Fundamentals of Critical Care Support (FCCS) Exam (2023/ 2024) Grade A| Questions and Verified Answers| 100% Correct
Fundamentals of Critical Care Support
(FCCS) Exam (2023/ 2024) Grade A|
Questions and Verified Answers| 100%
Correct
Q: Which two conditions are the most indicated for BiPAP?
Answer:
COPD exacerbation
Cardiogenic pulmonary edema
Q: A 70 y/o pt with CHF presents with SOB, accessory muscle use, RR 34, SpO2 90% on 8L
O2. CXR reveals infiltrates in a bat wing pattern. She also has LE edema. She is dx with a CHF
exacerbation w/ respiratory failure. Her ABG shows pH 7.3, PO2 64, CO2 50.
What is the best tx for this pt?
Answer:
Non-invasive BiPAP.
Q: A pt comes in w/ a femur fx and a rod is placed. Post-op he develops dyspnea and fever. HR
140, RR 30, SpO2 92% on non-rebreather. He is transferred to the ICU where you intubate, place
a central line, and start resuscitating him. Hb 8.2, lactate 3.2, SVO2 is 52%.
Why is his SVO2 low? How can we improve it?
Answer:
Decreased O2 delivery and increased consumption.
(normal is 65-70)
Administer packed RBCs – 1U of blood will change his Hb from 8.2 to 9.2. O2, fluid, and VT
would not work.
Q: A young pt after an MVA comes to the ER hypotensive and tachycardic. CXR is clear. He
has a contusion on his chest wall and torso. He is unconscious. What will give you the best
insight on what is causing his shock?
Hb
SCV
Urine Output
FAST exam
Answer:
FAST exam
Q: 41 y/o pt in the SICU following debridement of b/l lower extremities for necrotizing fasciitis
is intubated on AC. Temp 102, HR 116, RR 16, BP 92/46. ABG shows pH 7.23, PO2 133, PCO2
38, Na 139, K 3.7, Cl 102, Bicarb 16, lactate 4. Dx is metabolic acidosis w/ anion gap d/t
infection.
What is the most appropriate intervention?
Increase VT
Continue resuscitation
Decrease RR
Administer bicarb
Answer:
Continue resuscitation. Don’t need to increase VT bc the pt doesn’t have respiratory acidosis. If
you decrease the RR, the pt will go into respiratory acidosis.
Q: A pt has obstructive uropathy. A catheter is placed d/t the obstructive kidney injury. After
the cath is placed, he has massive diuresis to the point where he is hypotensive, tachy, and lactate
is 2x the ULN from decreased perfusion.
How would you correct this?
Answer:
Fluids – LR
Q: When treating hyponatremia, what is the first thing to assess?
When do you give 3% NaCl?
How do you correct it?
Answer:
- fluid status
- seizures or changes in mental status
- slowly, 8-12 meq over 24 hr
Q: 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
Q: 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.
Q: 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 re-perfuse him immediately?
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