FMP 2023 Quiz Questions PDF

# Questions ## Question The flight crew is dispatched for a scene flight from the football field of the local high school in rural Kansas to the pediatric trauma center approximately 100 nautical miles away. Which statement demonstrates an effective crew resource management? - Any crew member, rega...

# Questions ## Question The flight crew is dispatched for a scene flight from the football field of the local high school in rural Kansas to the pediatric trauma center approximately 100 nautical miles away. Which statement demonstrates an effective crew resource management? - Any crew member, regardless of discipline, has the right to voice safety concerns. ## Question The flight crew is requested for an interfacility transport for a 39 year old male that presented to a rural facility with a chief complaint of abdominal pain and vomiting x 24 hours. The patient denies any significant past medical history or allergies. The sending nurse tells you the patient's abnormal labs include a WBC count of 17.5, hemoglobin of 7.9, calcium of 6, amylase of 520 and lipase of 644. He is noted to have bruising around the umbilicus. The flight paramedic suspects: - Hemorrhagic pancreatitis ## Question The ground crew is dispatched to the scene of a single vehicle rollover on the side of a 2 lane county highway with a speed limit of 55 miles per hour. The crew requests: - State troopers to set up with lights flashing 500 yards in each direction on the highway to alert oncoming traffic. ## Question A family of four presents to the ER with complaints of sudden onset headache, nausea/vomiting, and the two children are significantly altered. The father states they were decorating the Christmas tree when symptoms started suddenly for all four family members. The nurse immediately suspects: - Carbon monoxide poisoning ## Question The patient is a 56 year old male with syncope. Vital signs: HR 60, BP 74/50, R 22, SpO2 94%. In addition to the findings on the 12-lead EKG you also suspect: - Right ventricular infarct ## Question In reference to the patient from the previous question: What will be a mainstay of treatment for this patient? - IV fluid bolus ## Question You are transporting a patient with a lower GI bleed to a level 1 trauma center. She is receiving her third unit of PRBCs, first unit of FFP, and first unit of platelets. When her blood pressure cuff inflates to check an updated BP you notice her hand begin to spasm. You should consider: - Reducing the dose of the paralytic agent ## Question You are preparing to perform a rapid sequence intubation of a 23 year old male who was charged by and then gored by a bull. Vital signs: P 144, R 32, BP 100/54, SpO2 97%. You should consider: - Administering 5 mcg of push-dose epinephrine after the paralytic agent is administered ## Question The patient is a 30 year old female, 34 weeks gestation. G3, P2. She presents with syncope, pallor, and lethargy while at work. She has no palpable radial pulses. GCS 15. Vital signs: P 134, RR 30, BP 92/46, SpO2 99%. Hgb is 5.7. She denies pain. Pt shifts on the stretcher during the transport and you notice a puddle of bright red blood. You suspect: - Placenta previa ## Question Which of the following lab values is considered diagnostic for congestive heart failure? - Brain natriuretic peptide ## Question The flight crew is transporting a 74 year old patient that was found down by a BLS crew after falling 48 hours ago. The patient has a wide QRS complex on the 12 lead and is bradycardic. The flight nurse performs point of care testing and the labs are as follows: pH 7.20, Na+ 131, K+ 6.8, Glu 232, Creat 3.8, and Lactate 8.7. What is the priority intervention? - Administration of calcium gluconate at the level of the tragus of the patient's ear. ## Question You are transporting a patient with mesenteric ischemia who underwent an extensive bowel resection. The patient is intubated and appears pale and diaphoretic. Vital signs: P48, R24, BP 64/45, SpO2 94%. Vent settings: Pressure Support 15, PEEP 5, f20, FiO2 0.4. Most recent basic metabolic panel: Na 135, Cl 100, BUN 29, Crt 1.8, K 7.6, HCO3 22, Glu 211. You know that this patient requires IMMEDIATE: - Administration of IV calcium chloride ## Question Which of the following examples exhibits the altitude effects of Boyle's Law? - A passenger experiences severe cramping and bloating upon descent to the airport. ## Question The patient with tissue hypoxia due to sepsis is experiencing: - Stagnant hypoxia ## Question A newborn has an initial APGAR score of 4. HR is 118. His respiratory effort is present but ineffective. He requires: - Positive pressure ventilation ## Question The patient presents with a depressed mental