Fundamentals of Critical Care Support (FCCS) Exam | Grade A| Questions and Verified Answers| 100% Correct (Latest 2023/ 2024 Update )
Fundamentals of Critical Care Support
(FCCS) Exam | Grade A| Questions and
Verified Answers| 100% Correct (Latest
2023/ 2024 Update )
Q: If a patient ingested drugs (OD) >4 hours ago and now presents to the ED what can you do
for them?
Answer:
nothing
Q: best study to r/o PE
Answer:
CTA: computed tomography angiography
Q: How do you treat DKA?
Answer:
IV fluids – 1st
IV insulin
potassium supplementation
regulate electrolytes
Give glucose when BS is <250
Q: How do you know when someone is no longer in DKA?
Answer:
when anion gap is normal <12
then you add long acting insulin
turn off IV insulin drip
MUST add long acting insulin BEFORE d/c of drip
Q: Pt presents with PNA, sepsis & shock. How do you treat?
Answer:
1) 30 mL/kg (bolus) IV crystalloid bolus then 150mL/hour
2) IV vasopressors if still low
give NE
3) steroids if refractory hypotension
Q: fluids given in cardiogenic shock can result in
Answer:
pulmonary edema
Q: How to treat hyperkalemia with EKG changes?
Answer:
calcium gluconate
also CBIGKDIE
Q: Pt presents w/CA and sepsis (fever, chills, febrile), hypotensive, and low WBC #. What does
he have and how do you treat?
Answer:
neutropenic fever
1) blood, urine, sputum culture first
2) CXR
3) empiric txt w/broad spectrum abx (w/in 30-60mins)
4) once culture comes back, narrow and drop abx
always draw culture THEN hang abx
Q: DM pt comes with fever, scrotal area presents w/ erythema, induration, redness, swelling,
RF and lethargy. PMH: shows cutaneous gangrene. When you palpate area you feel gas– what
does this pt have?
Answer:
Dx: Necrotizing fasciitis
Txt: call surgery ASAP(do not delay)
and abx IV Vanco (MRSA) + piptazo (pseudo) + clinda (toxins)
Q: PA college student presents to ER w/ha + fever. temp 102F, HR 125. on PE pt is unable to
touch chin to chest w/out pain (stiff neck). What does this patient have?
Answer:
Dx: Meningitis
Txt: Ceftriaxone/Rocephin + Vanco
Q: One drug that improves mortality after stemi MI
Answer:
ACEi
Q: What patient goes to the Cath lab with chest pain?
Answer:
STEMI:
door to ballon -> 90 mins
door to needle -> 30 mins
NSTEMI +hemodynamically unstable
Q: What kind of MI pt should get immediate reperfusion?
Answer:
STEMI
Q: What is ALWAYS given w/chest pain?
Answer:
O2
Q: Pt w/central venous line for 3 days. Site of catheter placement is erythmatous, discharge,
septic. What does this patient have?
Answer:
Dx: Central venous line infection
Txt: remove line + IV Vanco (MRSA-> staph)
Q: Pt has PNA and is in hospital being treated with abx. Grandma visits 2 days later with
diffuse and pain & diarrhea
Answer:
Dx: cdiff
Txt: PO metronidazole + Vanco + fluids
Q: activated charcoal only works within
Answer:
first 3 hours
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