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 riskTrueFalseb. The GRACE score should be used in patients presenting with NSTEMITrueFalsec. Primary PCI is recommended for all patients with STEMI presenting within 6 hours of onset of chest painTrueFalsed. Unconsciousness after cardiac arrest due to STEMI is a contraindication to primary PCITrueFalsee. If PCI cannot be delivered within 180 minutes of the time fibrinolysis could be given then the patient should received fibrinolysisTrueFalse2. Regarding the cardiovascular system in sepsis: a. Atrial fibrillation is the most common tachyarrhythmia observed in septic patientsTrueFalseb. Loss of heart rate variation with respiration is an early sign of sepsisTrueFalsec. Pulmonary hypertension is a highly significant cause of right ventricular failure in sepsisTrueFalsed. Excessive NO is produced by cNOS in sepsisTrueFalsee. Diastolic dysfunction occurs in less than a quarter of patients with severe sepsis or septic shockTrueFalse3. Regarding critically ill patients with haematological malignancy: a. ICU survival is largely determined by the underlying haematological malignancyTrueFalseb. Non-invasive ventilation should not be used outside of critical careTrueFalsec. A large ICNARC study found in hospital mortality for those admitted to ICU to be 60%TrueFalsed. It is recommended that patients appropriate for further life extending treatment should be considered for an unrestricted trial of intensive careTrueFalsee. In septic patients, indwelling catheters should only be removed if there is a positive blood culture from the lineTrueFalse4. Regarding chemotherapy: a. Patients who have received bleomycin are at lifelong risk of bleomycin-induced lung injuryTrueFalseb. Short periods of high concentration oxygen are safe for patients who have previously received bleomycinTrueFalsec. Anthracyclines such as doxorubicin can cause life threatening cardiac dysfunctionTrueFalsed. Patients treated with chemotherapy in childhood have 8 to 9 fold increased mortality related to cardiovascular disease later in lifeTrueFalsee. Cyclophosphamide is associated with both renal and hepatic dysfunctionTrueFalse5. Regarding management of the unanticipated difficult airway: a. A fourth attempt at direct laryngoscopy by a more experienced colleague is permittedTrueFalseb. If intubation fails, plan B is bag mask ventilation with or without an adjunctTrueFalsec. Cricoid pressure should be applied during insertion of a supraglottic airway deviceTrueFalsed. Scalpel cricothyroidotomy is the emergency front of neck technique of choiceTrueFalsee. Further neuromuscular blockade should not be administered if front of neck access is to be attemptedTrueFalseTime is Up!