FPC / CFRN - EXAM - VERSION B 2025/2026 WITH 100% ACCURATE ANSWERS
Myxedema coma is also known as...
A. Thyroid storm
B. Adrenal insufficiency
C. Hypothyroidism
D. Hyperaldosteronism - (ANSWER)Hypothyroidism
Most common presentation of a patient with hypothyroidism are all of the following, Except...
A. Cold intolerance with coarse hair
B. Almost exclusively over the age of sixty
C. >90% of cases occur in the winter
D. Primarily in men - (ANSWER)Primarily in men
Hypothroidism occurs primarily in women, almost exclusively over the age of sixty, with 90% of the
cases occurring in the winter months.
Your patient presents with following parameters: CVP 0, CI 1, PA S/D 8/4, wedge 3, and SVR 1,800. What
is your diagnosis?
A. Hypovolemic shock
B. Right ventricular infarction
C. CHF
D. Sepsis - (ANSWER)Hypovolemic shock
Careful interpretation of the CVP is important!
,FPC / CFRN - EXAM - VERSION B 2025/2026 WITH 100% ACCURATE ANSWERS
Central venous pressure (CVP) describes the pressure of blood in the thoracic vena cava, near the right
atrium of the heart.
CVP reflects the amount of blood returning to the heart and the ability of the heart to pump the blood
into the arterial system.
Drug of choice for profound hypotension in septic shock is?
A. Isotonic crystalloid solution
B. Levophed
C. Nipride
D. Dobutamine - (ANSWER)Levophed
Sepsis is by far the most common cause of distributive shock.
The average normal ICP range is...
A. 0-10 mmHg
B. 10-20 mmHg
C. 20-30 mmHg
D. >30 mmHg - (ANSWER)Normal ICP range is 0-10 mmHg, but range can go as high as 15 mmHg.
The formula to calculate MAP is
A. 2/3 DBP × SBP
B. 2 × DBP + SBP divided by 3
C. 2 × SBP + DBP
D. 2 + DBP × SBP divided by 3 - (ANSWER)2 × DBP + SBP / 3
,FPC / CFRN - EXAM - VERSION B 2025/2026 WITH 100% ACCURATE ANSWERS
(normal 80-100 mmHg)
Normal coronary perfusion pressure (CPP) is
A. 50-60 mmHg
B. 70-90 mmHg
C. 80-100 mmHg
D. <50 mmHg - (ANSWER)Normal 50-60 mmHg
Coronary perfusion pressure: (CPP) = DBP-PAWP
The patient presents with the following hemodynamic parameters: CVP 1, CI 1.7, PA S/D 12/6, wedge 6,
and SVR 300. Vital signs are 78/40, HR 60, RR 16, SaO2 98%. The most likely cause is...
A. RVMI
B. Neurogenic shock
C. Septic shock
D. Hypovolemic shock - (ANSWER)Neurogenic shock
SVR < 800, think distributive shock. Next look at the CI; is it less than 2.5? Hypotension and either a
normal heart and/or bradycardia present narrows the type of distributive shock as being neurogenic
shock.
Severe hypothermic Pt's are at highest risk for which of the following rhythm?
A. A-Fib
B. Asystole
, FPC / CFRN - EXAM - VERSION B 2025/2026 WITH 100% ACCURATE ANSWERS
C. V-Fib
D. Sinus Brady - (ANSWER)V-Fib
Severe: 20-28 (coma, VF common)
The drug of choice for a patient exhibiting signs and symptoms of malignant hyperthermia is:
A. Anectine
B. Sodium bicarbonate
C. Dantrolene
D. Glucagon - (ANSWER)Dantrolene
Malignant hyperthermia: Characteristic signs are muscular rigidity, followed by a hypercatabolic state;
with increased oxygen consumption, increased carbon dioxide production (hypercapnea, usually
measured by capnography), tachycardia (fast heart rate), and an increase in body temperature
(hyperthermia) at a rate of up to ~2°C per hour, temperatures up to 42°C (108°F) are not uncommon.
Induction agent of choice with bronchospastic patients - (ANSWER)Ketamine (ketalar)
Ativan: indication dose, max - (ANSWER)Lorazepam, seizures, 1-2 mg, max 4 mg
Mannitol dose - (ANSWER)1-2 g/kg
Mannitol: an osmotic diuretic, acts by osmosis to ensure urine production and may prevent heme
deposition in the kidney.
