Critical Care

Question 1

Cooling modality for nonexertional heat stroke

Answer 1

Evaporative cooling with or without ice packs

Question 2

Cooling modality for exertional heat stroke

Answer 2

Ice water immersion (increased mortality in older patients with nonexertional heat stroke)

Question 3

Medications associated with malignant hyperthermia

Answer 3

Succinylcholine, inhaled anesthetics

Question 4

Abx duration for neutropenic sepsis:

Answer 4

Until either recovery of ANC (>500) or full treatment course, whichever is longer.

Question 5

Differentiating serotonin syndrome from neuroleptic malignant syndrome:

Answer 5

SS: hyperreflexia, myoclonus
NMS: muscle rigidity.

Question 6

Trestment of PE in pregnancy: which agent?

Answer 6

LMWH

Question 7

Indications for hemodialysis with methanol or ethylene glycol poisoning:

Answer 7

severe anion gap metabolic acidosis and end-organ involvement (kidney impairment, visual changes).

Question 8

When to start enteral nutrition in a xritically ill patient

Answer 8

After 7-10 daysnof inabilitinto meet at least 60% of energy / protein requirements.

Question 9

Rewarming strategy for severe hyoothermia (temp < 28C):

Answer 9

Active Internal rewarming (warm IVF, peritoneal and pleural lavage). External rewarming recommended if temp 28-35C.

Question 10

How to diagnose mesothelioma?

Answer 10

Thoracoacopic pleural bx or VATS. Thoracentesis cytology sensitivity ~5%.