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FCCS THR FW Flashcards | StudBud
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FCCS THR FW
FCCS THR FW
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FCCS Key Points / Final Review
Flashcards
34 cards
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Practice quiz
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Host live
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Questions
34
Answers
1
Pt POD #8 from appendectomy. CT abd/pelvis shows fluid collection in RLQ. She has worsening septic shock. What next?
Repeat imaging in 1-2 days
IV antibiotics
Drainage of abscess
Watch and wait
2
What helps lower intracranial pressure?
Lower HOB
IV steroids only
Elevate HOB
SBP > 90
3
Antibiotics indicated for spontaneous bacterial peritonitis?
Ceftriaxone + azithromycin
Cefepime + vancomycin
Ceftriaxone + flagyl
Cefepime + flagyl
4
What is NOT an expected physiologic change during the 3rd trimester?
Resting tachycardia
Increased functional residual capacity
Increase in cardiac output
Systolic murmur
5
Most important indicator that a patient has a serious illness?
Hypotension
Altered mentation
Tachypnea
Tachycardia
6
A patient has a worsening brain bleed, now only grunts. Minimally responsive. What next?
Repeat CT head
Intubation
Trial NIPPV
IV narcan
7
A pt admitted with CHF; has worsening respiratory status. On 10L. CXR: extensive bilat infiltrates. Next best step?
Place on NRB
Start on antibiotics
Initiate non-invasive positive pressure ventilation
Intubation and mechanical ventilation
8
Post-intubation hypotension can be caused by what?
Too little sedation
Ketamine
Auto-peep (intrinsic PEEP)
Poor minute ventilation
9
What do you do if someone starts shivering while undergoing TTM?
Manage the shivering
Stop TTM
Nothing
Increase the temperature to 38C
10
Patient presents with LE edema and SOB. MAP 60s. TTE shows decline in LVEF. His SVO2 sat 43%. What next?
Cardiothoracic surgery consultation
Start IV fluids
Start GDMT therapy
Start IV doubtamine
11
Pt overdosed on fentanyl. RR 4 breaths/min. What would you see on ABG?
Acute hypercapnic resp failure
Chronic hypoxic resp failure
Acute hypoxic resp failure
Acute metabolic acidosis only
12
Management of patient with PE who becomes hypotensive, requiring levophed gtt?
Lovenox 1 mg/kg BID
Systemic thrombolytics
Thrombectomy
IV heparin gtt
13
What is NOT true about pancreatitis
They need antibiotics
They need early enteral feeding
They need fluids
All are true
14
Muffled heart tones + hypotension + JVD?
Septic shock
PTX
PE
Cardiac tamponade
15
What induction agent does NOT cause hypotension?
Propofol
None of the above
Versed
Ketamine
16
Which of the following is contraindicated with the following type of STEMI...
Morphine
ASA
Heparin
Nitroglycerin
17
Management of pt with severe hyponatremia and seizures?
Hypertonic saline
IV fluid boluses
Fluid restirction
Steroids
18
A 92-year-old patient is in hemorrhagic shock. Pulse oximetry readings are poor/inconsistent. Why?
Older age
Bad equiment
Vasoconstriction
Nail polish
19
Management of necrotizing soft tissue infection?
Antibiotics only
Warm compresses
Debridement only
Surgery consult + antibiotics
20
1st step in a respiratory arrest when a patient is on the ventilator?
Increase FiO2 to 100%
Suction immediately
Confirm tube placement
Disconnect them from the vent
21
________ is recommended during cardiac arrest because it is often the first sign of ROSC.
Pulse oximetry
Quantitative end-tidal CO2
None of the above
Arterial line placement
22
What is the initial treatment of choice to terminate a seizure?
IV keppra
None of the above
IV depakote
IV benzodiazepines
23
Pt is s/p VF/VT arrest. What should be done immediately?
Initiate TTM
Call interventional cardiology
Start IV lidocaine gtt
Check CT head
24
The oxygenation index takes into account _____ in addition to P/F ratio.
Mean airway pressure
Passive inspiratory pressures
This is not the answer
Systolic blood pressure
25
What is the correct antibiotic regimen for a 19-year-old patient with suspected meningitis?
Acyclovir + vancomycin
Acyclovir + ampicillin + cefepime
Vancomycin + cephalosporin
Ampicillin + vancomycin + cephalosporin
26
What has shown a reduced risk of infectious complications and mortality in acute pancreatitis?
Early enteral nutrition
Late parenteral nutrition
Late enteral nutrition
Early parenteral nutrition
27
Pt w/ septic shock; received adequate fluids; still on multiple vasopressors. BG low, Na low, K high. What next?
IV hydrocortisone
IV dobutamine
Add another pressor
IV methylene blue
28
In a patient with cardiogenic shock, a SCVO2 reading of 40% may indicate what?
High O2 delivery or increased consumption
Low O2 delivery or decreased consumption
High O2 delivery or decreased consumption
Low O2 delivery or increased consumption
29
Pt admitted for sepsis. S/p 30cc/kg NS bolus. Has little IVC variability w/ respirations. Still hypotensive. What next?
Start levophed gtt
Start methylene blue
Start vasopressin gtt
Give more fluid
30
The goal of managing ventilation in pts with severe airway obstruction (asthma) is to maximize ventilation by _____.
Prolonging inspiratory time
Increasing PEEP
Increasing tidal volumes
Prolonging expiratory time
31
You attempt to intubate a patient but unable to see the glottic opening. SpO2 70%. What next?
Trial video laryngoscope
Get a smaller endotracheal tube
Supraglottic device + call surgery
Abort the procedure
32
1st line management of a stable wide complex tachycardia?
Amiodarone bolus and gtt
DCCV
Defibrillation
IV cardizem
33
Short thyromental distance may indicate what during intubation?
Posterior airway
Difficulty opening mouth
Anterior airway
Large tongue
34
Initial treatment of hyperkalemia with EKG changes?
Albuterol treatment
IV lasix
IV sodium bicarbonate
IV calcium gluconate
