Intensive Care Medicine Module 2

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Question 1 of 10

1. Question
What is the primary reason to avoid excessive tachycardia in patients treated with vasopressors or inotropes?
- To prevent myocardial ischemia.
- To decrease the risk of dysrhythmias.
- To improve coronary vasodilation.
- To reduce skin necrosis.
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Question 2 of 10

2. Question
What is the primary reason for administering vasopressors via a central vein whenever possible?
- To avoid peripheral extravasation.
- To reduce the risk of secondary infections.
- To reduce the risk of dysrhythmias.
- To improve coronary vasodilation.
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Question 3 of 10

3. Question
What is the recommended dosage range of phentolamine for local treatment of peripheral extravasation of vasopressors?
- 5 to 10 mg subcutaneously.
- 30 to 40 mg intravenously.
- 10 to 20 mg intravenously.
- 20 to 30 mg subcutaneously
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Question 4 of 10

4. Question
Which of the following interventions is NOT a potential source control measure in sepsis?
- Bronchoalveolar lavage
- Cholecystostomy
- Abscess drainage
- Soft tissue debridement
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Question 5 of 10

5. Question
What is the dose of IV hydrocortisone suggested for septic shock patients if adequate fluid resuscitation and vasopressor therapy are unable to restore hemodynamic stability?
- 200 mg/day
- 300 mg/day
- 100 mg/day
- 400 mg/day
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Question 6 of 10

6. Question
When should Veno-venous (VV) ECMO be considered for adults with sepsis-induced severe ARDS?
- When conventional mechanical ventilation fails in experienced centers
- When intravenous antibiotics fails to resolve the sepsis.
- When intravenous corticosteroid fails to improve the patients hypoxia.
- When vasopressor therapy is needed
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Question 7 of 10

7. Question
What is the recommendation for adults with sepsis-induced hypoxemic respiratory failure?
- Use high flow nasal oxygen over noninvasive ventilation
- Use low tidal volume ventilation strategy
- Use conservative oxygen targets
- Use noninvasive ventilation over invasive ventilation
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Question 8 of 10

8. Question
In the management of adults with sepsis-induced moderate to severe ARDS, which of the following therapeutic strategies aligns best with the 2020 Intensive Care Medicine (ICM) guidelines?
- Aggressive fluid management strategy
- Neuromuscular blocking agent for 48 hours for patients with ARDS with PF ratios less than or equal to 27 and 20 kPa, respectively.
- High tidal volume strategy over 10 ml/kg
- High plateau pressures over 30 cmH20.
- Supine positioning for at least 12 hours.
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Question 9 of 10

9. Question
An adult with septic shock and cardiac dysfunction becomes persistently hypoperfused despite adequate volume status and arterial blood pressure.

What would be the next step?
- Add dobutamine to norepinephrine or use epinephrine alone
- Add terlipressin
- Add levosimendan
- Add vasopressin
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Question 10 of 10

10. Question
Which of the following criteria provides the least diagnostic accuracy for sepsis screening?
- Modified Early Warning Score (MEWS)
- Sequential Organ Failure Assessment (SOFA) criteria
- Systemic inflammatory response syndrome (SIRS) criteria
- Machine learning
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Intensive Care Medicine Module 2

Intensive Care Medicine Module 2

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