EDIC Critical Care during Pregnancy
A1. A 29 year - old lady in the third trimester of pregnancy is brought to the Emergency Department following a highspeed motor vehicle crash. She is conscious and immobilized on a long spine board. Her respiratory rate is 25, heart rate is 110, and blood pressure is 75/55. The laboratory results show a PaCO2of 40 mm Hg (5.3 kPa). Which one of the following statements regarding this patient is true?: a) Fetal assessment should take priority. b) Logrolling the patient to the right will decompress the vena cava. c) Rh immunoglobulin therapy should be immediately administered. d) The...
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EDIC Polytrauma
A1. A construction worker of 37 years old is brought to the Emergency Departmen after falling from a 9 meters (30 feet) scaffolding. His vital signs are: heart rate 140, blood pressure 96/60 mm Hg, and respiratory rate 36. He is complaining bitterly of lower abdominal and lower limb pain, and has obvious deformity of both lower legs with bilateral open tibial fractures. Which one of the following statements concerning this patient is CORRECT?: a) Pelvic injury can be ruled out based on the mechanism of injury. b) Blood loss from the lower limbs is the most likely cause...
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EDIC Alcohol withdrawal
A1. A 33-year-old man is brought to the Emergency Department with signs of alcohol intoxication. His vital signs are normal, but during his interrogation, he experiences a tonic - clonic seizure with a ventricular fibrillation during the postictal state. He is subsequently hospitalized and becomes intermittently agitated and tremulous. Vital signs include a heart rate of 136 beats per minute, a systolic blood pressure of 128 /65 mm Hg, and a temperature of 38.7°C. Laboratory results show: Ammonia 36 U/L, AST 295 U/L, ALT 110 U/L, ALP 305 U/L, Platelets 76.000 mm3, INR 1.6. Which would be the drug...
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EDIC Liver Transplant
A1. Four days after a liver transplant a patient presents signs of liver rejection. Which will the most probable cause of this rejection?: a) Vasospasm of hepatic artery. b) Hepatic artery thrombosis. c) Cytomegalovirus infection (CMV). d) Inferior cava vein thrombosis. e) Biliary anastomosis leakage....
EDIC Spinal Cord Injury
A1. Which of the following describes a Brown - Sequard syndrome lesion at T5?: a) T5, complete, fracture. b) T5, complete, fracture - dislocation. c) T5, partial, penetrating. d) T5, partial, spinal cord abnormality without radiographic abnormality. e) T5, partial, hyperextension with preexisting cervical canal stenosis....
EDIC Brainstem Death
A1. A 28 year - old man is admitted to Intensive Care after severe brain trauma. After 72h off sedation the diagnosis of brainstem death is considered. Which of the following statement is CORRECT?: a) Fixed and dilated pupils are an essential part of the diagnosis. b) Visual evoked responses must be absent c) Sternal rub with motor response excludes the diagnosis. d) Gag reflex response to posterior pharynx stimulation excludes the diagnosis. e)Absent corneal reflexes indicate midbrain region disfunction....
EDIC Hemorrhage classification
A1. In a patient with a hemorrhage of 20% of the total blood volume you should expect: a) Oliguria. b) Tachycardia. c) Confusion. d) Hypotension. e) Hypoxemia....
EDIC – Toxic Megacolon
K1. A 57 year - old gentleman admitted to Intensive Care with severe pancreatitis and septic shock, develops on his day 21, abdominal distention, diarrhoea, oliguria and fever. CT abdomen reveals a massive dilatation of ascending colon (110 mm). Which of the following statements with this entity is/are CORRECT?: a) Is characterised by total or segmental non-obstructive colonic dilatation plus systemic toxicity: TRUE/FALSE. b) Cytomegalovirus is the most frequent etiological pathogen: TRUE/FALSE. c) Rectal contrast is contraindicated in this patient population: TRUE/FALSE. d) Partial colectomy is indicated: TRUE/FALSE. ....
EDIC – Pplat
K1. Regarding plateau pressure (Pplat), which of the following statements is CORRECT?: a) Pplat represents the pressure applied to the large airways and alveoli: TRUE/FALSE. b) It is the peak pressure recorded during the inspiratory phase: TRUE/FALSE. c) It is independent of chest wall mechanics: TRUE/FALSE. d) It should be maintained below 28-30 cm H2O: TRUE/FALSE....
EDIC – ARDS
Which of the following is an indication for glucocorticoid therapy in ARDS?: a) ARDS precipitated by eosinophilic pneumonia. b) ARDS in community-acquired pneumonia with CRP of 100 mg/L. c) Persistent ARDS beyond 14 days. d) ARDS secondary to influenza. e) ARDS with partial arterial pressure of oxygen/fraction of inspired oxygen ratio=280....