status (responsive to pain only). Respirations appear non-labored. A capillary blood glucose reading reads "High" and you know that your glucometer reads "High" for readings above 700 mg/dL. A basic metabolic panel performed at the hospital yields: Na 134, Cl 96, BUN 30, Crt 2.4, K 2.8, Glu 1148. Anion gap is 9. This patient has: - HHNK ## Question A 5 year old was stung by a bee with no past history of allergic reactions. She has no immediate reaction. You contact her about two hours post-sting when her parents are concerned about repeated episodes of vomiting and diarrhea. You find the child awake, irritable, and with no respiratory distress. Lungs are clear. You note some hives on her torso. There is no angioedema and she shakes her head no when you ask if her throat is sore or tight. Vital signs: P 131, R 26, BP 88/50, SpO2 100%. Which intervention should you perform FIRST? - Administering 0.01 mg/kg epinephrine 1:1,000 IM for suspected anaphylaxis ## Question The following FHT and tocometer tracing indicate: - Placental insufficiency ## Question Interpret this patient's arterial blood gas: pH 7.36, PO2 84, CO2 44, HCO3 24. - Normal ABG ## Question The patient is a 2 year old male who was swept up by a wave while walking along the shoreline. Five minutes after a frantic search begins by bystanders who witnessed the incident a lifeguard pulls the child out of the water. He is blue, pulseless, and apneic. CPR is initiated. He remains persistently asystolic however remains tangibly cold to the touch. It is July, the ambient temperature is 86 F. The water temp is 62F. Which statement regarding the mammilian diving reflex is most applicable to this case? - The child is dead. The mammilian diving reflex does not provide any benefit unless the environment is arctic or near-arctic. ## Question This patient may require which life-saving procedure? - Pericardiocentesis ## Question Which of the following radiologic findings indicates acute respiratory distress syndrome (ARDS)? - Ground glass opacities ## Question You are called to transport a patient with a Type A aortic dissection to a tertiary care center for an emergent cardiac surgery evaluation. Your patient presents with tearing back pain that she rates as a 10/10. Vital signs: HR 110, R 24, BP 204/98, SpO2 98%. 12-lead EKG shows sinus tachycardia with ST depressions in V4, V5, and V6. The FIRST priority in the pharmacologic management of this patient is: - Reducing the blood pressure ## Question Which of the following abnormalities do pediatric patients generally tolerate very well? - Hypercarbia ## Question A 30 pound 3 year old was rescued from a house fire. She presents with third-degree burns over the entirety of her anterior and posterior thorax, anterior surfaces of both legs, and the anterior surfaces of both arms. Using the consensus formula, how much IV fluid should she receive in the first 8 hours post burn injury? - 1785 mL ## Question Which lab value corresponds with the findings on this chest x-ray? - ALT 335 ## Question Which of the following is a tenent of crew resource management? - Any crew member, regardless of discipline, has the right to voice safety concerns. ## Question The ELT transmits on: - 406 mHz ## Question You are called to transport an elderly male who was found unresponsive and with seizure activity in a sauna from a community hospital to a tertiary care facility. Gym staff advised that he may have been in the sauna for up to two hours. The sending community hospital advised that they have administered keppra and two doses of midazolam however his seizure activity has not abated. He has also received 2 L of 0.9% normal saline. Vital signs: P 154, R 24, BP 94/50, SpO2 96%. Basic metabolic panel: Na 110, Cl 95, BUN 34, Crt 2.0, K 3.4, HCO3 24, Glu 78. You know that this patient requires: - Administration of a hypertonic normal saline solution in 100 mL aliquots until seizure activity stops. ## Question Which of the following findings in the neonate may require the administration of ampicillin and gentamycin? - Hypothermia ## Question Hemodynamic values are CO 6.5, CVP 14, PAWP 21, SVR 1200. This patient requires: - Positive inotropy and diuretics ## Question A SCUBA diver experiences severe joint pain upon rapid ascent to the surface. This phenomenon is an example of which gas law? - Henry's Law ## Question Which of the following is a treatment consideration with this patient? - Administering ACLS drugs at longer intervals ## Question A patient with a shearing force applied to the ligamentum arteriosum may exhibit which diagnostic finding? - Widened mediastinum on chest x-ray ## Question A patient with difficulty breathing refractory to oxygen and pharmacologic administration