MCQ Paper No.86th July 2017 by admin Please select True or False for the following questions. 1. Regarding acute coronary syndrome:a. The GRACE score estimates 3 month mortality risk True False b. The GRACE score should be used in patients presenting with NSTEMI True False c. Primary PCI is recommended for all patients with STEMI presenting within 6 hours of onset of chest pain True False d. Unconsciousness after cardiac arrest due to STEMI is a contraindication to primary PCI True False e. If PCI cannot be delivered within 180 minutes of the time fibrinolysis could be given then the patient should received fibrinolysis True False 2. Regarding the cardiovascular system in sepsis: a. Atrial fibrillation is the most common tachyarrhythmia observed in septic patients True False b. Loss of heart rate variation with respiration is an early sign of sepsis True False c. Pulmonary hypertension is a highly significant cause of right ventricular failure in sepsis True False d. Excessive NO is produced by cNOS in sepsis True False e. Diastolic dysfunction occurs in less than a quarter of patients with severe sepsis or septic shock True False 3. Regarding critically ill patients with haematological malignancy: a. ICU survival is largely determined by the underlying haematological malignancy True False b. Non-invasive ventilation should not be used outside of critical care True False c. A large ICNARC study found in hospital mortality for those admitted to ICU to be 60% True False d. It is recommended that patients appropriate for further life extending treatment should be considered for an unrestricted trial of intensive care True False e. In septic patients, indwelling catheters should only be removed if there is a positive blood culture from the line True False 4. Regarding chemotherapy: a. Patients who have received bleomycin are at lifelong risk of bleomycin-induced lung injury True False b. Short periods of high concentration oxygen are safe for patients who have previously received bleomycin True False c. Anthracyclines such as doxorubicin can cause life threatening cardiac dysfunction True False d. Patients treated with chemotherapy in childhood have 8 to 9 fold increased mortality related to cardiovascular disease later in life True False e. Cyclophosphamide is associated with both renal and hepatic dysfunction True False 5. Regarding management of the unanticipated difficult airway: a. A fourth attempt at direct laryngoscopy by a more experienced colleague is permitted True False b. If intubation fails, plan B is bag mask ventilation with or without an adjunct True False c. Cricoid pressure should be applied during insertion of a supraglottic airway device True False d. Scalpel cricothyroidotomy is the emergency front of neck technique of choice True False e. Further neuromuscular blockade should not be administered if front of neck access is to be attempted True False Time's up
MCQ Paper No.86th July 2017 by admin Please select True or False for the following questions. Time's up
