FLIGHT BRIDGE FPC PRACTICE EXAMS
QUESTIONS AND ANSWERS
A patient who ingested an entire bottle of acetaminophen (Tylenol) is now complaining
of right upper quadrant pain. Based on the presentation, when did this patient most
likely ingest this drug? - CORRECT ANSWER- Within the last 24-72 hours
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
FHR sinusoidal pattern - CORRECT ANSWER- A sinusoidal pattern can occur due to
significant anemia and severe fetal distress. During contraction, the heart rate will not
rise concurrently. Oxygen carrying capacity is deficient, and hypoxia ensues. Emergent
C-section is the treatment of choice.
Serum osmolality - CORRECT ANSWER- measure of the balance between water
(plasma) and the solutes dissolved in it. It is an indicator showing dehydration or
overhydration. Normal is 275-295 mOsm/kg. Elevated levels occur in the presence of
dehydration. All other instances would cause a decrease in the serum osmolality level.
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
All intra-aortic balloon pump (IABP) systems use helium as the driving gas because of
which of the following characteristics? - CORRECT ANSWER- Low density
What is the formula for determining a mean arterial pressure (MAP)? - CORRECT
ANSWER- MAP = [SBP + (2 x DBP)] / 3
The primary treatment in reversing malignant hyperthermia is what medication? -
CORRECT ANSWER- Dantrolene
The following situations would require an asthmatic patient to be intubated and
mechanically ventilated - CORRECT ANSWER- A decline in the level of consciousness,
Respiratory acidosis, Hypoventilation secondary to muscle fatigue
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
What protective clothing does CAMTS require that is pertinent to safe operations? -
CORRECT ANSWER- Boots
Fractures of the 1st-3rd ribs should indicate a high index of suspicion for which injury? -
CORRECT ANSWER- Aortic disruption
The patient suffering from Brown-Sequard syndrome presents with what? - CORRECT
ANSWER- ipsilateral paralysis below the level of the lesion, positive Babinski sign
ipsilateral to the lesion, ipsilateral loss of tactile discrimination, vibratory, and position
sensation below the level of the lesion, and contralateral loss of pain and temperature
sensation.
Identify the medication with bronchodilating properties. - CORRECT ANSWER-
Ketamine
A patient who sustained extensive electrical burns is being transferred. Upon entering
the room, there is brown urine noted in the foley bag, and myoglobinuria on the
urinalysis. To prevent the development of acute tubular necrosis and further renal
failure, what is the anticipated treatment? - CORRECT ANSWER- Lactated Ringer's,
sodium bicarbonate, and mannitol
The flight crew's shift just began and they received in briefing that they have marginal
visual flight rules (VFR) weather. Approximately two hours later, they are toned for a
scene flight. They are given a distance and heading of 20 miles and 280 degrees. The
pilot says that the current weather conditions are 800' and 1 mile. What is the best
response? - CORRECT ANSWER- Decline the flight because this is lower than the FAA
local VFR weather minimums
While transporting a patient in the back of an ambulance using lights and sirens, what is
the biggest danger to the crew, and the patient, during the transport? - CORRECT
ANSWER- Intersections
The team is called to transport a patient who underwent a heart transplant
approximately eight hours ago. Upon assessment, they are noted to be pale, cool, and
clammy to the touch. They appear anxious but are alert and awake. Assessment
reveals jugular vein distention and diffuse crackles throughout both lungs. Current vitals:
BP 96/56, HR 124, RR 28, SpO2 97% on oxygen at 3LPM via nasal cannula. Which of
the following medications would be beneficial for this patient? - CORRECT ANSWER-
dobutamine - Failure of the heart has caused fluid to back up into the lungs, causing the
patient's crackles on auscultation. Additional fluid will not improve this patient's
symptoms and can make them worse.
, When administering PRBCs, it is anticipated that hemoglobin (Hgb) and hematocrit
(Hct) will increase how much with each unit administered? - CORRECT ANSWER- 1
g/dL increase in the hemoglobin and a 3% increase in the hematocrit
Treatment for pregnancy-induced hypertension (PIH) may include - CORRECT
ANSWER- Labetalol, Magnesium sulfate, Hydralazine
Hypokalemia can result in - CORRECT ANSWER- inverted T waves, ST segment
depression, and prominent U waves.