requires endotracheal intubation. Chest x-ray shows hyperinflated lungs and a flattened diaphragm. Which of the following inducation agents would be the best for this patient? - Ketamine ## Question In addition to supportive care, seizure cessation, and pain management, the patient with a black widow bite is likely to require: - Antihypertensive therapy. ## Question CAMTS regulations require ________ of space between the flight suit and the crew member's skin. - 1/4 inch ## Question The optimal positioning of the patient who will be endotracheally intubated is: - Ear-to-sternal notch. ## Question You would expect the patient with an elevated alkaline phosphatase to be at risk of: - Coagulopathy ## Question You are transporting a patient with a large subarachnoid hemorrhage. He is intubated, sedated, and analgesed. The patient remains persistently hypertensive. Vital signs: P44, R16(vent), BP 220/116, SpO2 99%. Which approach to managing the patient's blood pressure is the BEST approach? - Nicardipine to triate a systolic BP of 160 mmHg. ## Question Which initial intubation strategy maximizes first-pass success rate according to current evidenced-based research? - Video laryngoscopy and bougie on all intubations. ## Question The ventilator is set to CMV: Vt 500, f 20, FiO2 1.0, PEEP 5. The delivered minute volume is: - 10 L ## Question The aircraft at 26,000 MSL has experienced a sudden cabin depressurization. The co-pilot has to rapidly take the controls and descend the aircraft because the pilot, while conscious and responsive, was unable to engage in a coherent conversation or use the aircraft controls. The pilot was experiencing which stage of hypoxia? - Distrubance ## Question The narrowest part of the pediatric airway is the: - Cricoid ring ## Question Which of the following statements most accurately reflects current evidence-based strategies for treating salt vs. fresh water drowning patients? - They are treated the same. ## Question You are transporting a 44 year old female from a community hospital to a level 1 trauma center. She was involved in a rollover MVA and was ejected from her vehicle. She has extensive lower extremity trauma. She is intubated. Vent settings: Assist Control, Vt 400, f 18, FiO2 0.8, PEEP 5. She is receiving a continuous propofol drip at 20 mcg/kg/min. During the transport she becomes tachycardic, dysynchronous with the ventilator, and begins to reach for her ET tube. Which approach will BEST immediately address this patient's response? - Administering a benzodiazepine. ## Question You are infusing a unit of low-titer O whole blood into a 72 year old male with a lower GI bleed. The patient's hemoglobin is 5.8 g/dL and hematocrit is 28%. After administration of two units you would expect the patient's repeat hemoglobin and hematocrit to be approximately: - Hgb 7.8 g/dL, Hct 34% ## Question A cyanokit is administered to a patient with suspected cyanide toxicity to reverse: - Histotoxic hypoxia ## Question Which of the following neonatal cardiac conditions will cause mixing of oxygen and deoxygenated blood? - Atrial-septal defect ## Question When performing a flick test, how many oscillations should there be before the waveform returns to normal? - 3 ## Question The intra-aortic balloon pump ____________ during systole which ________________. - Deflates, reduces afterload ## Question "Air taxi," or flying passengers for a fee is governed by FAR _____ - Part 135 ## Question Interpret the patient's ABG: pH 7.38, PO2 90, PCO2 58, HCO3 22 - Partially compensated respiratory acidosis. ## Question The time between the interruption of oxygen and the time a pilot is unable to perform flying duties is: - Time of Useful Consciousness. ## Question The patient was an unrestrained driver who was ejected in a high-speed MVA. He presents with a GCS of 5. Initial CT scan is negative for abnormality. A CT performed 24 hours later showed small punctuate areas of hemorrhage. The patient's diagnosis is: - Diffuse axonal injury ## Question You are transporting a ventilated patient. The patient is sedated, analgesed, and pharmacologically paralyzed. Vent settings: volume assist control, Vt 520, f 18, FiO2 0.8, PEEP 8. You perform an inspiratory hold maneuver and obtain a plateau pressure of 42. You should: - Decrease the tidal volume. ## Question The predominant acid-base disturbance in the patient with septic shock is: - Metabolic acidosis ## Question A frequent complication of meconium aspiration is the development of: - Persistent pulmonary hypertension ## Question The patient is a 62 year old female who is 1-week post stenting for an acute infarction of her RCA. She has an acute onset of chest pain and dyspnea with a productive cough with