1|Page
CPC CERTIFICATION FINAL EXAM LATEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient undergoing central line placement under general
anesthesia develops an increase in heart rate from 98/min to
185/min associated with a regular, narrow QRS complex and lack
of normal P wave during guidewire insertion. The arrhythmia
persists after guidewire removal and BP is 70/40 mm Hg. The
MOST appropriate action is to:
prepare to defibrillate.
commence chest compressions.
administer adenosine.
obtain a transesophageal echocardiogram. - ANSWER-administer
adenosine.
Justification
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A rapid, regular rhythm, often between 130/min and 270/min,
usually with a narrow QRS complex and lacking the normal
sinoatrial node P wave, characterizes paroxysmal
supraventricular tachycardia (PSVT). Adenosine (6-12 mg by
IV bolus) has been used to slow the rate by transiently
enhancing the normal degree of atrioventricular block, or to
terminate the arrhythmia. Esophageal leads may also be
helpful to better define atrial activity; however,
transesophageal echocardiography will not terminate the
arrhythmia in this unstable patient (ie, hypotension). Chest
compressions are not warranted. PSVT may also be treated
with synchronized cardioversion and does not require
defibrillation.
What is the BEST action to prevent prerenal acute kidney injury
during the perioperative period?
Optimize fluid volume status.
Avoid renally excreted agents.
,3|Page
Reduce blood pressure.
Administer diuretic agent. - ANSWER-Optimize fluid volume
status.
Justification
Prerenal acute kidney injury occurs due to reduced perfusion
to the kidney. The injury occurs due to hypoxic ischemia and
debris released into the tubules. It is most often caused by
low-volume states.
Which drug would be MOST appropriate to maintain
hemodynamic stability during induction of anesthesia?
Propofol (Diprivan)
Dexmedetomidine (Precedex)
Methohexital (Brevital)
, 4|Page
Etomidate (Amidate) - ANSWER-Etomidate (Amidate)
Justification
Etomidate has the least effect on heart rate and blood
pressure compared to other listed induction agents, thus
maintaining stable hemodynamics during induction.
Which nerve is MOST likely to be injured in the anesthetized
patient who is in the sitting position?
Obturator
Sciatic
Femoral
Saphenous - ANSWER-Sciatic
CPC CERTIFICATION FINAL EXAM LATEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient undergoing central line placement under general
anesthesia develops an increase in heart rate from 98/min to
185/min associated with a regular, narrow QRS complex and lack
of normal P wave during guidewire insertion. The arrhythmia
persists after guidewire removal and BP is 70/40 mm Hg. The
MOST appropriate action is to:
prepare to defibrillate.
commence chest compressions.
administer adenosine.
obtain a transesophageal echocardiogram. - ANSWER-administer
adenosine.
Justification
,2|Page
A rapid, regular rhythm, often between 130/min and 270/min,
usually with a narrow QRS complex and lacking the normal
sinoatrial node P wave, characterizes paroxysmal
supraventricular tachycardia (PSVT). Adenosine (6-12 mg by
IV bolus) has been used to slow the rate by transiently
enhancing the normal degree of atrioventricular block, or to
terminate the arrhythmia. Esophageal leads may also be
helpful to better define atrial activity; however,
transesophageal echocardiography will not terminate the
arrhythmia in this unstable patient (ie, hypotension). Chest
compressions are not warranted. PSVT may also be treated
with synchronized cardioversion and does not require
defibrillation.
What is the BEST action to prevent prerenal acute kidney injury
during the perioperative period?
Optimize fluid volume status.
Avoid renally excreted agents.
,3|Page
Reduce blood pressure.
Administer diuretic agent. - ANSWER-Optimize fluid volume
status.
Justification
Prerenal acute kidney injury occurs due to reduced perfusion
to the kidney. The injury occurs due to hypoxic ischemia and
debris released into the tubules. It is most often caused by
low-volume states.
Which drug would be MOST appropriate to maintain
hemodynamic stability during induction of anesthesia?
Propofol (Diprivan)
Dexmedetomidine (Precedex)
Methohexital (Brevital)
, 4|Page
Etomidate (Amidate) - ANSWER-Etomidate (Amidate)
Justification
Etomidate has the least effect on heart rate and blood
pressure compared to other listed induction agents, thus
maintaining stable hemodynamics during induction.
Which nerve is MOST likely to be injured in the anesthetized
patient who is in the sitting position?
Obturator
Sciatic
Femoral
Saphenous - ANSWER-Sciatic
