tailieunhanh - Ebook Intensive care medicine MCQs - Multiple choice questions with explanatory answers: Part 2

(BQ) The book is divided into three papers each consisting of 60 multiple true false (MTF) and 30 single best answer (SBA) questions covering areas including resuscitation, diagnosis, disease management, organ support, and ethical and legal aspects of practice | Paper 2 Answers 1 F F F T T Intensive care unit-acquired weakness ICUAW is a clinically detected weakness in critically ill patients where there is no plausible aetiology other than critical illness. Patients with ICUAW are subsequently classified into those with critical illness polyneuropathy CIP critical illness myopathy CIM or critical illness neuromyopathy CINM based on electrophysiological studies. CIM can be further subclassified histologically into cachectic myopathy thick filament myopathy and necrotising myopathy. Approximately 46 of the patients with severe sepsis multiple organ failure or prolonged mechanical ventilation will develop ICUAW. Other risk factors include hyperglycaemia increasing duration of the inflammatory response and increasing duration of multi-organ failure. Other associations include age female gender high severity of illness on admission hypoalbuminaemia and the use of renal replacement therapy vasopressors and corticosteroids. The primary management is aimed at identifying and minimising risk factors good glucose control and optimising rehabilitation with a multidisciplinary approach to care. 1. Appleton R Kinsella J. Intensive care unit-acquired weakness. Contin Educ Anaesth Crit Care Pain 2012 12 62-6. Paper 2 Answers 143 Intensive Care Medicine MCQs Multiple Choice Questions with Explanatory Answers 2 F T T T F Scoring systems are used in critical care as diagnostic and prognostic tools as well as to guide therapy and management decisions. We are also heavily reliant on them for data collection and assessment. It is essential to be familiar with the common systems in use and to have an understanding of their caveats and validity. There are currently four versions of the APACHE score the latter requires paid subscription for use of the mathematical model and as such is not commonly used throughout the UK. Disease-specific scoring systems address the likelihood of either a positive diagnosis or deterioration in a specific .

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