Critical Care

Question 1

Patients who should receive stress ulcer prophylaxis all except

1. Respiratory failure
2. Spinal cord injury
3. Coagulopathy
4. Liver failure
5. AKI

Answer 1

AKI

Question 2

Bleeding in stress gastritis is due to All except

1. Decreased bicarbonate
2. Decreased mucus
3. Splanchnic ischemia
4. Raised acid output

Answer 2

Acid output is decreased

Question 3

Most common cause of infection related death in ICU

1. Central line associated Blood stream infection
2. Pneumonia
3. Catheter associated UTI
4. Surgical site infection

Answer 3

Pneumonia

Question 4

Which of the following is not a part of non-lactose fermenting gram negative rods SPACE organisms causing VAP

1. Serratia
2. Pseudomonas
3. Acinetobacter
4. citrobacter
5. eikenella

Answer 4

Enterobacter not eikenella

Question 5

First sign of impending renal failure

1. Oliguria
2. S creatinine x 1.5
3. blood urea nitrogen increased by 5 mg/dL
4. Both 1 and 2

Answer 5

Oliguria

Sudden rise in S creat

Question 6

A patient brought to surgical ICU has S. Creatinine 2 mg/dL, and shows anuria since 1 day.
He falls in rifle category

1. Injury
2. failure
3. loss
4. end stage renal da

Answer 6

Anuria for >12 hour is failure as per RIfle criteria

Question 7

Rifle criteria is used to define

1. GI failure
2. Cardiac failure
3. Kidney failure
4. Respiratory failure

Answer 7

Renal

Question 8

As per Berlin definition - moderate ards is defined as
PaO2:FiO2

1. 101-200
2. 51-100
3. <50
4. 201-300

Answer 8

But Berlin classification - changed
Mild 201-300
Mod 101-200
Severe <100