While flying at cruising altitudes, Boyle's law causes difficulty in controlling the rate of IV
fluid drips. What is the most appropriate action to manage this? - CORRECT ANSWER-
Place the IV fluids on a pressure bag
Which auscultation landmark would pulmonic stenosis best be heard? - CORRECT
ANSWER- The pulmonic valve area is located at the 2nd intercostal space just left of
the sternum.
In evaluating fetal heart characteristics, which finding is most important in determining
neurological maturity? - CORRECT ANSWER- Variability - Variability is affected by
incomplete development of the ANS (prematurity) and plays a part between the
parasympathetic and sympathetic systems. Poor variability can also be seen in fetal
hypoxia and congenital heart anomalies. Variability should be normal after 32-weeks
gestation.
You are transporting a patient who overdosed on their prescription medication. Within
minutes of transport, you notice torsades de pointes (TdP) on the cardiac monitor.
Based upon this rhythm disturbance, what medication do you suspect the patient
ingested? - CORRECT ANSWER- Amitriptyline (Elavil) is a tricyclic antidepressant
(TCA), which causes QT prolongation by inhibiting sodium uptake and may result in
torsades de pointes or other arrhythmias in toxic doses.
Late decelerations may indicate - CORRECT ANSWER- Deceleration is a decrease in
the fetal heart rate (FHR) below the baseline. A late deceleration will be to the right of
the contraction occurring after the peak of the contraction. Late decelerations happen
when a fall in the fetal oxygen level causes reflex constriction of blood vessels in an
attempt to divert more blood flow to vital organs of the fetus. The constriction of the
blood vessels causes HTN that stimulates a vagal response, which slows the HR.
A target adult cerebral perfusion pressure (CPP) in a TBI patient should be at least? -
CORRECT ANSWER- 70
A child aspirated a coin, and their left lung is hyperinflated. Where is the coin? -
CORRECT ANSWER- Bronchus
QUESTIONS AND ANSWERS
A patient who ingested an entire bottle of acetaminophen (Tylenol) is now complaining
of right upper quadrant pain. Based on the presentation, when did this patient most
likely ingest this drug? - CORRECT ANSWER- Within the last 24-72 hours
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
FHR sinusoidal pattern - CORRECT ANSWER- A sinusoidal pattern can occur due to
significant anemia and severe fetal distress. During contraction, the heart rate will not
rise concurrently. Oxygen carrying capacity is deficient, and hypoxia ensues. Emergent
C-section is the treatment of choice.
Serum osmolality - CORRECT ANSWER- measure of the balance between water
(plasma) and the solutes dissolved in it. It is an indicator showing dehydration or
overhydration. Normal is 275-295 mOsm/kg. Elevated levels occur in the presence of
dehydration. All other instances would cause a decrease in the serum osmolality level.
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
All intra-aortic balloon pump (IABP) systems use helium as the driving gas because of
which of the following characteristics? - CORRECT ANSWER- Low density
What is the formula for determining a mean arterial pressure (MAP)? - CORRECT
ANSWER- MAP = [SBP + (2 x DBP)] / 3
The primary treatment in reversing malignant hyperthermia is what medication? -
CORRECT ANSWER- Dantrolene
The following situations would require an asthmatic patient to be intubated and
mechanically ventilated - CORRECT ANSWER- A decline in the level of consciousness,
Respiratory acidosis, Hypoventilation secondary to muscle fatigue
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
What protective clothing does CAMTS require that is pertinent to safe operations? -
CORRECT ANSWER- Boots
Fractures of the 1st-3rd ribs should indicate a high index of suspicion for which injury? -
CORRECT ANSWER- Aortic disruption
The patient suffering from Brown-Sequard syndrome presents with what? - CORRECT
ANSWER- ipsilateral paralysis below the level of the lesion, positive Babinski sign
ipsilateral to the lesion, ipsilateral loss of tactile discrimination, vibratory, and position
sensation below the level of the lesion, and contralateral loss of pain and temperature
sensation.
