Rosh Review Pulmonary

Question 1

Does daily interruption of sedation and spontaneous breathing trials prevent ventilator-associated pneumonia and decrease length of stay and mortality?

Answer 1

Yes

Question 2

Does use of silver-coated endotracheal tubes prevent ventilator-associated pneumonia?

Answer 2

Yes

Question 3

Does use of silver-coated endotracheal tubes decrease length of stay and mortality?

Answer 3

No

Question 4

How can gastric pH affect the risk of ventilator-associated pneumonia?

Answer 4

When gastric pH is increased with the use of H2 blockers, antacids, or proton pump inhibitors, the incidence of ventilator-associated pneumonia increases. These agents are typically avoided unless patients are at high risk for stress ulcers or gastritis.

Question 5

What initial fraction of inspired oxygen typically used when mechanically ventilating a patient with acute respiratory distress syndrome?

Answer 5

1

Question 6

What initial positive end-expiratory pressure is typically used when mechanically ventilating a patient with acute respiratory distress syndrome?

Answer 6

5 cm H2O

Question 7

What’s an initial test that can be done in a patient with low risk of pulmonary embolism per Wells criteria?

Answer 7

D-dimer