FCCS Exam 2025 Questions and
Answers 100% Pass
What vessel(s) is involved:
STEMI in Leads II, III, aVF - ✔✔RCA
What vessel(s) is involved:
STEMI in Leads I, AVL, V5, V6 - ✔✔LAD
L Circumflex
What vessel(s) is involved:
STEMI in Leads V1-V4 - ✔✔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? - ✔✔Tachypnea (RR 35)
Reasons for pulsus paradoxus - ✔✔Asthma exacerbation
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,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? - ✔✔Cardiac tamponade
What is Beck's Triad - ✔✔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? - ✔✔Make sure the mask has good seal and no
leak
What neuromuscular blocking agent can you NOT give with HYPERKALEMIA? -
✔✔Succinylcholine
- Causes hyperkalemia
After cardiac arrest, Vtach or Vfib arrest & ROSC is achieved, what do you do next? -
✔✔Targeted temperature management:
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, 32-36C for at least 24h - preserve brain function
What can cause VQ mismatch/ shunt effect? - ✔✔MC is PNA:
- alveoli filled with fluid/infiltrate & cannot get O2 exchange
or atelectasis
What are the 3 types of respiratory failure? - ✔✔Hypoxemic (PaO2 <50-60)
Hypercapnic (PaCO2 >50, pH <7.35)
Mixed
What type of respiratory failure do OD patients have? - ✔✔Acute hypercapnic
respiratory failure - suppress breathing and cannot wash out CO2 d/t CNS depression
Start PEEP at _____. Max PEEP ______. - ✔✔Start: 5-8
Max: ~24
Initial tidal volume set up for ventilator - ✔✔6-8mL/kg of ideal body weight
What is Pplat - ✔✔Inspiratory Plateau pressure: should be less than 30cm H2O
Indicator of alveolar distention
What is PIP? - ✔✔Peak inspiratory pressure.
Normal <40cm H2O
Reflects how hard ventilation must work to deliver a breath
Increased PIP and normal Pplat indicates a _________ problem - ✔✔Resistance
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
Answers 100% Pass
What vessel(s) is involved:
STEMI in Leads II, III, aVF - ✔✔RCA
What vessel(s) is involved:
STEMI in Leads I, AVL, V5, V6 - ✔✔LAD
L Circumflex
What vessel(s) is involved:
STEMI in Leads V1-V4 - ✔✔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? - ✔✔Tachypnea (RR 35)
Reasons for pulsus paradoxus - ✔✔Asthma exacerbation
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
,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? - ✔✔Cardiac tamponade
What is Beck's Triad - ✔✔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? - ✔✔Make sure the mask has good seal and no
leak
What neuromuscular blocking agent can you NOT give with HYPERKALEMIA? -
✔✔Succinylcholine
- Causes hyperkalemia
After cardiac arrest, Vtach or Vfib arrest & ROSC is achieved, what do you do next? -
✔✔Targeted temperature management:
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
, 32-36C for at least 24h - preserve brain function
What can cause VQ mismatch/ shunt effect? - ✔✔MC is PNA:
- alveoli filled with fluid/infiltrate & cannot get O2 exchange
or atelectasis
What are the 3 types of respiratory failure? - ✔✔Hypoxemic (PaO2 <50-60)
Hypercapnic (PaCO2 >50, pH <7.35)
Mixed
What type of respiratory failure do OD patients have? - ✔✔Acute hypercapnic
respiratory failure - suppress breathing and cannot wash out CO2 d/t CNS depression
Start PEEP at _____. Max PEEP ______. - ✔✔Start: 5-8
Max: ~24
Initial tidal volume set up for ventilator - ✔✔6-8mL/kg of ideal body weight
What is Pplat - ✔✔Inspiratory Plateau pressure: should be less than 30cm H2O
Indicator of alveolar distention
What is PIP? - ✔✔Peak inspiratory pressure.
Normal <40cm H2O
Reflects how hard ventilation must work to deliver a breath
Increased PIP and normal Pplat indicates a _________ problem - ✔✔Resistance
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
