polycythemia may also result if
the newborn receives too much blood from the placenta at birth, as may occur if the
newborn is held below the level of the placenta for a time before the umbilical cord is
clamped.
A 30-week gestation neonate with a hypoplastic left heart is on FiO2 of 18% with a
corresponding pre-ductal SpO2 of 71%. The team is currently at 2,000 feet, and the
patient has an increase in SpO2 to 73%. What is the initial intervention for this patient? -
CORRECT ANSWER: Cyanotic heart defects, such as the hypoplastic left heart are
dependent on ductal flow. As such, prostaglandin administration at 0.05-0.1 mcg/kg/min,
given concurrently with the practice of limiting the FiO2 are key interventions with this
patient.
A 32-week premature neonate is experiencing respiratory distress. Which drug may be
administered in preparation for transport? - CORRECT ANSWER: Surfactant
,A 40-year-old male patient with a history of a traumatic brain injury is being transported
by helicopter to a regional facility. During the flight, you review the medical records and
note that the patient presented to the emergency department that morning with low
serum osmolality, hyponatremia, and a high urine specific gravity. You suspect this
patient may be suffering from: - CORRECT ANSWER: Syndrome of inappropriate anti-
diuretic hormone (SIADH)
A 6-year-old is complaining of increasing dyspnea, nonproductive cough, and fever. The
mother states the patient has a loud "barking cough." Current vitals: BP 78/38, HR 146,
RR 36, SpO2 92% on room air. Based on your assessment, what would your initial
diagnosis be for this patient? - CORRECT ANSWER: Laryngotracheobronchitis AKA
croup.
A child aspirated a coin, and their left lung is hyperinflated. Where is the coin? -
CORRECT ANSWER: Bronchus
A neonate has an order for continuous prostaglandin administration. What is the starting
dose? - CORRECT ANSWER: 0.05-0.1 mcg/kg/min
A neonate has sudden decompensation two days after going home with parents. The
infant was full-term and seemingly healthy. On assessment, the pre-ductal SpO2 on the
right hand is 90%, and lower extremity SpO2 is 70%. No femoral pulses are noted, and
there is a distended abdomen. What is the suspected clinical diagnosis? - CORRECT
ANSWER: If the assessment reveals no femoral pulses and a lower SpO2 on the lower
extremities in comparison to the upper pre-ductal SpO2, this indicates a left side outflow
obstruction defect such as coarctation of the aorta, hypoplastic left heart, Tetralogy of
Fallot, or transposition of the great vessels.
A neonate has sudden decompensation two days after going home with parents. The
infant was full-term and seemingly healthy. On assessment, the pre-ductal SpO2 on the
right hand is 90%, and lower extremity SpO2 is 70%. No femoral pulses are noted, and
there is a distended abdomen. What is the suspected clinical diagnosis? - CORRECT
ANSWER: Left outflow obstruction defect
, A patient complaining of chest pain was noted to have a drop in their blood pressure
after administration of nitroglycerin. The patient is diaphoretic and complaining of pain
as 10/10. A 12-lead ECG reveals ST elevation in leads III, and aVF, and reciprocal
changes noted predominantly in lead aVL. What type of myocardial infarction (MI) is
suspected? - CORRECT ANSWER: Inferior wall MI
A patient experiencing an aplastic sickle cell crisis typically presents with pallor,
tachycardia, weakness, and fatigue as well as: - CORRECT ANSWER: facial rash
A patient has left systolic failure and a cardiac index (CI) of 1.3. Which medication would
improve contractility? - CORRECT ANSWER: Dobutamine
A patient has received two units of packed red blood cells (PRBCs). The patient's initial
hemoglobin and hematocrit (H&H) was 6 g/dL and 18%. What is their expected H&H
after receiving the two units? - CORRECT ANSWER: 8 g/dL and 24%
A patient has sustained significant head, chest and abdominal trauma from a motor
vehicle collision. They have received five units of packed red blood cells thus far. They
continue to bleed profusely from all wounds despite direct pressure to control bleeding
secondary to suspected disseminated intravascular coagulation (DIC). What treatment
do you expect to administer? - CORRECT ANSWER: Platelets, cryoprecipitate and
fresh frozen plasma
A patient has the following parameters: CVP 28, CI 1.2, PA S/D 48/29, PCWP 27, SVR
1700. What diagnosis is suspected? - CORRECT ANSWER: Cardiogenic shock - CVP
is a direct indication of preload, with a normal CVP of 2-6 mmHg. A CVP of 28 should
alert to an overload state. The CI is low and a reflection of cardiac output despite an
SVR that is high at 1700. The PA systolic and diastolic pressures, as well as the PCWP,
are elevated.
A patient in initial shock most likely will suffer from which acid-base disorder? -
CORRECT ANSWER: respiratory alkalosis
