FC Emerg Med(SA) Part II Practice Questions - Fellowship of the College of Emergency Medicine of South Africa Part II Exam - FC Emerg Med(SA) Part II Practice Questions - Fellowship of the College of Emergency Medicine of South Africa Part II Exam

Question 1

A 45-year-old male is brought to the resuscitation bay following a motor vehicle collision with severe maxillofacial trauma, active bleeding into the airway, and severe trismus. Which of the following is the most appropriate primary airway management strategy?

Invasive surgical cricothyroidotomy Rapid sequence intubation with direct laryngoscopy Awake fiberoptic intubation without sedation Video laryngoscopy following standard induction without neuromuscular blockade

Correct Answer:

Invasive surgical cricothyroidotomy

Question 2

A 62-year-old female presents in septic shock secondary to urosepsis with persistent hypotension (BP 78/44 mmHg) despite 30 mL/kg intravenous crystalloid resuscitation. Which of the following is the initial vasopressor of choice?

Norepinephrine infusion titrated to MAP >= 65 mmHg Dopamine infusion at 10 mcg/kg/min Epinephrine infusion at 0.1 mcg/kg/min Phenylephrine bolus 100 mcg IV every 5 minutes

Correct Answer:

Norepinephrine infusion titrated to MAP >= 65 mmHg

Question 3

A 58-year-old male with a history of heart failure presents with crushing chest pain, dyspnoea, BP 72/40 mmHg, HR 115 bpm, and bilateral pulmonary crackles. Bedside echocardiogram shows left ventricular ejection fraction of 15% with a non-dilated, underfilled right ventricle. What is the most appropriate initial pharmacological agent?

Dobutamine combined with low-dose norepinephrine infusion Intravenous bolus of 500 mL normal saline Intravenous furosemide 80 mg IV push Intravenous sublingual nitroglycerin spray 400 mcg every 5 minutes

Correct Answer:

Dobutamine combined with low-dose norepinephrine infusion

Question 4

A 34-year-old male suffers out-of-hospital cardiac arrest with initial rhythm of ventricular fibrillation. After 3 shocks, 1 mg epinephrine, and high-quality CPR, refractory VF persists. What is the recommended next pharmacological intervention?

Amiodarone 300 mg IV push Calcium chloride 1 g IV Atropine 1 mg IV Sodium bicarbonate 50 mEq IV

Correct Answer:

Amiodarone 300 mg IV push

Question 5

Following successful targeted temperature management and post-cardiac arrest resuscitation, a 50-year-old comatose post-VF arrest patient has an arterial blood gas showing PaO2 of 240 mmHg on FiO2 1.0. What is the most appropriate action regarding arterial oxygenation?

Titrate FiO2 downward to maintain SpO2 between 92% and 98% Maintain FiO2 at 1.0 to ensure maximal oxygen delivery to ischaemic neural tissue Hyperventilate to achieve PaCO2 of 28 mmHg to control cerebral edema Increase positive end-expiratory pressure (PEEP) to 15 cmH2O to prevent atelectasis

Correct Answer:

Titrate FiO2 downward to maintain SpO2 between 92% and 98%

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About this Exam

Prepare with the FC Emerg Med(SA) Part II Practice Questions - Fellowship of the College of Emergency Medicine of South Africa Part II Exam practice quiz. This question bank includes 100 questions covering year-old, patient, male, severe, and presents. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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FC Emerg Med(SA) Part II Practice Questions - Fellowship of the College of Emergency Medicine of South Africa Part II Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, patient, male, severe, and presents. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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FC Emerg Med(SA) Part II Practice Questions - Fellowship of the College of Emergency Medicine of South Africa Part II Exam

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