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FPC CFRN REVIEW VERSION A PRACTICE
SCRIPT UPDATED 2026 TESTED SOLUTIONS
⫸ 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 Answer: 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 Answer: 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 Answer: 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: 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
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. 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 balloon C. Administer precordial thump D. Pull catheter back into the right ventricle Answer: Synchronize cardiovert ⫸ Pediatric dose for Epinephrine is? Answer: 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 Answer: Uterine rupture ⫸ Abruptio placenta Answer: dark red, painful ⫸ Placenta previa Answer: red, painless ⫸ Terbutaline dose Answer: 0.25 (SQ) ⫸ Define postpartum hemorrhage Answer: over 500 mL ⫸ Uterine rupture Answer: 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 law C. Charles' law D. Henry's law Answer: Boyle's law
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 Answer: 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 Answer: 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 Answer: 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 Answer: Increase oxygen delivery to the patient. ⫸ You are managing a burn patient who weighs 90 kg with a 65 % BSA. How much fluid should this patient receive in the first 8 hours when using the Parkland formula? Answer: Answer is 11,700 mL Parkland: 4 mL × kg × TBSA. ½ over 1st 8 hrs, rest over next 16 hours.
B. Hypoxic, Stagnant C. Stagnant, Hypemic D. Hypoxic, Hypemic Answer: Histotoxic hypoxia, Hypemic hypoxia ⫸ What is your basic management for warming a hypothermic patient? A. Active external, passive external, active internal warming B. Passive external warming, active external, active internal warming. C. Active passive, active internal and passive external warming D. Administer drugs and intubate Answer: Passive external, active external, and active internal warming. ⫸ A neonate who is experiencing repetitive motions of a bicycling type action with lip smacking is presenting with what type of seizure? A. Subtle B. Tonic C. Clonic D. Myoclonic Answer: Subtle seizures Repetitive mouth or tongue movement, bicycling movements, eye deviations, repetitive blinking, staring, or apnea. Check BGL immediately. 10% of dextrose (2 mL/kg)
Seizures meds: Phenobarbital (luminal), Phenytoin (dilantin), and Lorazepam (ativan). ⫸ Your patient is PDA (patent ductus arteriosus) dependent. This would indicate likely require the administration of which of the following drugs: A. Indomethacin B. Progesterone C. Prostaglandin D. Synthetic surfactant Answer: Prostaglandin Prostaglandin E1 (PGE 1) is indicated for those heart defects that may be dependent on ductal patency for pulmonary blood flow. Heart defects include transposition without ventricular septal defect (VSD), pulmonary or tricuspid atresia, and critical pulmonary stenosis, including tetralogy of Fallot (TOF). ⫸ Which of the following would calculate an appropriate ETT size for a pediatric patient? A. (age + 12)/ B. Age + (16/4) C. (Age + 16)/
A. Altered mental status B. Elevated creatinine kinase C. Hyperthermia D. Increased BUN Answer: Elevated creatinine kinase (CK) ⫸ Which patient is not affected with altitude temperature changes? A. Cardiac patient B. Burn patient C. Head injured patient D. Spinal cord injured patient Answer: Cardiac patient ⫸ Patients are more prone to which stressor of flight with altitude? A. High humidity, high temperature B. Low humidity, low temperature C. High humidity, low temperature D. Low humidity, high temperature Answer: Low humidity, low temperature CONFIRM ⫸ You are transporting a fifty-year-old man from a rural facility. Your patient's ECG is demonstrating ST at 112 with peaked P waves. The
ABG indicates pH 7.2, pCO2 18, HCO3 12 and pO2 108. CMP reveals Na 130, K 2.3, Cl 95, HCO3 10, BUN 48, creat 2.2, and glucose of 685. The most appropriate diagnosis would be? A. Cardiogenic shock B. DKA C. Hyperglycemic, hyperosmolar non-ketotic syndrome D. Dehydration Answer: DKA Acidosis present ⫸ What is the initial S/S of increasing ICP? A. Hypotension B. Deteriorating level of consciousness C. Tachypnea D. Tachycardia Answer: Deteriorating level of consciousness ⫸ Your 18 YOF patient was ejected during an MVA. She is currently awake and oriented x 3 however she is slow to respond. BP 70/42, HR 68, RR 26, Sats 94%, Temp 98.8 and a CVP of 3. Your patient is exhibiting? A. S/S of herniation B. Herniation and is 'pre-code'
⫸ Using the Consensus formula, calculate how much fluid this 70 kg patient with a 50% BSA would receive in the first of 8 hours of care? A. 2,000 - 4,000 ml B. 7,000 - 14, 000 ml C. 3,500 - 7, 000 ml D. 5,000 - 8,000 ml Answer: 3,50 0 - 7, 000 ml [(2-4 mL × weight in kg) × % TBSA] = Total fluids in twenty-four hours with half of the total fluids calculated administered in the first eight hours and the rest in the subsequent sixteen hours. 2 × 70 = 140 × 50% = 7,000 mL, which is the low end of the range and 14,000 mL is the high end of the range. Half of this volume is given in the first eight hours with the remaining half to be administered in the subsequent sixteen hours. This formula excludes first-degree burns, so erythema (redness of the skin) alone is discounted. ⫸ The patient fetus is exhibiting variable decelerations. This is most likely due to? A. Uterine insufficiency
B. Cord problems ( prolapse, nuchal, short, compression) C. Placenta abruption D. Normal neurological waveform Answer: Cord problems ( prolapse, nuchal, short, compression) ⫸ Your patient is experiencing a subarrachnoid hemorrhage. He will likely demonstrate? A. Doll's eyes reflex B. Positive Battle's sign C. Positive Brudzinki's sign D. Ipsilateral papillary dilation Answer: Positive Brudzinki's sign Subarachnoid hemorrhage as well as Meningitis. Severe neck stiffness causes the patient's hips and knees to flex when the neck is flexed. ⫸ Battle's sign... Answer: Battle's sign consists of bruising over the mastoid process as a result of extravasation of blood along the path of the posterior auricular artery and can indicate basilar skull fracture. ⫸ Doll's eye reflex... Answer: Doll's eye reflex also known as vestibulo- ocular reflex or oculovestibular reflex is a reflex movement during head
The integumentary system is the largest organ system that protects the body from damage, comprising the skin and its appendages (including hair, scales, feathers, and nails). ⫸ You have experienced a crash landing, which would do first? A. Assume crash position B. Turn off oxygen C. Turn off throttle, fuel then battery D. Turn on ELT Answer: Turn off throttle, fuel, then battery ⫸ Your priority post crash and safe exit from the aircraft is? A. Go for help B. Find water C. Find food D. Obtain protection/shelter from the elements Answer: Obtain protection/shelter from the elements. ⫸ The patient's PA catheter is exhibiting a large, well defined waveform with an obvious "notch" on the left side of the waveform. The distal tip is most likely located in the:
A. RA
B. PA
C. PCWP
D. RV Answer: Right Ventricle clue: obvious notch on the left side of the waveform. ⫸ Which drug is recommended for sedation of a patient with asthma? A. Etomidate B. Ketamine C. Versed D. Fentanyl Answer: Ketamine ⫸ You are transporting a 12 YOM weighing 60 kg with diagnosis of status asthmaticus on a ventilator. EtCO2 is 56. Ventilator settings are at Vt 450, FIO2 1.0, Rate 16, I:E 1:2, Peep 5, PIP 48. How will manage this patient? A. Increase tidal volume B. Increase I:E ratio C. Increase PEEP D. Increase respiratory rate Answer: Increase I:E ratio
