FCCS: Fundamentals of Critical Care Support Pretest | Grade A| Questions and Verified Answers| 100% Correct (Latest 2023\/ 2024 Update )<\/p>\n\n\n\n
FCCS: Fundamentals of Critical Care
Support Pretest | Grade A| Questions and
Verified Answers| 100% Correct (Latest
2023\/ 2024 Update )
Q: A 75-year-old man with a long history of smoking, chronic lung disease, and treatment
noncompliance is brought to the emergency department by his daughter. He has had progressive
dyspnea. He is awake, alert, and in moderate distress, with the use of accessory muscles during
inspiration and expiration and a respiratory rate of 30 beats\/min. There are audible expiratory
wheezes. Which of the following pharmacologic treatments should be initiated?
A. Inhaled beta2-agonist
B. Aerosolized racemic e
Answer:
A
Q: A 65-year-old woman is admitted with pulmonary edema due to acute diastolic left
ventricular failure. She is alert and oriented but has a respiratory rate of 30 breaths\/min and a
room air SpO2 of 88%. On examination, she has 4 cm jugular venous distention and endinspiratory crackles in her lung fields bilaterally. Room air arterial blood gas analysis shows: pH
7.28, PCO2 48 mm Hg, and PO2 58 mm Hg. Along with diuresis and antihypertensive therapy,
she is placed on bilevel noninvasive ventilatio
Answer:
C
Q: An 18-year-old, 55-kg (121-lb) woman has just been intubated for an acute asthma attack.
She has been sedated and paralyzed in order to facilitate ventilation. Arterial blood gas analysis
immediately before intubation revealed: pH 7.08, PCO2 75 mm Hg, and PO2 63 mm Hg on
FIO2 0.4. On bagging, diffuse high-pitched wheezes are heard. Which of the following is the
most appropriate initial ventilator mode for this patient?
A. Continuous positive airway pressure
B. Pressure support ventilation<\/p>\n\n\n\n
C.
Answer:
C
Q: A 56-year-old man presents to the emergency department with a three-day history of fever,
shaking chills, cough, and sputum production. He was previously in good health and takes only
amlodipine for a history of hypertension. In the emergency department, his heart rate is 130
beats\/min, respiratory rate 32breaths\/min, blood pressure 80\/40 mm Hg, temperature 38.8\u00b0C
(102\u00b0F), and oxygen saturation 92% on 6 liters of oxygen by nasal cannula. Pulmonary
examination demonstrates crackles and bronchia
Answer:
B
Q: A 56-year-old man is admitted to the ICU for pneumonia. He is intubated, with the
following settings: assist control, tidal volume 550 mL, respiratory rate 12 breaths\/min, positive
end-expiratory pressure 5 cm H2O, FIO2 1.0. Vital signs are: temperature 38.7\u00b0C (101.6\u00b0F),
heart rate 122 beats\/min, respiratory rate 20 breaths\/min, blood pressure (BP) 88\/46 mmHg,
SpO2 97%. A central venous line and arterial line have been placed. He has been started on
broad-spectrum antibiotics. Which of the fol
Answer:
B
Q: A 75-year-old man with a history of hypertension is evaluated in the emergency department
for nausea, vomiting, and abdominal pain. He is lethargic but can answer questions
appropriately. His pulse is 130 beats\/min, blood pressure 70\/30 mm Hg, and respiratory rate 28
breaths\/min. On physical examination, he is noted to have dry
mucous membranes, poor capillary refill, and a distended abdomen with rebound tenderness.
Arterial blood gas analysis reveals: pH 7.32, PCO2 28 mmHg, PO2 74 mm Hg, bicarb
Answer:
C<\/p>\n\n\n\n
Q: A 65-year-old man is septic, with perforated diverticulitis. He undergoes emergent
colectomy with creation of a colostomy. Multiple areas of purulence are identified in the
peritoneal cavity. Postoperatively, he continues to be febrile and hypotensive. Chest radiograph
is clear. Central venous pressure is 18 mm Hg, and hemoglobin is 13g\/dL. Which of the
following vasoactive drugs is most appropriate to administer next?
A. Epinephrine
B. Phenylephrine
C. Norepinephrine
D. Dobutamine
Answer:
C
Q: A 76-year-old woman with a history of congestive heart failure and hypertension is admitted
with altered mental status and mild upper respiratory symptoms. According to family, her mental
status has been gradually declining over the past three to four days. Because of generalized
weakness and upper respiratory symptoms, she has had a limited amount of food and drink for
the past 72 hours. Her home medications include metoprolol, lisinopril, and furosemide. Her
family states that she has been com
Answer:
B
Q: While fighting a house fire, a 38-year-old man fell 10 feet through a burning roof into an
actively burning bedroom. On arrival at the emergency department two hours later, he has
abdominal pain. His focused assessment with sonography in trauma (FAST) examination shows
fluid between his spleen and left kidney. His voice is hoarse, and he has carbonaceous sputum.
He has blistering burns on his face and insensate burns over his anterior chest, abdomen, and his
entire left upper extremity circumfer
Answer:
A
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