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

1. Sinustachycardia

2. Atrial Fibrillation

3. Atrial Flutter

4. Sinus Rhythm

Question 4

In CPR the ratio Chest compression - Rescue breaths is?

……..

Question 5Nutrition of the patient with major burns

what is NOT TRUE:1.High calorie feeding reduces mortality

2.Enteral feeding is preferred to parenteral

3.Protein requirement is 1.5-2g/kg/day

4.Glutamine supplement is not beneficial

5.Hyperglycaemia should be treated aggressively

Question 6

All of the following increase the likelihood of a patient acquiring an antimicrobial-resitant infection EXCEPT:

1.Use of cefotaxime

2.High nursing workload

3.Prolonged MV

4.Brief hospital admission

5.Understaffing in the ICU

Question 7Critical Illness Polyneuropathy

In patients treated by mechanical ventilation more than 5-7 days the incidence of CIPNP is

1.10%2.20%3.30%4.>50%

Question 8

In severe CAP, what would be your first choice of antibiotic(s)?

……

Question 9

The first choice vasopressor in sepsis is:

…….

Question 10

Preferable placement of CVL is:

1.subclavian-jugular-femoral

2.jugular-femoral-subclavian

3.femoral-subclavian-jugular

4.subclavian-femoral-jugular

Question 11

Recommended amount of energy in enteral fed ICU patients is:

…… kcal/kg/day

Question 12

Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be:

…… ml

Question 13

Profylactic antibiotics during operation should be continued for:

1. one day

2. 3 days

3. one week

4. should not be

continued

Question 14

What is shown on this brain-CT?

…..

Question 15

To decrease CO2 you can:

1. set inspiration-expiration ratio to 1:1

2. increase FiO2

3. decrease frequency

4. increase PS

Question 16

At the FIFA ranking, The Netherlands are placed:

1.1st

2.2nd

3.3rd

4.6th

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?

……

Question 18

A patient opens his eyes when talked to, localize, and speak single words.

What is the GCS?

……

Question 19

A patients is ventilated with 5 PEEP and PS of 5.

A tracheostoma has just been placed. When can you start weaning?:

1. immedietly

2. after 2 days

3. after 1 week

4. after 1-2 weeks

Question 20

In a septic patient albumin should be given in case of:

1.hypotension

2.hypoalbuminaemia

3.if vasopressors are at maximum dose

4.there is no evidence that albumin is beneficial

ANSWERS

Quiz-Exam

Question 1

If this ICU patient is intubated, feeding must be attempted within:

……

Answer 1

Within 24-48 hours

You want avoid him to be katabolic

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.

Question 2


…..

Answer 2


Campylobacter jejuni

Question 3

1. Sinustachycardia

2. Atrial Fibrillation

3. Atrial Flutter

4. Sinus Rhythm

Answer 3

2. atrial fibrillation

Question 4


……..

Answer 4


30:2

Question 5Nutrition of the patient with major burns

what is NOT TRUE:1.High calorie feeding reduces mortality

2.Enteral feeding is preferred to parenteral

3.Protein requirement is 1.5-2g/kg/day

4.Glutamine supplement is not beneficial

5.Hyperglycaemia should be treated aggressively

Answer 5Nutrition of the patient with major burns

1. High calorie feeding reduces mortality is NOT TRUE

Question 6

All of the following increase the likelihood of a patient acquiring an antimicrobial-resitant infection EXCEPT:

1.Use of cefotaxime

2.High nursing workload

3.Prolonged MV

4.Brief hospital admission

5.Understaffing in the ICU

Answer 6

4. Brief hospital admission

Poor hand hygiene also contributes to the development of antibiotic-resistent infections

Question 7Critical Illness Polyneuropathy

In patients treated by mechanical ventilation more than 5-7 days the incidence of CIPNP is

1.10%2.20%3.30%4.>50%

Answer 7Critical illness polyneuropathy

4. >50%

adds to morbidity and mortalitydelaying weaning from ventilator support

Question 8


……

Answer 8


amoxycillin-clavulanic acid

or

ceftriaxon (or cefotaxim)

with

erythromycin (or clarithromycin)

Question 9


…….

Answer 9


Noradrenaline

Question 10



2.jugular-femoral-subclavian

3.femoral-subclavian-jugular

4.subclavian-femoral-jugular

Answer 10



associated with less

infections

Question 11


…… kcal/kg/day

Answer 11


25-30 kcal/kg/day

Question 12


…… ml

Answer 12


50x 6 ml/kg (ideal weight)

300 ml

Question 13


1. one day

2. 3 days

3. one week

4. should not be

continued

Answer 13


4. should not be

continued

Question 14


…..

Answer 14


Epidural hematoma

Question 15


1. set inspiration-expiration ratio to 1:1

2. increase FiO2

3. decrease frequency

4. increase PS

Answer 15


4. increase PS

Question 16


1.1st

2.2nd

3.3rd

4.6th

Answer 16


2. 2nd

(after Spain)

Question 17


What is the GCS?

……

Answer 17


What is the GCS?

2+4+1=7

Question 18


What is the GCS?

……

Answer 18


What is the GCS?

3+5+3=11

Question 19



1. immedietly

2. after 2 days

3. after 1 week

4. after 1-2 weeks

Answer 19



1. immedietly

Question 20


1.hypotension

2.hypoalbuminaemia

3.if vasopressors are at maximum dose

4.there is no evidence that albumin is beneficial

Answer 20


4. there is no evidence that albumin is beneficial

and the winner is....?

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