pink frothy sputum. This patient exhibits symptoms of: - Pulmonary edema ## Question A large central line that may be used to infuse fluids or to insert wires or other catheters is a: - Cordis ## Question Which ventilator setting should NOT be employed on a patient who is pharmacologically paralyzed? - Pressure support ## Question Pressing a patient's legs to her abdomen when shoulder dystocia is experienced during delivery is known as: - McRoberts Maneuver ## Question Which flight environmental phenomenon is usually described as "annoying" but may result in severe spatial disorientation especially on especially sunny days or during night operations? - Flicker vertigo ## Question An 18 month old patient presents with a seal-bark cough, low grade fever, and dyspnea. X-ray of this patient's neck will show: - Steeple Sign ## Question The tip of the McIntosh blade is inserted into the __________ during endotracheal intubation. - Vallecula ## Question The following tracing indicates a fetus that is most likely: - Acidotic ## Question Your neuro ICU patient has the following ICP waveform. This patient has: - Increased ICP ## Question Children have all of the following factors the provider must consider pertaining to airway and pulmonary management EXCEPT: - Larger airways in proportion to adult patients. ## Question Which of the following is a first-line drug for status epilepticus? - Midazolam ## Question Night vision goggles will cause: - A lack of depth perception. ## Question It is important to note that children involved in pedestrian MVA's: - Tend to stop and turn and face the oncoming vehicle. ## Question The following FHT and tocometer tracing indicate: - Placental insufficiency. ## Question Interpret this patient's arterial blood gas: pH 7.36, PO2 84, CO2 44, HCO3 24. - Compensated metabolic acidosis. ## Question The patient is a 2 year old male who was swept up by a wave while walking along the shoreline. Five miutes after a frantic search begins by bystanders who witnessed the incident a lifeguard pulls the child out of the water. He is blue, pulseless, and apneic. CPR is initiated. He remains persistently asystolic however remains tangibly cold to the touch. It is July, the ambient temperature is 86 F. The water temp is 62F. Which statement regarding the mammilian diving reflex is most applicable to this case? - The child is dead. The mammilian diving reflex does not proivde any benefit unless the environment is arctic or near-arctic. ## Question This patient may require which life-saving procedure? - Pericardiocentesis. ## Question Which of the following radiologic findings indicates acute respiratory distress syndrome (ARDS)? - Ground glass opacities. ## Question You are called to transport a patient with a Type A aortic dissection to a tertiary care center for an emergent cardiac surgery evaluation. Your patient presents with tearing back pain that she rates as a 10/10. Vital signs: HR 110, R 24, BP 204/98, SpO2 98%. 12-lead EKG shows sinus tachycardia with ST depressions in V4, V5, and V6. The FIRST priority in the pharmacologic management of this patient is: - Reducing the dose of the paralytic agent. ## Question Which of the following abnormalities do pediatric patients generally tolerate very well? - Hypercarbia. ## Question A 30 pound 3 year old was rescued from a house fire. She presents with third-degree burns over the entirety of her anterior and posterior thorax, anterior surfaces of both legs, and the anterior surfaces of both arms. Using the consensus formula, how much IV fluid should she receive in the first 8 hours post burn injury? - 1785 mL. ## Question Which lab value corresponds with the findings on this chest x-ray? - ALT 335. ## Question Which of the following is a tenent of crew resource management? - Any crew member, regardless of discipline, has the right to voice safety concerns. ## Question The ELT transmits on: - 406 mHz. ## Question You are called to transport an elderly male who was found unresponsive and with seizure activity in a sauna from a community hospital to a tertiary care facility. Gym staff advised that he may have been in the sauna for up to two hours. The sending community hospital advised that they have administered keppra and two doses of midazolam however his seizure activity has not abated. He has also received 2 L of 0.9% normal saline. Vital signs: P 154, R 24, BP 94/50, SpO2 96%. Basic metabolic panel: Na 110, Cl 95, BUN 34, Crt 2.0, K 3.4, HCO3 24, Glu 78. You know that this patient requires: - Administration of a hypertonic normal saline solution in 100 mL aliquots until seizure activity stops. ## Question Which of the following findings in the neonate may require the administration of ampicillin