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....?