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FFICM Critical Care Monitoring and Hemodynamics Flashcards

6 cards from real FFICM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Which ventilator mode delivers a set tidal volume regardless of airway resistance or compliance?

    Answer: Volume-controlled ventilation

    Volume-controlled ventilation (VCV) delivers a preset tidal volume with each breath, with airway pressure varying based on lung mechanics.

  2. What is the recommended tidal volume per kilogram of ideal body weight in ARDS lung-protective ventilation?

    Answer: 6 mL/kg IBW

    The ARDSNet trial established 6 mL/kg ideal body weight as the lung-protective tidal volume to reduce ventilator-induced lung injury.

  3. Which condition is a contraindication to prone positioning in mechanically ventilated ARDS patients?

    Answer: Unstable spinal fracture

    Unstable spinal fractures are an absolute contraindication to prone positioning due to the risk of spinal cord injury during turning.

  4. What does intrinsic PEEP (auto-PEEP) result from in mechanically ventilated patients?

    Answer: Incomplete exhalation before the next breath

    Auto-PEEP occurs when the expiratory time is insufficient for complete lung emptying, trapping air and creating inadvertent positive end-expiratory pressure.

  5. Which index is used to assess weaning readiness and is calculated as respiratory rate divided by tidal volume in liters?

    Answer: Rapid shallow breathing index (RSBI)

    The Rapid Shallow Breathing Index (RSBI = f/VT) predicts weaning failure when >105 breaths/min/L, as validated by Yang and Tobin.

  6. In pressure support ventilation, which parameter does the clinician set directly?

    Answer: Inspiratory pressure above PEEP

    During pressure support ventilation, the clinician sets the inspiratory pressure level above PEEP; tidal volume and rate are determined by patient effort and lung mechanics.

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