FFICM Emergency Response Procedures 3

Question 1

A patient with known anaphylaxis to penicillin develops urticaria, stridor, and hypotension 10 minutes after receiving IV amoxicillin. What is the correct first-line dose of epinephrine?

Accepted Answer

0.5 mg IM (1:1,000) into the anterolateral thigh

Answer

Epinephrine 0.3–0.5 mg IM (1:1,000) into the anterolateral thigh is the first-line treatment for anaphylaxis, providing faster absorption than subcutaneous injection.

Question 2

When performing an emergency surgical airway (cricothyrotomy) in a 'can't intubate, can't oxygenate' scenario, the incision is made through which structure?

Accepted Answer

Cricothyroid membrane

Answer

The cricothyroid membrane, located between the thyroid and cricoid cartilages, is the target for emergency cricothyrotomy due to its superficial position and minimal overlying vasculature.

Question 3

In a hospital lockdown scenario involving an active shooter, which protocol should ICU staff immediately implement?

Accepted Answer

Lock unit doors, silence alarms, and shelter in place

Answer

During an active shooter event, ICU staff should lock unit access doors, silence overhead announcements, keep patients and staff away from windows/doors, and shelter in place.

Question 4

A mechanically ventilated patient has an unexpected extubation during patient transport within the hospital. The patient is apneic and SpO2 is falling. What is the IMMEDIATE first step?

Accepted Answer

Perform bag-mask ventilation with 100% FiO2

Answer

Bag-mask ventilation with 100% FiO2 is the immediate bridge to oxygenate and ventilate the patient while preparing for definitive reintubation.

Question 5

During a critical care transfer of a septic patient, the transport team notices the vasopressor infusion pump alarms 'occlusion.' The patient's BP drops to 60/40 mmHg. What is the immediate intervention?

Accepted Answer

Troubleshoot the pump occlusion while giving a manual push-dose vasopressor

Answer

Push-dose vasopressor (e.g., phenylephrine 100–200 mcg IV or epinephrine 10–20 mcg IV) maintains perfusion pressure while troubleshooting the pump, ensuring no gap in vasopressor support.

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

FFICM Emergency Response Procedures 3