Critical Care

Question 1

Most common cause of cardiogenic shock

Answer 1

Severe LV dysfunction

Question 2

Drug given in low output cardiogenic shock if SBP > 100 mmHg

Answer 2

Nitroglycerin

Question 3

Drug given in low output cardiogenic shock if SBP 70-100 mmHg with no sign and symptom of shock

Answer 3

Dobutamine

Question 4

Drug given in low output cardiogenic shock if SBP

Answer 4

Norepinephrine or dopamine

Question 5

Central mediator of septic shock

Answer 5

TNF-alpha

Question 6

Hallmark of the local inflammatory response in septic shock

Answer 6

Intravascular thrombosis

Question 7

Major mechanism of multi-organ dysfunction

Answer 7

Endothelial injury

Question 8

CVP goal in resuscitation

Answer 8

8-12 mmHg

> 12 if mechanically ventilated

Question 9

MAP goal in resuscitation

Answer 9

65 mmHg

Question 10

Target tidal volume in mechanical ventilation of sepsis-induced ALI / ARDS

Answer 10

6 mL/kg

Question 11

Occurs in a setting where unrecognized adrenal insufficiency complicates the host response to the stress induced by acute illness or major surgery

Answer 11

Hypoadrenal shock / adrenal insufficiency

Question 12

Type of respiratory failyre where there is acute hypoxic failure ( PO2

Answer 12

Type 1

Question 13

Pulmonary edema is what type of respiratory failure?

Answer 13

Type 1

Question 14

Pneumonia is what type of respiratory failure?

Answer 14

Type 1

Question 15

ARDS is what type of respiratory failure?

Answer 15

Type 1

Question 16

Hypercarbic respiratory failure (pCO2 >45-50 mmHg) is what type of respiratory failure?

Answer 16

Type 2

Question 17

Drug overdose and brainstem injury are what types of respiratory failure?

Answer 17

Type 2

Question 18

Sleep-disordered breathing is what type of respiratory failure?

Answer 18

Type 2

Question 19

Myastenia gravis and GBS are what type of reapiratory failure?

Answer 19

Type 2

Question 20

Bronchospasm is what type of respiratory failure?

Answer 20

Type 2

Question 21

This form of respiratory failure occurs as a result of lung atelectasis

Answer 21

Type 3

Question 22

Perioperative respiratory failure

Answer 22

Type 3; atelectasis due to pain

Question 23

Respiratory failure that results from hypoperfusion of respiratory muscles in patients with shock

Answer 23

Type 4

Question 24

To prevent lung injury secondary to mechanical ventilation, you should set the tidal volume to

Answer 24

6 mL/kg (low)

Question 25

Vircow’s triad

Answer 25

Inflammation
Hypercoagulability
Endothelial injury

Question 26

Best non-invasive diagnostic test for DVT

Answer 26

Venous duplex scan

Demonstrate vein incompressibility

Question 27

Well’s scoring is used to determine likelihood of

Answer 27

Venous thromboembolism

Question 28

Rule out test for venous thromboembolism

Answer 28

D-dimer

Sensitive but not specific

Question 29

Most common ECG abnormality in pulmonary embolism

Answer 29

T-wave inversion in leads V1-V4

Question 30

CXR sign of PE: focal oligemia

Answer 30

Westermark’s sign

Question 31

CXR sign of PE: peripheral wedged-shape density above the diaphragm

Answer 31

Hampton’s hump

Question 32

CXR sign of PE: enlarged right descending pulmonary artery

Answer 32

Palla’s sign

Question 33

Principal imaging test for the diagnosis of PE

Answer 33

Chest CT-scan with IV contrast

Question 34

Hypokinesis of the RV free wall with normal motion of the RV apex seen in transthoracic echo?

Answer 34

McConnell’s sign

Question 35

McConnell’s sign is the best indirect sign seen in transthoracic echo in patients with

Answer 35

Pulmonary embolism

Question 36

Monitoring for heparin treatment

Answer 36

PTT

Question 37

Monitoring for warfarin treatment

Answer 37

PTT

Question 38

Preferred fibrinolytic agent for pulmonary embolism

Answer 38

rTPA