2026-2027 Actual Complete Real Exam Questions And
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What is the most important sign in a critically ill pt?
Why? - ANSWER-
Tachypnea
Indicates metabolic acidosis w/ respiratory alkalosis
compensation
A pt misses dialysis for a few days and comes in with fluid
overload. He's tachycardic and tachypneic. On physical exam,
you find JVD, pulsus paradoxus (20 mmHg drop during
inspiration), and HoTN (80/40) with distant, muffled heart
sounds. Lungs are clear to auscultation. What is the dx? -
ANSWER-Cardiac tamponade; obstructive shock
What are the classifications of hemorrhagic shock? -
ANSWER-I: <15%; HR
<100, BP normal, RR
normal
, II: 15-30%; HR >100, BP normal, RR
20-30
III: 30-40%; HR >120, BP low, RR
30-40
IV: >40%; HR >140, BP low,
RR >40
An 84 y/o pt fell down the stairs. He is moaning and crying. He
has a C-collar in place. His neck is painful and he has bruising
on his face. He is tachy but BP is okay. You administer 2L O2
bc SpO2 was 92%. Shortly after he deteriorates, becoming
altered and then comatose. His left pupil > the right. He is
herniating from cerebral edema.
How do you treat him? - ANSWER-Intubate and ventilate,
maintaining c-spine
precautions. Administer
mannitol.
A pt comes in with several cardiovascular RFs: elderly, DM, and
HTN. He is having chest pain, SOB, and is diaphoretic. What
diagnosis do you need to reperfuse him immediately? -
ANSWER-STEMI
What is the most appropriate management for both STEMI and
non-STEMI?
nitro if bp
>80