Pulm CCM 2

Question 1

Proposed upper limit for driving pressure

Answer 1

12-15

Question 2

outcome improved by vasopressin in septic shock

Answer 2

Need for dialysis

Question 3

Pulse pressure variation >___ indicates fluid responsiveness.

Answer 3

13%

Question 4

Tidal volumes must be _____ for pulse pressure variation to be a reliable indicator of fluid responsiveness.

Answer 4

Large (700-800 mL)

Question 5

Results of the SMART trial

Answer 5

Balanced crystalloids (relative to NS in sepsis) decreased risk of composite outcome of death, renal injury, and RRT

Question 6

pupils in serotonin syndrome

Answer 6

mydriasis

Question 7

GI in serotonin syndrome

Answer 7

hyperactive - diarrhea, cramps, nausea

Question 8

Neuromuscular Sx of serotonin syndrome

Answer 8

hyperreflexia, rigidity, clonus, myoclonus

Question 9

Which elevates CK: serotonin syndrome or NMS?

Answer 9

both!

Question 10

Abrupt hyperthermia, dysautonomia, and rigidity after nueromuscular blockade (or inhaled anesthetics)

Answer 10

malignant hyperthermia

Question 11

Rx for malignant hyperthermia

Answer 11

dantrolene

Question 12

Cardiac manifestations of propofol infusion syndrome (PRIS)

Answer 12

heart failure, BRADYcardia