and gentamycin? - Hypothermia. ## Question Hemodynamic values are CO 6.5, CVP 14, PAWP 21, SVR 1200. This patient requires: - Positive inotropy and diuretics. ## Question A SCUBA diver experiences severe joint pain upon rapid ascent to the surface. This phenomenon is an example of which gas law? - Henry's Law. ## Question Which of the following is a treatment consideration with this patient? - Administering ACLS drugs at longer intervals. ## Question A patient with a shearing force applied to the ligamentum arteriosum may exhibit which diagnostic finding? - Widened mediastinum on chest x-ray. ## Question A patient with difficulty breathing refractory to oxygen and pharmacologic administration requires endotracheal intubation. Chest x-ray shows hyperinflated lungs and a flattened diaphragm. Which of the following inducation agents would be the best for this patient? - Ketamine. ## Question In addition to supportive care, seizure cessation, and pain management, the patient with a black widow bite is likely to require: - Antihypertensive therapy. ## Question CAMTS regulations require ________ of space between the flight suit and the crew member's skin. - 1/4 inch. ## Question The optimal positioning of the patient who will be endotracheally intubated is: - Ear-to-sternal notch. ## Question You would expect the patient with an elevated alkaline phosphatase to be at risk of: - Coagulopathy. ## Question You are transporting a patient with a large subarachnoid hemorrhage. He is intubated, sedated, and analgesed. The patient remains persistently hypertensive. Vital signs: P44, R16(vent), BP 220/116, SpO2 99%. Which approach to managing the patient's blood pressure is the BEST approach? - Nicardipine to triate a systolic BP of 160 mmHg. ## Question Which initial intubation strategy maximizes first-pass success rate according to current evidenced-based research? - Video laryngoscopy and bougie on all intubations. ## Question The ventilator is set to CMV: Vt 500, f 20, FiO2 1.0, PEEP 5. The delivered minute volume is: - 10 L. ## Question The aircraft at 26,000 MSL has experienced a sudden cabin depressurization. The co-pilot had to rapidly take the controls and descend the aircraft because the pilot, while conscious and responsive, was unable to engage in a coherent conversation or use the aircraft controls. The pilot was experiencing which stage of hypoxia? - Disturbance. ## Question The narrowest part of the pediatric airway is the: - Cricoid ring. ## Question Which of the following statements most accurately reflects current evidence-based strategies for treating salt vs. fresh water drowning patients? - They are treated the same. ## Question You are transporting a 44 year old female from a community hospital to a level 1 trauma center. She was involved in a rollover MVA and was ejected from her vehicle. She has extensive lower extremity trauma. She is intubated. Vent settings: Assist Control, Vt 400, f 18, FiO2 0.8, PEEP 5. She is receiving a continuous propofol drip at 20 mcg/kg/min. During the transport she becomes tachycardic, dysynchronous with the ventilator, and begins to reach for her ET tube. Which approach will BEST immediately address this patient's response? - Reducing the dose of the paralytic agent. ## Question You are infusing a unit of low-titer O whole blood into a 72 year old male with a lower GI bleed. The patient's hemoglobin is 5.8 g/dL and hematocrit is 28%. After administration of two units you would expect the patient's repeat hemoglobin and hematocrit to be approximately: - Hgb 7.8 g/dL, Hct 34%. ## Question A cyanokit is administered to a patient with suspected cyanide toxicity to reverse: - Histotoxic hypoxia. ## Question Which of the following neonatal cardiac conditions will cause mixing of oxygen and deoxygenated blood? - Atrial-septal defect. ## Question When performing a flick test, how many oscillations should there be before the waveform returns to normal? - 3. ## Question The intra-aortic balloon pump ____________ during systole which ________________. - Deflates, reduces afterload. ## Question "Air taxi," or flying passengers for a fee is governed by FAR _____ - Part 135. ## Question Interpret the patient's ABG: pH 7.38, PO2 90, PCO2 58, HCO3 22. - Partially compensated respiratory acidosis. ## Question The time between the interruption of oxygen and the time a pilot is unable to perform flying duties is: - Time of Useful Consciousness. ## Question The patient was an unrestrained driver who was ejected in a high-speed MVA. He presents with a GCS of 5. Initial CT scan is negative for abnormality. A CT performed 24 hours later showed small punctuate areas of hemorrhage. The patient's diagnosis is: - Diffuse axonal injury. ## Question