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ACCS Review Practice Exam Questions with 100% Correct Answers
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Average urine output per hour is approximately? 40 mL 
 
According to the Berlin Criteria, a patient is classified with severe ARDS when his Pao2/Fio2 ratio is? Less than 100 
 
A patient is admitted to the ED with a possible CVA. Which diagnostic test is most appropriate for identification of an acute cerebral infarction? CT Scan: checks chest, abdomen and brain (2-3 dimensions) 
 
Cerebral angiography measures abnormal cerebral circulation 
 
PET scan checks for cancer, brain disorders and hea...
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General Critical Care -ACCS Exam Practice Questions with Answers
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What is the thyromental distance? Measurement of the distance between the upper edge of the thyroid cartilage to the chin, while the neck is completely extended. 
 
Thyromental distance: what indicates a suspected difficult intubation? Less than 6 cm 
 
Thyromental distance: what suggests a non-problematic intubation? 7 cm or greater 
 
What type of x-ray should you use to determine proper position of an endotracheal tube? AP x-ray 
 
What type of x-ray is helpful in detecting pleural effusions?...
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ACCS-Patient Assessment Review Questions with Answers
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List the four critical life functions Ventilation - moving air in and out of the lungs 
 
Oxygen - getting oxygen into the blood 
 
Circulation - moving the blood through the body 
 
Perfusion - getting blood and oxygen into the tissue 
 
Which of the four life function is the FIRST priority? Ventilation 
 
HINT: Do not pick STAT ABG on the exam 
 
What assessments would determine how well a patient is ventilating? Respiratory Rate, tidal volume, chest movement, breath sounds, etco2, paco2 
 
HI...
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NBRC Exam ACCS – Practice Test Questions with Answers
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In difficult intubation, when traditional intubation with laryngoscope has failed and patient is starting to have low saturations, why is video laryngoscopy preferred over fiberoptic bronchoscopy to intubate? Fiberoptic bronchoscopy is an alternative method, but is technically difficult and requires specialized equipment 
 
Patient is on a ventilator with a chest tube in place. What is the cause of the low minute alarm and increased peak pressures (leak)? And what is your action to look for? Thi...
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RRT ACCS Study Guide- Questions with Answers
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Normal Urine Output 40 mL/hr (approx. 1 Liter/day) 
 
Decreased CVP (<2 mmHg) Hypovolemia 
 
Increased CVP (>6 mmHg) Hypervolemia 
 
Glasgow Coma Scale (GCS) Eye-opening response 
 Spontaneous opening- 4 
 To verbal stimuli- 3 
 To pain- 2 
 None- 1 
Most appropriate verbal response 
 Oriented- 5 
 Confused- 4 
 Inappropriate words- 3 
 Incoherent- 2 
 None- 1 
Most intergrated motor response (arm) 
 Obeys commands- 6 
 Localizes pain- 5 
 Withdraws from pain- 4 
 Flexion to pain- 3 
 Exte...
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ACCS Oakes Practice Exam Questions with Answers
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A difficult intubation is anticipated with an obese pt. The decision is made to intubate by video laryngoscopy. Which of the following is LEAST likely to be needed: 
A) Cook's Exchanger 
 B) Rigid Stylet 
 C) Cuffed Endotracheal Tube 
 D) Video-enabled Laryngoscope A) cook's exchanger 
 
Video laryngoscopy involves use of a normal ET Tube with the addition of a rigid stylet, as well as a video-enabled laryngoscope and other normal intubation equipment. 
 
A Cook's Tube Exchanger is not neces...
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ACCS Critical Care Practice Test Questions with Answers
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Mallampati Scoring Score 1: full visualization of uvula, soft palate, tonsils, airway full open 
Score 2: may be able to visualize uvula, soft palate and upper portions of tonsils 
Score 3: soft and hard palate visible and base of vallecula. Issues when intubating 
Score 4: only the hard palate is visible --> difficult intubation 
 
Thyromental distance Determined by measurement of the thyroid cartilage to chin while neck is hyperextended 
6.5 - 7 cm determines - non problematic/easy intubati...
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ACCS Kettering Test Questions with Answers
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Alveolar Oxygen Tension (PAO2)/Alveolar Air Equation Shortcut: (Fio2 x 7) -Paco2 +10 
 
VD/VT and ratio Paco2-Peco2/Paco2 Make it a ratio by multiply answer by 100. 20-40% (up to 60% for vent pts) 
 
Alveolar Minute Ventilation (VT-VD) x f 
 
Anatomic deadspace 1ml per 1lb body weight 
 
Work of breathing change in Pressure X change in Volume .5-.7 J/L (.05-.07 kg-m/l) 
 
Alveolar-Arterial Oxygen Gradient (P(A-a)O2 or AaDo2 or A-a Gradient PAO2-PaO2 Normal:25-65 torr on 100% o2 V/Q mismatch: 66-...
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ACCS Exam Practice Questions with Answers
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The four critical life functions 1. Ventilation 
2. Oxygenation 
3. Circulation 
4. Perfusion 
 
How is ventilation assessed RR, Vt, chest movement, breath sounds, ETCO2, PaCO2 
 
How is oxygenation assessed HR, color, sensorium, SpO2, PaO2 
 
How is circulation assessed HR and strength, cardiac output 
 
Perfusion BP, sensorium, temp, urine output, hemodynamics 
 
How to prioritize life functions during an emergency 1. Ventilation 2. Oxygenation 3. Circulation 4. Perfusion 
 
Of the life functi...
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ACCS Kettering Critical Care Study Questions with Answers
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Three Types of Acute Respiratory Failure PaO2 < 50-60 torr on room air or 
PaO2/FIO2 ratio <300 
Hypercapnic: PaCO2 > 50 torr 
Mixed 
 
Hypoxemic Respiratory Failure may be identified by PaO2 < 60 on RA 
SpO2 < 93% on RA 
PaO2/FIO2 ratio < 300 
A-aDO2 > 200 
 
Most common cause of Hypoxemic Respiatory failure ? V/Q mismatch 
 
Hypercapnic Respiratory Failure may be identified by? PaCO2 > 50 torr 
FVC <10mL/kg 
Maximal inspiratory pressure < -20cmH2O 
 
Clinical mani...
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