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
Guillain Barre Syndrome is often preceded with a bacteria. Which one?
…..
Answer 2
Guillain Barre Syndrome is often preceded with a bacteria. Which one?
Campylobacter jejuni
Question 3
1. Sinustachycardia
2. Atrial Fibrillation
3. Atrial Flutter
4. Sinus Rhythm
Answer 3
2. atrial fibrillation
Question 4
In CPR the ratio Chest compression - Rescue breaths is?
……..
Answer 4
In CPR the ratio Chest compression - Rescue breaths is?
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
In severe CAP, what would be your first choice of antibiotic(s)?
……
Answer 8
In severe CAP, what would be your first choice of antibiotic(s)?
amoxycillin-clavulanic acid
or
ceftriaxon (or cefotaxim)
with
erythromycin (or clarithromycin)
Question 9
The first choice vasopressor in sepsis is:
…….
Answer 9
The first choice vasopressor in sepsis is:
Noradrenaline
Question 10
Preferable placement of CVL is:
1.subclavian-jugular-femoral
2.jugular-femoral-subclavian
3.femoral-subclavian-jugular
4.subclavian-femoral-jugular
Answer 10
Preferable placement of CVL is:
1.subclavian-jugular-femoral
associated with less
infections
Question 11
Recommended amount of energy in enteral fed ICU patients is:
…… kcal/kg/day
Answer 11
Recommended amount of energy in enteral fed ICU patients is:
25-30 kcal/kg/day
Question 12
Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be:
…… ml
Answer 12
Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be:
50x 6 ml/kg (ideal weight)
300 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
Answer 13
Profylactic antibiotics during operation should be continued for:
4. should not be
continued
Question 14
What is shown on this brain-CT?
…..
Answer 14
What is shown on this brain-CT?
Epidural hematoma
Question 15
To decrease CO2 you can:
1. set inspiration-expiration ratio to 1:1
2. increase FiO2
3. decrease frequency
4. increase PS
Answer 15
To decrease CO2 you can:
4. increase PS
Question 16
At the FIFA ranking, The Netherlands are placed:
1.1st
2.2nd
3.3rd
4.6th
Answer 16
At the FIFA ranking, The Netherlands are placed:
2. 2nd
(after Spain)
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?
……
Answer 17
A patient opens his eyes on pain stimulus, bows one of his arms, but don’t make a sound.
What is the GCS?
2+4+1=7
Question 18
A patient opens his eyes when talked to, localize, and speak single words.
What is the GCS?
……
Answer 18
A patient opens his eyes when talked to, localize, and speak single words.
What is the GCS?
3+5+3=11
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
Answer 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
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
Answer 20
In a septic patient albumin should be given in case of:
4. there is no evidence that albumin is beneficial
and the winner is....?
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