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Transcript of Quiz & Exam Chittagong 2011 Walter van den Bergh.
![Page 1: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/1.jpg)
Quiz & Exam
Chittagong 2011
Walter van den Bergh
![Page 2: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/2.jpg)
Question 1
If this ICU patient is intubated, feeding must be attempted within:
……
![Page 3: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/3.jpg)
Question 2
Guillain Barre Syndrome is often preceded with a bacteria. Which one?
…..
![Page 4: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/4.jpg)
Question 3
1. Sinustachycardia
2. Atrial Fibrillation
3. Atrial Flutter
4. Sinus Rhythm
![Page 5: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/5.jpg)
Question 4
In CPR the ratio Chest compression - Rescue breaths is?
……..
![Page 6: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/6.jpg)
Question 5Nutrition 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 1.5-2g/kg/day
4.Glutamine supplement is not beneficial
5.Hyperglycaemia should be treated aggressively
![Page 7: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/7.jpg)
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
![Page 8: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/8.jpg)
Question 7Critical 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%
![Page 9: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/9.jpg)
Question 8
In severe CAP, what would be your first choice of antibiotic(s)?
……
![Page 10: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/10.jpg)
Question 9
The first choice vasopressor in sepsis is:
…….
![Page 11: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/11.jpg)
Question 10
Preferable placement of CVL is:
1.subclavian-jugular-femoral
2.jugular-femoral-subclavian
3.femoral-subclavian-jugular
4.subclavian-femoral-jugular
![Page 12: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/12.jpg)
Question 11
Recommended amount of energy in enteral fed ICU patients is:
…… kcal/kg/day
![Page 13: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/13.jpg)
Question 12
Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be:
…… ml
![Page 14: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/14.jpg)
Question 13
Profylactic antibiotics during operation should be continued for:
1. one day
2. 3 days
3. one week
4. should not be
continued
![Page 15: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/15.jpg)
Question 14
What is shown on this brain-CT?
…..
![Page 16: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/16.jpg)
Question 15
To decrease CO2 you can:
1. set inspiration-expiration ratio to 1:1
2. increase FiO2
3. decrease frequency
4. increase PS
![Page 17: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/17.jpg)
Question 16
At the FIFA ranking, The Netherlands are placed:
1.1st
2.2nd
3.3rd
4.6th
![Page 18: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/18.jpg)
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?
……
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Question 18
A patient opens his eyes when talked to, localize, and speak single words.
What is the GCS?
……
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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
![Page 21: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/21.jpg)
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
![Page 22: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/22.jpg)
ANSWERS
Quiz-Exam
![Page 23: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/23.jpg)
Question 1
If this ICU patient is intubated, feeding must be attempted within:
……
![Page 24: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/24.jpg)
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; 35:2018-27.
![Page 25: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/25.jpg)
Question 2
Guillain Barre Syndrome is often preceded with a bacteria. Which one?
…..
![Page 26: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/26.jpg)
Answer 2
Guillain Barre Syndrome is often preceded with a bacteria. Which one?
Campylobacter jejuni
![Page 27: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/27.jpg)
Question 3
1. Sinustachycardia
2. Atrial Fibrillation
3. Atrial Flutter
4. Sinus Rhythm
![Page 28: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/28.jpg)
Answer 3
2. atrial fibrillation
![Page 29: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/29.jpg)
Question 4
In CPR the ratio Chest compression - Rescue breaths is?
……..
![Page 30: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/30.jpg)
Answer 4
In CPR the ratio Chest compression - Rescue breaths is?
30:2
![Page 31: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/31.jpg)
Question 5Nutrition 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 1.5-2g/kg/day
4.Glutamine supplement is not beneficial
5.Hyperglycaemia should be treated aggressively
![Page 32: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/32.jpg)
Answer 5Nutrition of the patient with major burns
1. High calorie feeding reduces mortality is NOT TRUE
![Page 33: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/33.jpg)
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
![Page 34: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/34.jpg)
Answer 6
4. Brief hospital admission
Poor hand hygiene also contributes to the development of antibiotic-resistent infections
![Page 35: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/35.jpg)
Question 7Critical 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%
![Page 36: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/36.jpg)
Answer 7Critical illness polyneuropathy
4. >50%
adds to morbidity and mortalitydelaying weaning from ventilator support
![Page 37: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/37.jpg)
Question 8
In severe CAP, what would be your first choice of antibiotic(s)?
……
![Page 38: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/38.jpg)
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)
![Page 39: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/39.jpg)
Question 9
The first choice vasopressor in sepsis is:
…….
![Page 40: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/40.jpg)
Answer 9
The first choice vasopressor in sepsis is:
Noradrenaline
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Question 10
Preferable placement of CVL is:
1.subclavian-jugular-femoral
2.jugular-femoral-subclavian
3.femoral-subclavian-jugular
4.subclavian-femoral-jugular
![Page 42: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/42.jpg)
Answer 10
Preferable placement of CVL is:
1.subclavian-jugular-femoral
associated with less
infections
![Page 43: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/43.jpg)
Question 11
Recommended amount of energy in enteral fed ICU patients is:
…… kcal/kg/day
![Page 44: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/44.jpg)
Answer 11
Recommended amount of energy in enteral fed ICU patients is:
25-30 kcal/kg/day
![Page 45: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/45.jpg)
Question 12
Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be:
…… ml
![Page 46: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/46.jpg)
Answer 12
Considering low tidal ventilation, in a patient weighting 50 kg, tidal volume should be:
50x 6 ml/kg (ideal weight)
300 ml
![Page 47: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/47.jpg)
Question 13
Profylactic antibiotics during operation should be continued for:
1. one day
2. 3 days
3. one week
4. should not be
continued
![Page 48: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/48.jpg)
Answer 13
Profylactic antibiotics during operation should be continued for:
4. should not be
continued
![Page 49: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/49.jpg)
Question 14
What is shown on this brain-CT?
…..
![Page 50: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/50.jpg)
Answer 14
What is shown on this brain-CT?
Epidural hematoma
![Page 51: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/51.jpg)
Question 15
To decrease CO2 you can:
1. set inspiration-expiration ratio to 1:1
2. increase FiO2
3. decrease frequency
4. increase PS
![Page 52: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/52.jpg)
Answer 15
To decrease CO2 you can:
4. increase PS
![Page 53: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/53.jpg)
Question 16
At the FIFA ranking, The Netherlands are placed:
1.1st
2.2nd
3.3rd
4.6th
![Page 54: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/54.jpg)
Answer 16
At the FIFA ranking, The Netherlands are placed:
2. 2nd
(after Spain)
![Page 55: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/55.jpg)
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?
……
![Page 56: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/56.jpg)
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
![Page 57: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/57.jpg)
Question 18
A patient opens his eyes when talked to, localize, and speak single words.
What is the GCS?
……
![Page 58: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/58.jpg)
Answer 18
A patient opens his eyes when talked to, localize, and speak single words.
What is the GCS?
3+5+3=11
![Page 59: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/59.jpg)
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
![Page 60: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/60.jpg)
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
![Page 61: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/61.jpg)
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
![Page 62: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/62.jpg)
Answer 20
In a septic patient albumin should be given in case of:
4. there is no evidence that albumin is beneficial
![Page 63: Quiz & Exam Chittagong 2011 Walter van den Bergh.](https://reader035.fdocuments.in/reader035/viewer/2022062304/56649e185503460f94b04b49/html5/thumbnails/63.jpg)
and the winner is....?