You are transporting a ventilated patient. The patient is sedated, analgesed, and pharmacologically paralyzed. Vent settings: volume assist control, Vt 520, f 18, FiO2 0.8, PEEP 8. You perform an inspiratory hold maneuver and obtain a plateau pressure of 42. You should: - Decrease the tidal volume. ## Question The predominant acid-base disturbance in the patient with septic shock is: - Metabolic acidosis. ## Question A frequent complication of meconium aspiration is the development of: - Persistent pulmonary hypertension. ## Question The patient is a 62 year old female who is 1-week post stenting for an acute infarction of her RCA. She has an acute onset of chest pain and dyspnea with a productive cough with pink frothy sputum. This patient exhibits symptoms of: - Pulmonary edema. ## Question A large central line that may be used to infuse fluids or to insert wires or other catheters is a: - Cordis. ## Question Which ventilator setting should NOT be employed on a patient who is pharmacologically paralyzed? - Pressure support. ## Question Pressing a patient's legs to her abdomen when shoulder dystocia is experienced during delivery is known as: - McRoberts Maneuver. ## Question Which flight environmental phenomenon is usually described as "annoying" but may result in severe spatial disorientation especially on especially sunny days or during night operations? - Flicker vertigo. ## Question An 18 month old patient presents with a seal-bark cough, low grade fever, and dyspnea. X-ray of this patient's neck will show: - Steeple Sign. ## Question The tip of the McIntosh blade is inserted into the __________ during endotracheal intubation. - Vallecula. ## Question The following tracing indicates a fetus that is most likely: - Acidotic. ## Question Your neuro ICU patient has the following ICP waveform. This patient has: - Increased ICP. ## Question Children have all of the following factors the provider must consider pertaining to airway and pulmonary management EXCEPT: - Larger airways in proportion to adult patients. ## Question Which of the following is a first-line drug for status epilepticus? - Midazolam. ## Question Night vision goggles will cause: - A lack of depth perception. ## Question It is important to note that children involved in pedestrian MVA's: - Tend to stop and turn and face the oncoming vehicle. ## Question The following FHT and tocometer tracing indicate: - Placental insufficiency. ## Question Interpret this patient's arterial blood gas: pH 7.36, PO2 84, CO2 44, HCO3 24. - Compensated metabolic acidosis. ## Question The patient is a 2 year old male who was swept up by a wave while walking along the shoreline. Five miutes after a frantic search begins by bystanders who witnessed the incident a lifeguard pulls the child out of the water. He is blue, pulseless, and apneic. CPR is initiated. He remains persistently asystolic however remains tangibly cold to the touch. It is July, the ambient temperature is 86 F. The water temp is 62F. Which statement regarding the mammilian diving reflex is most applicable to this case? - The child is dead. The mammilian diving reflex does not proivde any benefit unless the environment is arctic or near-arctic. ## Question This patient may require which life-saving procedure? - Pericardiocentesis. ## Question Which of the following radiologic findings indicates acute respiratory distress syndrome (ARDS)? - Ground glass opacities. ## Question You are called to transport a patient with a Type A aortic dissection to a tertiary care center for an emergent cardiovascular surgery evaluation. Your patient presents with tearing back pain that she rates as a 10/10. Vital signs: HR 110, R 24, BP - Reducing the dose of the paralytic agent. ## Question Which of the following abnormalities do pediatric patients generally tolerate very well? - Hypercarbia. ## Question A 30 pound 3 year old was rescued from a house fire. She presents with third-degree burns over the entirety of her anterior and posterior thorax, anterior surfaces of both legs, and the anterior surfaces of both arms. Using the consensus formula, how much IV fluid should she receive in the first 8 hours post burn injury? - 1785 mL. ## Question Which lab value corresponds with the findings on this chest x-ray? - ALT 335. ## Question Which of the following is a tenent of crew resource management? - Any crew member, regardless of discipline, has the right to voice safety concerns. ## Question The ELT transmits on: - 406 mHz. ## Question You are called to transport an elderly male who was found unresponsive and with seizure activity in a sauna from a community hospital to a tertiary care facility. Gym staff advised that he may have been in the sauna for up