EDIC – Coronavirus Disease 2019
K. Which of the following have been associated with increased risk of acute respiratory distress syndrome and death in COVID19?: a) Neutrophilia: TRUE/FALSE b) Elevated end-organ–related indices of aspartate aminotransferase: TRUE/FALSE c) Elevated ferritin: TRUE/FALSE d) Decreased prothrombin time and elevation of D - Dimer: TRUE/FALSE...
EDIC – Blunt Abdominal Trauma
K1. In the diagnosis of an abdominal haemorrhage in patients with blunt abdominal trauma, which of the following statements is/are CORRECT?: a) Will be performed in theatre if the patient remains unstable: TRUE/FALSE. b) CT abdomen is the elective test if patient unstable: TRUE/FALSE. c) Focused assessment sonography in trauma (FAST) is the elective test if patient unstable: TRUE/FALSE. d) Diagnostic Peritoneal Lavage (DPL) is the elective test if patient stable: TRUE/FALSE....
EDIC – EtCO2 gradient
Regarding the relationship of end tidal CO2 (ETCO2) and PaCO2, which of the following statements is FALSE?: a) In healthy lungs the ETCO2 is approximately 0.5 kPa greater than PaCO2. b) The difference between ETCO2 and PaCO2 increases when body temperature decreases. c) The difference between ETCO2 and PaCO2 is reduced in pregnancy. d) A reduction in pulmonary blood flow of 50% would produce approximately a 50% reduction in ETCO2. e) In COPD the ETCO2 and PaCO2 difference can be reduced by reducing ventilatory frequency and increasing tidal volume....
EDIC – Atrial flutter
The most frequent mechanism of auricular flutter production is related to?: a) Abnormal automatism. b) Macroreentrant circuit in right atrium. c) Microreentrant circuit. d) After initiation of an antiarrhythmic drug. e) Complication of an acute myocardial infarction....
EDIC Thoracic Trauma
Type A. An 18 year - old man is brought to the Emergency Department (ED) by his gang with a shotgun wound to the right shoulder. He is hypotensive (78/42 mmHg), tachycardic (110 bpm) and tachypnoeic (35 bpm). After resuscitation with 2000 ml of crystalloids, his blood pressure rises to 110/82 mmHg and heart rate reduces to 102 bpm. On examination the right hemithorax shows decreased sounds and a closed tube thoracostomy is performed draining a small amount of blood but no air leak. Which would be the next most appropriate step in the management?: a) Perform a transthoracic...
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EDIC Lower GI bleed
Type K. Regarding acute lower gastrointestinal bleeding, which of the following approaches is NOT a therapeutical option?: a) Endoscopy: TRUE/FALSE. b) Pharmacological treatment: TRUE/FALSE. c) Mesenteric angiography: TRUE/FALSE. d) Immediate surgery: TRUE/FALSE. ...
EDIC – Antiplatelets
Type A. Ticagrelor is a drug used in acute coronary syndrome due to: a) Direct inhibitor of thrombin. b) Inhibits the glycoprotein IIaIIIb. c) It is a selective inhibitor of Xa factor. d) Loading dose is 60 mg followed by 10 mg/day. e) Antiplatelet drug inhibitor of P2Y12....
EDIC Organ Donation
Type K. Which of the following situations is/are NOT suitable for organ donation?: a) Severe septic shock: TRUE/FALSE. b) Active tuberculosis: TRUE/FALSE. c) Human immunodeficiency virus: TRUE/FALSE. d) Virus hepatitis C: TRUE/FALSE. ...
EDIC – Variceal bleeding
Type K. In the prophylaxis of variceal bleeding, which of the following measures is/are CORRECT?: a) Isosorbide mononitrate should be associated to nonselective betablockers in secondary prophylaxis: TRUE/FALSE. b) Banding and nonselective betablockers: TRUE/FALSE. c) Proton pump inhibitors are not recommended for prophylaxis of variceal bleeding: TRUE/FALSE. d) Transjugular intrahepatic portosystemic shunt is recommended after the first bleeding episode: TRUE/FALSE....
EDIC – Advanced Life Support
A 62 year - old man is receiving CPR due to an in - hospital cardiac arrest. You attend the cardiac arrest call and observe that the initial rhythm is pulseless electrical activity (PEA). According to ALS guidelines, which is the single most appropriate step in the management?: a) Give amiodarone 300 mg, IV after the third shock if still in cardiac arrest. b) Give adrenaline 1 mg, IV, every 3 to 5 minutes. c) Chest compressions should be performed at 80 - 100 per minute. d) Atropine 600 mg, IV should be given. e) External pacing should be...
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