Quiz

1
Quiz Exam

• Chittagong 2011
• Walter van den Bergh

2
Question 1

• If this ICU patient is intubated, feeding must be
  attempted within

3
Question 2

• Guillain Barre Syndrome is often preceded with a
  bacteria. Which one?
• ..

4
Question 3

• Sinustachycardia
• Atrial Fibrillation
• Atrial Flutter
• Sinus Rhythm

5
Question 4

• In CPR the ratio Chest compression - Rescue
  breaths is?
• ..

6
Question 5Nutrition of the patient with major
burns

• what is NOT TRUE
• High calorie feeding reduces mortality
• Enteral feeding is preferred to parenteral
• Protein requirement is 1.5-2g/kg/day
• Glutamine supplement is not beneficial
• Hyperglycaemia should be treated aggressively

7
Question 6

• All of the following increase the likelihood of a
  patient acquiring an antimicrobial-resitant
  infection EXCEPT
• Use of cefotaxime
• High nursing workload
• Prolonged MV
• Brief hospital admission
• Understaffing in the ICU

8
Question 7Critical Illness Polyneuropathy

• In patients treated by mechanical ventilation
  more than 5-7 days the incidence of CIPNP is
• 10
• 20
• 30
• gt50

9
Question 8

• In severe CAP, what would be your first choice of
  antibiotic(s)?

10
Question 9

• The first choice vasopressor in sepsis is
• .

11
Question 10

• Preferable placement of CVL is
• subclavian-jugular-femoral
• jugular-femoral-subclavian
• femoral-subclavian-jugular
• subclavian-femoral-jugular

12
Question 11

• Recommended amount of energy in enteral fed ICU
  patients is
• kcal/kg/day

13
Question 12

• Considering low tidal ventilation, in a patient
  weighting 50 kg, tidal volume should be
• ml

14
Question 13

• Profylactic antibiotics during operation should
  be continued for
• one day
• 3 days
• one week
• should not be
• continued

15
Question 14

• What is shown on this brain-CT?
• ..

16
Question 15

• To decrease CO2 you can
• set inspiration-expiration ratio to 11
• increase FiO2
• decrease frequency
• increase PS

17
Question 16

• At the FIFA ranking, The Netherlands are placed
• 1st
• 2nd
• 3rd
• 6th

18
Question 17

• A patient opens his eyes on pain stimulus, bows
  one of his arms, but dont make a sound.
• What is the GCS?

19
Question 18

• A patient opens his eyes when talked to,
  localize, and speak single words.
• What is the GCS?

20
Question 19

• A patients is ventilated with 5 PEEP and PS of 5.
  
• A tracheostoma has just been placed. When can you
  start weaning?
• immedietly
• after 2 days
• after 1 week
• after 1-2 weeks

21
Question 20

• In a septic patient albumin should be given in
  case of
• hypotension
• hypoalbuminaemia
• if vasopressors are at maximum dose
• there is no evidence that albumin is beneficial

22
Answers

• Quiz-Exam

23
Question 1

• If this ICU patient is intubated, feeding must be
  attempted within

24
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 352018-27.

25
Question 2

• Guillain Barre Syndrome is often preceded with a
  bacteria. Which one?
• ..

26
Answer 2

• Guillain Barre Syndrome is often preceded with a
  bacteria. Which one?
• Campylobacter jejuni

27
Question 3

• Sinustachycardia
• Atrial Fibrillation
• Atrial Flutter
• Sinus Rhythm

28
Answer 3

• 2. atrial fibrillation

29
Question 4

• In CPR the ratio Chest compression - Rescue
  breaths is?
• ..

