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? ......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?
......ANSWER........Inferior wall MI
FHR sinusoidal pattern ......ANSWER........A sinusoidal pattern can
occur due to significant anemia and severe fetal distress. During
contraction, the heart rate will not rise concurrently. Oxygen
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carrying capacity is deficient, and hypoxia ensues. Emergent C-
section is the treatment of choice.
Serum osmolality ......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? ......ANSWER........Acceleration/deceleration injury
All intra-aortic balloon pump (IABP) systems use helium as the
driving gas because of which of the following characteristics?
......ANSWER........Low density
What is the formula for determining a mean arterial pressure
(MAP)? ......ANSWER........MAP = [SBP + (2 x DBP)] / 3
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The primary treatment in reversing malignant hyperthermia is
what medication? ......ANSWER........Dantrolene
The following situations would require an asthmatic patient to be
intubated and mechanically ventilated ......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?
......ANSWER........Platelets, cryoprecipitate and fresh frozen
plasma
What protective clothing does CAMTS require that is pertinent to
safe operations? ......ANSWER........Boots
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Fractures of the 1st-3rd ribs should indicate a high index of
suspicion for which injury? ......ANSWER........Aortic disruption
The patient suffering from Brown-Sequard syndrome presents
with what? ......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.
......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?