Identify the medication with bronchodilating properties. - CORRECT ANSWER-
Ketamine
A patient who sustained extensive electrical burns is being transferred. Upon entering
the room, there is brown urine noted in the foley bag, and myoglobinuria on the
urinalysis. To prevent the development of acute tubular necrosis and further renal
failure, what is the anticipated treatment? - CORRECT ANSWER- Lactated Ringer's,
sodium bicarbonate, and mannitol
The flight crew's shift just began and they received in briefing that they have marginal
visual flight rules (VFR) weather. Approximately two hours later, they are toned for a
scene flight. They are given a distance and heading of 20 miles and 280 degrees. The
pilot says that the current weather conditions are 800' and 1 mile. What is the best
response? - CORRECT ANSWER- Decline the flight because this is lower than the FAA
local VFR weather minimums
While transporting a patient in the back of an ambulance using lights and sirens, what is
the biggest danger to the crew, and the patient, during the transport? - CORRECT
ANSWER- Intersections
The team is called to transport a patient who underwent a heart transplant
approximately eight hours ago. Upon assessment, they are noted to be pale, cool, and
clammy to the touch. They appear anxious but are alert and awake. Assessment
reveals jugular vein distention and diffuse crackles throughout both lungs. Current vitals:
BP 96/56, HR 124, RR 28, SpO2 97% on oxygen at 3LPM via nasal cannula. Which of
the following medications would be beneficial for this patient? - CORRECT ANSWER-
dobutamine - Failure of the heart has caused fluid to back up into the lungs, causing the
patient's crackles on auscultation. Additional fluid will not improve this patient's
symptoms and can make them worse.
, When administering PRBCs, it is anticipated that hemoglobin (Hgb) and hematocrit
(Hct) will increase how much with each unit administered? - CORRECT ANSWER- 1
g/dL increase in the hemoglobin and a 3% increase in the hematocrit
Treatment for pregnancy-induced hypertension (PIH) may include - CORRECT
ANSWER- Labetalol, Magnesium sulfate, Hydralazine
Hypokalemia can result in - CORRECT ANSWER- inverted T waves, ST segment
depression, and prominent U waves.
While flying at cruising altitudes, Boyle's law causes difficulty in controlling the rate of IV
fluid drips. What is the most appropriate action to manage this? - CORRECT ANSWER-
Place the IV fluids on a pressure bag
Which auscultation landmark would pulmonic stenosis best be heard? - CORRECT
ANSWER- The pulmonic valve area is located at the 2nd intercostal space just left of
the sternum.
In evaluating fetal heart characteristics, which finding is most important in determining
neurological maturity? - CORRECT ANSWER- Variability - Variability is affected by
incomplete development of the ANS (prematurity) and plays a part between the
parasympathetic and sympathetic systems. Poor variability can also be seen in fetal
hypoxia and congenital heart anomalies. Variability should be normal after 32-weeks
gestation.
You are transporting a patient who overdosed on their prescription medication. Within
minutes of transport, you notice torsades de pointes (TdP) on the cardiac monitor.
Based upon this rhythm disturbance, what medication do you suspect the patient
ingested? - CORRECT ANSWER- Amitriptyline (Elavil) is a tricyclic antidepressant
(TCA), which causes QT prolongation by inhibiting sodium uptake and may result in
torsades de pointes or other arrhythmias in toxic doses.
Late decelerations may indicate - CORRECT ANSWER- Deceleration is a decrease in
the fetal heart rate (FHR) below the baseline. A late deceleration will be to the right of
the contraction occurring after the peak of the contraction. Late decelerations happen
when a fall in the fetal oxygen level causes reflex constriction of blood vessels in an
attempt to divert more blood flow to vital organs of the fetus. The constriction of the
blood vessels causes HTN that stimulates a vagal response, which slows the HR.
A target adult cerebral perfusion pressure (CPP) in a TBI patient should be at least? -
CORRECT ANSWER- 70
A child aspirated a coin, and their left lung is hyperinflated. Where is the coin? -
CORRECT ANSWER- Bronchus