to two hours. The sending community hospital advised that they have administered keppra and two doses of midazolam however his seizure activity has not abated. He has also received 2 L of 0.9% normal saline. Vital signs: P 154, R 24, - Administration of a hypertonic normal saline solution in 100 mL aliquots until seizure activity stops. ## Question Which of the following findings in the neonate may require the administration of ampicillin and gentamycin? - Hypothermia. ## Question Hemodynamic values are CO 6.5, CVP 14, PAWP 21, SVR 1200. This patient requires: - Positive inotropy and diuretics. ## Question A SCUBA diver experiences severe joint pain upon rapid ascent to the surface. This phenomenon is an example of which gas law? - Henry's Law. ## Question Which of the following is a treatment consideration with this patient? - Administering ACLS drugs at longer intervals. ## Question A patient with a shearing force applied to the ligamentum arteriosum may exhibit which diagnostic finding? - Widened mediastinum on chest x-ray. ## Question A patient with difficulty breathing refractory to oxygen and pharmacologic administration requires endotracheal intubation. Chest x-ray shows hyperinflated lungs and a flattened diaphragm. Which of the following induction agents would be the best for this patient? - Ketamine. ## Question In addition to supportive care, seizure cessation, and pain management, the patient with a black widow bite is likely to require: - Antihypertensive therapy. ## Question CAMTS regulations require ________ of space between the flight suit and the crew member's skin. - 1/4 inch. ## Question The optimal positioning of the patient who will be endotracheally intubated is: - Ear-to-sternal notch. ## Question You would expect the patient with an elevated alkaline phosphatase to be at risk of: - Coagulopathy. ## Question You are transporting a patient with a large subarachnoid hemorrhage. He is intubated, sedated, and analgesed. The patient remains persistently hypertensive. Vital signs: P44, R16(vent), BP 220/116, SpO2 99%. Which approach to managing the patient's blood pressure is the BEST approach? - Nicardipine to triate a systolic BP of 160 mmHg. ## Question Which initial intubation strategy maximizes first-pass success rate according to current evidenced-based research? - Video laryngoscopy and bougie on all intubations. ## Question The ventilator is set to CMV: Vt 500, f 20, FiO2 1.0, PEEP 5. The delivered minute volume is: - 10 L. ## Question The aircraft at 26,000 MSL has experienced a sudden cabin depressurization. The co-pilot had to rapidly take the controls and descend the aircraft because the pilot, while conscious and responsive, was unable to engage in a coherent conversation or use the aircraft controls. The pilot was experiencing which stage of hypoxia? - Distrubance. ## Question The narrowest part of the pediatric airway is the: - Cricoid ring. ## Question Which of the following statements most accurately reflects current evidence-based strategies for treating salt vs. fresh water drowning patients? - They are treated the same. ## Question You are transporting a 44 year old female from a community hospital to a level 1 trauma center. She was involved in a rollover MVA and was ejected from her vehicle. She has extensive lower extremity trauma. She is intubated. Vent settings: Assist Control, Vt 400, f 18, FiO2 0.8, PEEP 5. She is receiving a continuous propofol drip at 20 mcg/kg/min. During the transport she becomes tachycardic, dysynchronous with the ventilator, and begins to reach for her ET tube. Which approach will BEST immediately address this patient's response? - Reducing the dose of the paralytic agent. ## Question You are infusing a unit of low-titer O whole blood into a 72 year old male with a lower GI bleed. The patient's hemoglobin is 5.8 g/dL and hematocrit is 28%. After administration of two units you would expect the patient's repeat hemoglobin and hematocrit to be approximately: - Hgb 7.8 g/dL, Hct 34%. ## Question A cyanokit is administered to a patient with suspected cyanide toxicity to reverse: - Histotoxic hypoxia. ## Question Which of the following neonatal cardiac conditions will cause mixing of oxygen and deoxygenated blood? - Atrial-septal defect. ## Question When performing a flick test, how many oscillations should there be before the waveform returns to normal? - 3. ## Question The intra-aortic balloon pump ____________ during systole which ________________. - Deflates, reduces afterload. ## Question "Air taxi," or flying passengers for a fee is governed by FAR _____ - Part 135. ## Question Interpret the patient's ABG: pH 7.38, PO2 90, PCO2 58, HCO3 22. - Partially compensated respiratory acidosis. ##