FPC / CFRN - Review Exam - Version A with complete solutions (LATEST 2022) 132 Questions with 100% Correct Answers

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Normal value for monitoring PA pressures are? A. 2-6/8 - 14 mmHg B. 15 - 25/8 - 15 mmHg C. 25 - 35/20 - 30 mmHg D. None of the above - ✔✔15 - 25 / 8 - 15 mmHg Pulmonary systolic pressure is 1... 5-25 mmHg. Pulmonary diastolic pressure is 8-15 mmHg. Initial intervention for managing a patient presenting with Bariobariatrauma is? A. Administer high flow oxygen B. Decrease oxygen to 4 L/min by NC C. Administer high flow oxygen by NRM 15 minutes prior to lift off D. Maintain cabin pressure at 2500 feet - ✔✔Administer high flow oxygen by NRM 15 minutes prior to lift off. You are on the scene of a 21 YOM gunshot wound to the left chest. The left chest has been decompressed with a needle. The patient is intubated and continues to de-saturate and you note an increase in SQ air. How will manage this patient? A. Re-needle the left chest B. Advance ET tube below the level of the injury; right main stem intubation. C. Decrease respiratory rate down to 10 per minute D. Insert a chest tube - ✔✔Advance ET tube below the level of the injury; right main stem intubation.Drug of choice for treating a GI bleed is? A. Normal saline B. Nipride C. Whole blood D. Sandostatin - ✔✔Sandostatin Your patient has an ICP of 28. BP is 100/60. His cerebral perfusion pressure is approximately? A. 100 mmHg B. 70 - 90 mmHg C. 60 mmHg D. < 50 mmHg - ✔✔Answer is < 50 mmHg Normally ICP = 0-10 mmHg CPP = 70-90 mmHg CPP = MAP - ICP CPP = 73 - 28 --- 45 CPP Normal MAP = 80-100 mmHg MAP = P dia + 1/3(P sys - P dia) MAP = 60 + .33(100 - 60) --- 73 MAP An expanding ETT cuff in flight is an indication of what gas law? A. Henry's B. Dalton's C. Boyle'sD. Charles - ✔✔Boyle's law (expansion or contraction of a gas) The air in the ETT cuff, for example, expands with altitude (ascent) and contracts during descent. You are transporting a 30 YOM involved in a MCA from an outerlying facility. The 70 kg patient is on a ventilator with FIO2 1.0, Vt 500, Rate 16, PIP 22 and Peep 5. The ABG results are pH 7.01, pCO2 68, HCO2 12, base deficit - 8, pO2 280. Interpretation of the blood gas reveals? A. Mixed disturbance B. Metabolic acidosis C. Respiratory acidosis D. Compensated respiratory acidosis - ✔✔Mixed disturbance Metabolic and respiratory acidosis. The pCO2 is high, resulting in a respiratory acidosis, and the pH and HCO3 are low, resulting in a metabolic acidosis. Normal Ranges: pH : 7.35 - 7.45 pCO2 : 35 - 45 HCO3 : 22 - 26 pO2 : 80 - 100 You notice that your patient has the following waveform and is showing VT on the monitor. Your initial intervention of the patient is to? A. Synchronize cardiovert B. Advance catheter by inflating the balloonC. Administer precordial thump D. Pull catheter back into the right ventricle - ✔✔Synchronize cardiovert Pediatric dose for Epinephrine is? - ✔✔0.01 mg/kg (IV) You arrive on the scene of 21 YOF involved a single roll-over accident who is approximately 28 weeks pregnant. Your assessment reveals palpation of fetal parts over the abdomen. What is your diagnosis of the patient? A. Liver laceration B. Uterine rupture C. Placenta previa D. Abruptio placenta - ✔✔Uterine rupture Abruptio placenta - ✔✔dark red, painful Placenta previa - ✔✔red, painless Terbutaline dose - ✔✔0.25 (SQ) Define postpartum hemorrhage - ✔✔over 500 mL Uterine rupture - ✔✔Fetal parts can be palpated over abdomen Your IABP begins to purge during ascent. The triggering mechanism for this function was initiated as a result of which gas law? A. Boyle's law B. Gay-Lussac's lawC. Charles' law D. Henry's law - ✔✔Boyle's law Beta-blockers are contraindicated with? A. Narcotic overdose B. TCA overdose C. Cocaine overdose D. Aspirin overdose - ✔✔Cocaine overdose The pediatric patient may be pre-treated with which medication prior to administering Anectine? A. Etomidate B. Atropine C. Vasopressin D. Vecuronium - ✔✔Atropine How should your flight suit fit to provide space of insulation per CAMTS recommendations? A. ½ inch B. 1 inch C. Skin tight so I look really hot for the firefighters on scene D. ¼ inch - ✔✔¼ inch The uniform should fit to allow 0.25 in. (1/4 in.) of air space between the suit and undergarments You are beginning to prepare for landing and you have news reporter riding along for the day. You see a high-rise tower at 1100 high. Sterile cockpit applies how?A. The news reporter can speak anytime during the flight B. Flight crew members are the only one allowed to speak C. Say nothing about the high rise tower D. Pilot is the only crew member to speak during all phases of flight - ✔✔Flight crew members are the only one allowed to speak. You have responded to a fire in a building with 5 victims. You notice that a large portion of the synthetic carpet has been burned in the room where you are treating the patients. The patients are exhibiting increasing signs of respiratory distress and coughing after high oxygen has been applied. What may be causing the patients signs and symptoms? A. Cyanide B. Ammonia C. Carbon dioxide D. Hydocarbon - ✔✔Cyanide You have just crash landed your aircraft and your pilot has asked you to exit the aircraft. What should you take with you? A. Helmet B. Bags of normal saline C. Survival kit D. Seat cushion - ✔✔Survival kit You are en-flight with a 70 YOM cardiac patient on 6 L of oxygen by NC. You are at 5,000 feet and the patient is becoming hypoxic. What is your initial intervention for this patient? A. Decrease cabin pressure B. Increase oxygen delivery to the patient C. Administer fluid bolus to increase perfusion to the heart D. RSI and intubate the patient [Show More]

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