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 5 Nutrition 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 g/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 7 Critical 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 CO 2 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 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:

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 5 Nutrition 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 g/kg/day 4.Glutamine supplement is not beneficial 5.Hyperglycaemia should be treated aggressively

Answer 5 Nutrition 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 7 Critical 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 7 Critical illness polyneuropathy 4. >50% adds to morbidity and mortality delaying 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 c larithromycin)

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: 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 CO 2 you can: 1. set inspiration- expiration ratio to 1:1 2. increase FiO2 3. decrease frequency 4. increase PS

Answer 15 To decrease CO 2 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....?