Misc FP-C

Question 1

MCI

Answer 1

More patients than resouces

Do the most good for the most people

Question 2

When given priority questions

Answer 2

start with the first category that you aren’t given info about

Question 3

Shock Index

Answer 3

HR/SBP – 0.8 or higher indicated high likelihood of peri-intubation problems

Question 4

Indication for surgical airway

Answer 4

Cant intubate cant ventilate

Question 5

Contraindicaitons for extraglottic airway

Answer 5

Obstruction, Intact Gag Reflex, Esophageal Disease]

Question 6

Test for varices

Answer 6

Hepatic jugular reflex – Lay flat, elevate legs, press on RUQ and look for JVD. Sign of portal hypertension and therefore esophageal varices

Question 7

Troubleshooting suction

Answer 7

Work from the machine back to the patient

Question 8

Anion Gap

Answer 8

<12

Na+K)-(HCO3+Cl

Question 9

Name for alveolar capillary junction

Answer 9

alveolar capillary membrane

Question 10

Relationship between Ph and PCO2

Answer 10

For every change of 10 pCO2, pH will change by 0.08 in the OPPOSITE DIRECTION

Question 11

Minute ventilation

Answer 11

6-8L/min or
Nonintubated: 60ml/Kg/min
Intubated: 120ml/Kg/min
Very Acidotic: 240ml/Kg/min

Question 12

Mean airway pressure

pPlat

Answer 12

Mean Airway Pressure 10-20
	Plateau Pressure (pPlat) always <30

Question 13

DOPES Equipment Failure

Answer 13

Work from pt to vent

Question 14

Benzo overdose questions

Answer 14

Flumazenil is generally a bad idea

Question 15

Coronary Perfusion

Answer 15

Closes coronary ostia during systole. Back pressure during closure perfuses coronary arteries.
HEART IS PERFUSED DURING DIASTOLE

Question 16

Types of hypoxia

Answer 16

Hypemic and Histotoxic will not become cyanotic
Hypoxic (Gas exchange) – Get rid of obstructions or add pressure
Hypemic/Anemic (Hypovolemic or anemic)
Stagnant (Shock states other than hypovolemia)
Changes in altitude and G forces
Histotoxic (Cyanide, CO, etc)

Question 17

Types of airway obstruction

Answer 17

Complete (CICO)
Obstruction w/ good air exchange (Stridor)
Partial w/ poor air exchange (Stridor, increased WOB, low SPO2)

Question 18

Vent question w/ pancreatitis

Answer 18

ARDS

Question 19

Cardiac question re pressors

Answer 19

Look for best measured amount and best physiological effect

Question 20

Angina

Answer 20

Stable: CP relieved with rest or up to 3 NTG
Unstable: Chest pain unrelieved w/ 3 NTG or rest
NSTEMI: Unstable angina w/ cardiac markers or ischemic changes

Question 21

Inferior STEMI question

Answer 21

No choice given for inferior, select posterior

Question 22

Prinzmental’s Angina

Answer 22

CP WITH STEMI changes that goes away w/ NTG

Question 23

Hypoxia

Answer 23

SPO2 <94%

Question 24

Coronary Perfusion Pressure

Answer 24

(DBP-PCWP)

Question 25

Mimics likely to show up on exam

Answer 25

pacemaker, early repol, pericarditis

Question 26

Antidysrhythmics

Answer 26

"Some Boys Play Cards" | Sodium Beta Potassium Calcium

Question 27

Cocaine Use

Answer 27

No beta blockers | Paradoxycal tachycardia

Question 28

Wide complex tachycardia question that mentions another antidysrhythmic:

Answer 28

Procainimide

Question 29

Push Dose Epi

Answer 29

Epi when no pump available

Question 30

Bradycardia

Answer 30

``` "All trained Dogs Eat Iams" Atropine TCP Dopamine On exam, dopamine dose likely to be inappropriate Epi Isoproterenol ```

Question 31

Percentage Meds

Answer 31

Percentage = mg/mL ie Dextrose 50% = 500mg/mL | “Pre-ecclamptic, hypertensive, no IV, give mag: 4gm of a 50% solution, split it? How many mL?”

Question 32

Beta Blocker Overdose

Answer 32

Bradycardic + Hypoglycemic – Beta Blocker Overdose

Question 33

Cereberal Perfusion Pressure

Answer 33

CPP = MAP-ICP Greater than 60 Assume ICP 10

Question 34

Replacing volume

Answer 34

Measured amount w/ expected outcome – Warm isotonic crystalloids NS and LR – 10-20mL/Kg

Question 35

Large bore IV

Answer 35

>100mL/min, “KVO” = 15mL/min, “Wide Open” = Bolus = 20mL/Kg

Question 36

Weather secnario

Answer 36

If given pt information followed by weather, weather will be bad

Question 37

LOAD

Answer 37

Lidocaine: ICP or reactive airway Opiates: Manage pain, esp in head injury Atropine: Kids or ketamine Defasiculate: 10% dose of non depolarizing paralytic

Question 38

Cholinergic | Anticholinergic

Answer 38

``` Cholinergic = Sympathetic Anticholinergic = Parasympathetic ```

Question 39

Meaning of S1 and S2

Answer 39

S1 - Mitral and Tricuspid Closure | S2 - Aortic and Pulmonic Closure

Question 40

Leading Cause of Aeromedical Accidents

Answer 40

Pilot Error

Question 41

ETT Cuff Pressure

Answer 41

20-30

Question 42

Intrathoracic Pressure During Inhalation

Answer 42

First lower, then higher

Question 43

Rhabdo Meds

Answer 43

Mannitol, Bicarb

Question 44

Pregnant Patient Position

Answer 44

Left Lateral

Question 45

Drug that increases preload

Answer 45

Vasopressin

Question 46

First line AAA therapy

Answer 46

Beta blockers

Question 47

Indications for Immediate C Section

Answer 47

Multiple Decel w/ Poor Variability Sustained Brady Sinusoidal Waveform

Question 48

Salicylate Overdose

Answer 48

Tinnitus, Dizziness, Tachy, Hot

Question 49

TCA Overdose

Answer 49

Hot, dry, seizure, tachy

Question 50

Metabolic Alkalosis Treatment

Answer 50

Replete Potassium, Fluids

Question 51

Bicarb Deficit Formula

Answer 51

(Wt/4) X Base Deficit = Bicarb Need

Question 52

Diabetes Insipidus Treatment

Answer 52

Vasopressin, Desmopressin, DDAVP

Question 53

DKA / HHNS Treatment

Answer 53

Fluids, Insulin

Question 54

Unknown overdose, intubated, IV fluids running, foley: What med would you expect to give

Answer 54

Bicarb