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Quiz & Exam

Quiz & Exam. Chittagong 2011 Walter van den Bergh. Question 1. If this ICU patient is intubated, feeding must be attempted within: ……. Question 2. Guillain Barre Syndrome is often preceded with a bacteria . Which one ? …. Question 3. Sinustachycardia Atrial Fibrillation

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Quiz & Exam

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  1. Quiz & Exam Chittagong 2011 Walter van den Bergh

  2. Question 1 If this ICU patient is intubated, feeding must be attempted within: ……

  3. Question 2 Guillain Barre Syndrome is oftenprecededwith a bacteria. Whichone? …..

  4. Question 3 • Sinustachycardia • AtrialFibrillation • Atrial Flutter • Sinus Rhythm

  5. Question 4 In CPR the ratio Chest compression - Rescue breaths is? ……..

  6. Question 5Nutrition of the patientwith major burns what is NOT TRUE: • High calorie feedingreducesmortality • Enteralfeeding is preferredtoparenteral • Proteinrequirement is 1.5-2g/kg/day • Glutamine supplement is notbeneficial • Hyperglycaemiashouldbetreatedaggressively

  7. Question 6 All of the followingincrease the likelihood of a patientacquiringanantimicrobial-resitantinfection EXCEPT: • Use of cefotaxime • High nursingworkload • Prolonged MV • Brief hospitaladmission • Understaffing in the ICU

  8. Question 7Critical Illness Polyneuropathy In patients treated by mechanical ventilation more than 5-7 days the incidence of CIPNP is • 10% • 20% • 30% • >50%

  9. Question 8 In severe CAP, what would be your first choice of antibiotic(s)? ……

  10. Question 9 The first choice vasopressor in sepsis is: …….

  11. Question 10 Preferable placement of CVL is: • subclavian-jugular-femoral • jugular-femoral-subclavian • femoral-subclavian-jugular • subclavian-femoral-jugular

  12. Question 11 Recommended amount of energy in enteral fed ICU patients is: …… kcal/kg/day

  13. Question 12 Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be: …… ml

  14. Question 13 Profylacticantibioticsduringoperationshouldbecontinuedfor: • oneday • 3 days • one week • shouldnotbe continued

  15. Question 14 What is shown on this brain-CT? …..

  16. Question 15 Todecrease CO2youcan: • set inspiration-expiration ratio to 1:1 • increase FiO2 • decreasefrequency • increase PS

  17. Question 16 At the FIFA ranking, The Netherlands are placed: • 1st • 2nd • 3rd • 6th

  18. Question 17 A patient opens his eyes on pain stimulus, bows one of his arms, but don’t make a sound. What is the GCS? ……

  19. Question 18 A patient opens his eyes when talked to, localize, and speak single words. What is the GCS? ……

  20. Question 19 A patients is ventilatedwith 5 PEEP and PS of 5. A tracheostoma has just been placed. Whencanyou start weaning?: • immedietly • after 2 days • after 1 week • after 1-2 weeks

  21. Question 20 In a septic patientalbuminshouldbegiven in case of: • hypotension • hypoalbuminaemia • ifvasopressors are at maximum dose • there is no evidencethatalbumin is beneficial

  22. Quiz-Exam Answers

  23. Question 1 If this ICU patient is intubated, feeding must be attempted within: ……

  24. Answer 1 Within 24-48 hours You want avoidhimtobekatabolic Doig GS, Heighes PT, Simpson F, Sweetman EA, Davies AR. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med 2009; 35:2018-27.

  25. Question 2 Guillain Barre Syndrome is oftenprecededwith a bacteria. Whichone? …..

  26. Answer 2 Guillain Barre Syndrome is oftenprecededwith a bacteria. Whichone? Campylobacter jejuni

  27. Question 3 • Sinustachycardia • AtrialFibrillation • Atrial Flutter • Sinus Rhythm

  28. Answer 3 2. atrial fibrillation

  29. Question 4 In CPR the ratio Chest compression - Rescue breaths is? ……..

  30. Answer 4 In CPR the ratio Chest compression - Rescue breaths is? 30:2

  31. Question 5Nutrition of the patientwith major burns what is NOT TRUE: • High calorie feedingreducesmortality • Enteralfeeding is preferredtoparenteral • Proteinrequirement is 1.5-2g/kg/day • Glutamine supplement is notbeneficial • Hyperglycaemiashouldbetreatedaggressively

  32. Answer 5Nutrition of the patientwith major burns • High calorie feeding reduces mortality is NOT TRUE

  33. Question 6 All of the followingincrease the likelihood of a patientacquiringanantimicrobial-resitantinfection EXCEPT: • Use of cefotaxime • High nursingworkload • Prolonged MV • Brief hospitaladmission • Understaffing in the ICU

  34. Answer 6 4. Brief hospital admission Poor hand hygiene also contributes to the development of antibiotic-resistent infections

  35. Question 7Critical Illness Polyneuropathy In patients treated by mechanical ventilation more than 5-7 days the incidence of CIPNP is • 10% • 20% • 30% • >50%

  36. Answer 7Critical illness polyneuropathy 4. >50% • adds to morbidity and mortality • delaying weaning from ventilator support

  37. Question 8 In severe CAP, what would be your first choice of antibiotic(s)? ……

  38. Answer 8 In severe CAP, what would be your first choice of antibiotic(s)? amoxycillin-clavulanic acid or ceftriaxon (or cefotaxim) with erythromycin (or clarithromycin)

  39. Question 9 The first choice vasopressor in sepsis is: …….

  40. Answer 9 The first choice vasopressor in sepsis is: Noradrenaline

  41. Question 10 Preferable placement of CVL is: • subclavian-jugular-femoral • jugular-femoral-subclavian • femoral-subclavian-jugular • subclavian-femoral-jugular

  42. Answer 10 Preferable placement of CVL is: • subclavian-jugular-femoral associatedwithless infections

  43. Question 11 Recommended amount of energy in enteral fed ICU patients is: …… kcal/kg/day

  44. Answer 11 Recommended amount of energy in enteral fed ICU patients is: 25-30 kcal/kg/day

  45. Question 12 Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be: …… ml

  46. Answer 12 Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be: 50x 6 ml/kg (ideal weight) 300 ml

  47. Question 13 Profylacticantibioticsduringoperationshouldbecontinuedfor: • oneday • 3 days • one week • shouldnotbe continued

  48. Answer 13 Profylactic antibiotics during operation should be continued for: 4. should not be continued

  49. Question 14 What is shown on this brain-CT? …..

  50. Answer 14 What is shown on this brain-CT? Epidural hematoma

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