Critical Care

Question 1

Electrolyte abnormalities in REFEEDING SYNDROME

Answer 1

Hypo PHOSPHATEMIA
Hypo KALEMIA
Hypo MAGNESEMIA

Question 2

MDMA OVERDOSE(ECSTASY)
PRESENTATION

Answer 2

Muscle rigidity
Hyperthermia (above 40 degrees)

Question 3

MDMA OVERDOSE
MANAGEMENT

Answer 3

IV DANTROLENE

Question 4

PCWP INCREASED IN WHICH SHOCK

Answer 4

CARDIOGENIC SHOCK

Question 5

HR REDUCED IN WHICH TYPE OF SHOCK

Answer 5

NEUROGENIC SHOCK

Question 6

INDICATIONS FOR INTUBATION

Answer 6

1. Silent chest in an asthmatic
2. GCS 8 Or less
3. Rapidly declining GCS after a significant head trauma
4. Severe acidosis (PH<7.1) + low respiratory rate
5. Inhalational injury
6. Acute epiglottitis

Question 7

Acute breathlessness
H/o Asthma
SpO2 reduced
Poor respiratory efforts

Answer 7

STATUS ASTHMATICUS

Question 8

STATUS ASTHMATICUS
MANAGEMENT

Answer 8

1.Salbutamol neb + O2
2.IV hydrocortisone
3.Ipratropium bromide neb
4.IV MgSo4
5.IV salbutamol or IV aminophylline
6.INTUBATION and ventilation

Question 9

Diaphragm rupture on chest xray

Answer 9

Gas bubbles in the pleural cavity

Question 10

Splenic rupture investigation

Answer 10

FAST SCAN ABDOMEN ( when unstable)
CT ( when stable)

Question 11

Renal trauma
Most appropriate management

Answer 11

IVF until stable
Urgent CT abdomen
IV urography if CT not an option

Question 12

Acute chest syndrome

Answer 12

Vaso occlusive crisis due to sickle cell disease

Question 13

Antihypertensives in Acute intracerebral hemorrhage

Answer 13

SBP b/w 150- 220 mm Hg
Within 6 hours of symptoms

Question 14

UL pupil dilatation after a head trauma

Answer 14

Extradural hematoma

Question 15

Crescent 🌙 shaped hematoma

Answer 15

SDH

Question 16

Biconvex or lentiform 🔍 shaped hematoma

Answer 16

Extradural hematoma

Question 17

Bleeding from a berry aneurysm

Answer 17

Subarachnoid hemorrhage

Question 18

Thunderclap headache
Neck stiffness
Photophobia

Answer 18

SAH
First line CT head
Gold std CT angiography
CT Normal but suspicious LP after 12 hrs for Xanthochromia

Question 19

SAH management

Answer 19

Nimodipine to prevent vasospasm
Platinum coiling to stop bleeding

Question 20

Massive blood transfusion
Electrolyte abnormalities

Answer 20

Hypo Calcemia
HYPER KALEMIA
Hypo MAGNESEMIA
Metabolic ALKALOSIS

Question 21

Iron deficiency anemia ina a pt > 60 years age who is otherwise asymptomatic

Think of

Answer 21

Right colorectal cancer

Question 22

M/c type of colorectal cancer

Answer 22

Adenocarcinoma

Question 23

Suspicions of colorectal cancer
Investigations

Answer 23

Colonoscopy and biopsy (gold std)
CT scan
Barium enema

Question 24

Screening for colorectal cancer done

Answer 24

Every 2 years to all ages 60 to 74