tailieunhanh - KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 3

Tham khảo tài liệu 'key questions in surgical critical care - part 3', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Other Systems and Multisystem Failure Questions Q 1. The following are indicators of a severe attack acute pancreatitis A. Plasma calcium l B. Arterial pO2 8 kPa C. Amylase three times upper limit of laboratory norm D. Blood glucose 8mmol l E. White cell count WCC 15 X 109 l Q 2. The following are factors which increase risk of rebleeding following a gastrointestinal haemorrhage A. Malignancy B. Acute rather than chronic ulcer C. Shock on admission D. Age 60 years E. Gastric ulcer Q 3. Concerning severe pancreatitis A. Hypocalcaemia is the most common metabolic problem B. Coagulopathy is usually the first organ system failure to manifest itself C. Failure of two organ systems is associated with 90 mortality D. Solid infected pancreatic necrosis will often respond to intravenous antibiotics E. Positive end expiratory pressure PEEP may be useful in managing respiratory failure Q4. Concerning acute renal failure ARF A. Ultrasound should be performed early B. Supravesical obstruction is common C. Insertion of a double J stent is the preferred treatment of supravesical obstruction 36 MCQs Key Questions in Surgical Critical Care D. A unilateral dilated collecting duct system requires urgent decompression and subsequent renography E. For pelvic malignancy causing ARF nephrostomy insertion is the treatment of choice Q 5. Concerning thoracic trauma A. Chest trauma is responsible for approximately 25 of trauma deaths B. Most patients with chest injuries ultimately require thoracotomy C. Penetrating chest wounds often require formal surgery utilising cardiopulmonary bypass D. Massive haemothorax is defined as 750 ml blood in the chest cavity E. Continuing blood loss of 50ml h is an indication for thoracotomy Other Systems and Multisystem Failure Q 6. Characteristic injuries of blunt thoracic trauma include A. Fractured sternum B. Transected aorta C. Pulmonary contusion D. Ruptured spleen E. Bilateral rib fractures Q 7. Causes of hypoxia in thoracic trauma include A. .