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FCCS PRE-TEST EXAM WITH VERIFIED QUESTIONS
AND CORRECT ANSWERS
LATEST UPDATED
A 72-year-old woman with a history of hypertension, type 2 diabetes mellitus, and
smoking develops sudden-onset severe chest pain associated with difficulty
breathing and diaphoresis. Her vital signs on arrival in the emergency department
are: blood pressure, 165/92 mm Hg; heart rate, 101 beats/min; respiratory rate, 29
breaths/min; and oxygen saturation as measured by pulse oximetry, 96% on room
air. Which of the following ECG findings is the most significant indicator for
immediate reperfusion in pt management
A. ST segment depression
B. ST segment elevation
C. T wave inversions
D. Peaked T waves - ANSWER: B. ST segment elevation
A 72-year-old man presents to the emergency department with congestive heart
failure exacerbation. He is awake and alert but in distress. He is using accessory
respiratory muscles and says it is hard to breathe. His vitals signs are: heart rate,
120 beats/min; blood pressure, 120/80 mm Hg; respiratory rate, 34 breaths/min;
and oxygen saturation, 90% on 8 L of oxygen by simple face mask. Physical
examination reveals bilateral lower extremity edema and crackles in the posterior
lung fields. A chest radiograph demonstrates bilateral fluffy infiltrates consistent
with pulmonary edema. Arterial blood gas analysis demonstrates: pH 7.30, PCO2
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50 mm Hg, and PO2 64 mm Hg. In addition to diuresis, which of the following is
the best next step in this patient's management?
A. Intubate and initiate invasive mechanical ventilation
B. Initiate noninvasive positive pressure ventilation
C. Switch to nonrebreather oxygen mask
D. Swi - ANSWER: B noninvasive positive pressure ventilation
A 76-year-old woman with a history of congestive heart failure and hypertension
is admitted with altered mental status and mild upper respiratory symptoms.
According to family, her mental status has been gradually declining over the past 3
days. Because of generalized weakness and upper respiratory symptoms, she has
had a limited amount of food and drink for the past 72 hours. Her home
medications include metoprolol, lisinopril, and furosemide. Her family states that
she has been compliant with these medications. On physical examination, vital
signs are: heart rate, 118 beats/min; blood pressure, 96/53 mm Hg; respiratory rate,
14 breaths/min; and oxygen saturation, 98% on room air. Other findings included
dry mucous membranes, poor skin turgor, and the absence of jugular venous
distention. Pulmonary examination is clear on auscultation. She opens her eyes to
voice, but mumbles incomprehensible sounds and has generali - ANSWER: B.
Hypertonic (3%) saline, 100 mL for rapid early correction, with goal serum sodium
of 118 mEq/L in 24 hours
A 27-year-old man is admitted to the ICU with a subarachnoid hemorrhage after a
motor vehicle crash. On examination, his initial Glasgow Coma Scale score was 8
with labored respirations. He was intubated in the emergency department and
placed on a ventilator. Shortly after arrival to the unit, his pulse oximeter (SpO2)
reads 57%, with heart rate of 46 beats/min and no pulse. Which of the following is
the safest and most immediate method to verify correct endotracheal tube
placement?
FCCS PRE-TEST EXAM WITH VERIFIED QUESTIONS
AND CORRECT ANSWERS
LATEST UPDATED
A 72-year-old woman with a history of hypertension, type 2 diabetes mellitus, and
smoking develops sudden-onset severe chest pain associated with difficulty
breathing and diaphoresis. Her vital signs on arrival in the emergency department
are: blood pressure, 165/92 mm Hg; heart rate, 101 beats/min; respiratory rate, 29
breaths/min; and oxygen saturation as measured by pulse oximetry, 96% on room
air. Which of the following ECG findings is the most significant indicator for
immediate reperfusion in pt management
A. ST segment depression
B. ST segment elevation
C. T wave inversions
D. Peaked T waves - ANSWER: B. ST segment elevation
A 72-year-old man presents to the emergency department with congestive heart
failure exacerbation. He is awake and alert but in distress. He is using accessory
respiratory muscles and says it is hard to breathe. His vitals signs are: heart rate,
120 beats/min; blood pressure, 120/80 mm Hg; respiratory rate, 34 breaths/min;
and oxygen saturation, 90% on 8 L of oxygen by simple face mask. Physical
examination reveals bilateral lower extremity edema and crackles in the posterior
lung fields. A chest radiograph demonstrates bilateral fluffy infiltrates consistent
with pulmonary edema. Arterial blood gas analysis demonstrates: pH 7.30, PCO2
, 2|Page
50 mm Hg, and PO2 64 mm Hg. In addition to diuresis, which of the following is
the best next step in this patient's management?
A. Intubate and initiate invasive mechanical ventilation
B. Initiate noninvasive positive pressure ventilation
C. Switch to nonrebreather oxygen mask
D. Swi - ANSWER: B noninvasive positive pressure ventilation
A 76-year-old woman with a history of congestive heart failure and hypertension
is admitted with altered mental status and mild upper respiratory symptoms.
According to family, her mental status has been gradually declining over the past 3
days. Because of generalized weakness and upper respiratory symptoms, she has
had a limited amount of food and drink for the past 72 hours. Her home
medications include metoprolol, lisinopril, and furosemide. Her family states that
she has been compliant with these medications. On physical examination, vital
signs are: heart rate, 118 beats/min; blood pressure, 96/53 mm Hg; respiratory rate,
14 breaths/min; and oxygen saturation, 98% on room air. Other findings included
dry mucous membranes, poor skin turgor, and the absence of jugular venous
distention. Pulmonary examination is clear on auscultation. She opens her eyes to
voice, but mumbles incomprehensible sounds and has generali - ANSWER: B.
Hypertonic (3%) saline, 100 mL for rapid early correction, with goal serum sodium
of 118 mEq/L in 24 hours
A 27-year-old man is admitted to the ICU with a subarachnoid hemorrhage after a
motor vehicle crash. On examination, his initial Glasgow Coma Scale score was 8
with labored respirations. He was intubated in the emergency department and
placed on a ventilator. Shortly after arrival to the unit, his pulse oximeter (SpO2)
reads 57%, with heart rate of 46 beats/min and no pulse. Which of the following is
the safest and most immediate method to verify correct endotracheal tube
placement?