Can be administered to avoid acute renal failure when fluid administration has been ineffective.
Myxedema coma is also known as...
A. Thyroid storm
B. Adrenal insufficiency
C. Hypothyroidism
D. Hyperaldosteronism - (ANSWER)Hypothyroidism
Most common presentation of a patient with hypothyroidism are all of the following, Except...
A. Cold intolerance with coarse hair
B. Almost exclusively over the age of sixty
C. >90% of cases occur in the winter
D. Primarily in men - (ANSWER)Primarily in men
Hypothroidism occurs primarily in women, almost exclusively over the age of sixty, with 90% of the
cases occurring in the winter months.
Your patient presents with following parameters: CVP 0, CI 1, PA S/D 8/4, wedge 3, and SVR 1,800. What
is your diagnosis?
A. Hypovolemic shock
B. Right ventricular infarction
C. CHF
D. Sepsis - (ANSWER)Hypovolemic shock
Careful interpretation of the CVP is important!
,FPC / CFRN - EXAM - VERSION B 2025/2026 WITH 100% ACCURATE ANSWERS
Central venous pressure (CVP) describes the pressure of blood in the thoracic vena cava, near the right
atrium of the heart.
CVP reflects the amount of blood returning to the heart and the ability of the heart to pump the blood
into the arterial system.
Drug of choice for profound hypotension in septic shock is?
A. Isotonic crystalloid solution
B. Levophed
C. Nipride
D. Dobutamine - (ANSWER)Levophed
Sepsis is by far the most common cause of distributive shock.
The average normal ICP range is...
A. 0-10 mmHg
B. 10-20 mmHg
C. 20-30 mmHg
D. >30 mmHg - (ANSWER)Normal ICP range is 0-10 mmHg, but range can go as high as 15 mmHg.
The formula to calculate MAP is
A. 2/3 DBP × SBP
B. 2 × DBP + SBP divided by 3
C. 2 × SBP + DBP
D. 2 + DBP × SBP divided by 3 - (ANSWER)2 × DBP + SBP / 3
,FPC / CFRN - EXAM - VERSION B 2025/2026 WITH 100% ACCURATE ANSWERS
(normal 80-100 mmHg)
Normal coronary perfusion pressure (CPP) is
A. 50-60 mmHg
B. 70-90 mmHg
C. 80-100 mmHg
D. <50 mmHg - (ANSWER)Normal 50-60 mmHg
Coronary perfusion pressure: (CPP) = DBP-PAWP
The patient presents with the following hemodynamic parameters: CVP 1, CI 1.7, PA S/D 12/6, wedge 6,
and SVR 300. Vital signs are 78/40, HR 60, RR 16, SaO2 98%. The most likely cause is...
A. RVMI
B. Neurogenic shock
C. Septic shock
D. Hypovolemic shock - (ANSWER)Neurogenic shock
SVR < 800, think distributive shock. Next look at the CI; is it less than 2.5? Hypotension and either a
normal heart and/or bradycardia present narrows the type of distributive shock as being neurogenic
shock.
Severe hypothermic Pt's are at highest risk for which of the following rhythm?
A. A-Fib
B. Asystole
, FPC / CFRN - EXAM - VERSION B 2025/2026 WITH 100% ACCURATE ANSWERS
C. V-Fib
D. Sinus Brady - (ANSWER)V-Fib
Severe: 20-28 (coma, VF common)
The drug of choice for a patient exhibiting signs and symptoms of malignant hyperthermia is:
A. Anectine
B. Sodium bicarbonate
C. Dantrolene
D. Glucagon - (ANSWER)Dantrolene
Malignant hyperthermia: Characteristic signs are muscular rigidity, followed by a hypercatabolic state;
with increased oxygen consumption, increased carbon dioxide production (hypercapnea, usually
measured by capnography), tachycardia (fast heart rate), and an increase in body temperature
(hyperthermia) at a rate of up to ~2°C per hour, temperatures up to 42°C (108°F) are not uncommon.
Induction agent of choice with bronchospastic patients - (ANSWER)Ketamine (ketalar)
Ativan: indication dose, max - (ANSWER)Lorazepam, seizures, 1-2 mg, max 4 mg
Mannitol dose - (ANSWER)1-2 g/kg
Mannitol: an osmotic diuretic, acts by osmosis to ensure urine production and may prevent heme
deposition in the kidney.
Can be administered to avoid acute renal failure when fluid administration has been ineffective.