30
Answer 4

• In CPR the ratio Chest compression - Rescue
  breaths is?
• 302

31
Question 5Nutrition of the patient with major
burns

• what is NOT TRUE
• High calorie feeding reduces mortality
• Enteral feeding is preferred to parenteral
• Protein requirement is 1.5-2g/kg/day
• Glutamine supplement is not beneficial
• Hyperglycaemia should be treated aggressively

32
Answer 5Nutrition of the patient with major burns

1. High calorie feeding reduces mortality is NOT TRUE

33
Question 6

• All of the following increase the likelihood of a
  patient acquiring an antimicrobial-resitant
  infection EXCEPT
• Use of cefotaxime
• High nursing workload
• Prolonged MV
• Brief hospital admission
• Understaffing in the ICU

34
Answer 6

• 4. Brief hospital admission
• Poor hand hygiene also contributes to the
  development of antibiotic-resistent infections

35
Question 7Critical Illness Polyneuropathy

• In patients treated by mechanical ventilation
  more than 5-7 days the incidence of CIPNP is
• 10
• 20
• 30
• gt50

36
Answer 7Critical illness polyneuropathy

• 4. gt50
• adds to morbidity and mortality
• delaying weaning from ventilator support

37
Question 8

• In severe CAP, what would be your first choice of
  antibiotic(s)?

38
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)

39
Question 9

• The first choice vasopressor in sepsis is
• .

40
Answer 9

• The first choice vasopressor in sepsis is
• Noradrenaline

41
Question 10

• Preferable placement of CVL is
• subclavian-jugular-femoral
• jugular-femoral-subclavian
• femoral-subclavian-jugular
• subclavian-femoral-jugular

42
Answer 10

• Preferable placement of CVL is
• subclavian-jugular-femoral
• associated with less
• infections

43
Question 11

• Recommended amount of energy in enteral fed ICU
  patients is
• kcal/kg/day

44
Answer 11

• Recommended amount of energy in enteral fed ICU
  patients is
• 25-30 kcal/kg/day

45
Question 12

• Considering low tidal ventilation, in a patient
  weighting 50 kg, tidal volume should be
• ml

46
Answer 12

• Considering low tidal ventilation, in a patient
  weighting 50 kg, tidal volume should be
• 50x 6 ml/kg (ideal weight)
• 300 ml

47
Question 13

• Profylactic antibiotics during operation should
  be continued for
• one day
• 3 days
• one week
• should not be
• continued

48
Answer 13

• Profylactic antibiotics during operation should
  be continued for
• 4. should not be
• continued

49
Question 14

• What is shown on this brain-CT?
• ..

50
Answer 14

• What is shown on this brain-CT?
• Epidural hematoma

51
Question 15

• To decrease CO2 you can
• set inspiration-expiration ratio to 11
• increase FiO2
• decrease frequency
• increase PS

52
Answer 15

• To decrease CO2 you can
• 4. increase PS

53
Question 16

• At the FIFA ranking, The Netherlands are placed
• 1st
• 2nd
• 3rd
• 6th

54
Answer 16

• At the FIFA ranking, The Netherlands are placed
• 2. 2nd
• (after Spain)

55
Question 17

• A patient opens his eyes on pain stimulus, bows
  one of his arms, but dont make a sound.
• What is the GCS?

56
Answer 17

• A patient opens his eyes on pain stimulus, bows
  one of his arms, but dont make a sound.
• What is the GCS?
• 2417

57
Question 18

• A patient opens his eyes when talked to,
  localize, and speak single words.
• What is the GCS?

58
Answer 18

• A patient opens his eyes when talked to,
  localize, and speak single words.
• What is the GCS?
• 35311

59
Question 19

• A patients is ventilated with 5 PEEP and PS of 5.
  
• A tracheostoma has just been placed. When can you
  start weaning?
• immedietly
• after 2 days
• after 1 week
• after 1-2 weeks

60
Answer 19

• A patients is ventilated with 5 PEEP and PS of 5.
  
• A tracheostoma has just been placed. When can you
  start weaning?
• immedietly

61
Question 20

• In a septic patient albumin should be given in
  case of
• hypotension
• hypoalbuminaemia
• if vasopressors are at maximum dose
• there is no evidence that albumin is beneficial

62
Answer 20

• In a septic patient albumin should be given in
  case of
• 4. there is no evidence that albumin is
  beneficial

63
and the winner is....?