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Quiz & Exam

This document comprises a collection of quiz questions and answers from an ICU examination conducted in Chittagong in 2011. It covers critical care topics such as intubation timelines, conditions like Guillain-Barré syndrome, CPR protocols, nutrition for burn patients, and the incidence of critical illness polyneuropathy. Each question addresses essential clinical knowledge relevant to intensive care management, including intervention strategies, pharmacological choices, and patient assessment techniques, providing a valuable resource for medical professionals and students.

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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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