MCQ Paper No.8

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Please select True or False for the following questions.

1. Regarding acute coronary syndrome:

a. The GRACE score estimates 3 month mortality risk
b. The GRACE score should be used in patients presenting with NSTEMI
c. Primary PCI is recommended for all patients with STEMI presenting within 6 hours of onset of chest pain
d. Unconsciousness after cardiac arrest due to STEMI is a contraindication to primary PCI
e. If PCI cannot be delivered within 180 minutes of the time fibrinolysis could be given then the patient should received fibrinolysis
2. Regarding the cardiovascular system in sepsis:

a. Atrial fibrillation is the most common tachyarrhythmia observed in septic patients
b. Loss of heart rate variation with respiration is an early sign of sepsis
c. Pulmonary hypertension is a highly significant cause of right ventricular failure in sepsis
d. Excessive NO is produced by cNOS in sepsis
e. Diastolic dysfunction occurs in less than a quarter of patients with severe sepsis or septic shock
3. Regarding critically ill patients with haematological malignancy:

a. ICU survival is largely determined by the underlying haematological malignancy
b. Non-invasive ventilation should not be used outside of critical care
c. A large ICNARC study found in hospital mortality for those admitted to ICU to be 60%
d. It is recommended that patients appropriate for further life extending treatment should be considered for an unrestricted trial of intensive care
e. In septic patients, indwelling catheters should only be removed if there is a positive blood culture from the line
4. Regarding chemotherapy:

a. Patients who have received bleomycin are at lifelong risk of bleomycin-induced lung injury
b. Short periods of high concentration oxygen are safe for patients who have previously received bleomycin
c. Anthracyclines such as doxorubicin can cause life threatening cardiac dysfunction
d. Patients treated with chemotherapy in childhood have 8 to 9 fold increased mortality related to cardiovascular disease later in life
e. Cyclophosphamide is associated with both renal and hepatic dysfunction
5.  Regarding management of the unanticipated difficult airway:

a. A fourth attempt at direct laryngoscopy by a more experienced colleague is permitted
b. If intubation fails, plan B is bag mask ventilation with or without an adjunct
c. Cricoid pressure should be applied during insertion of a supraglottic airway device
d. Scalpel cricothyroidotomy is the emergency front of neck technique of choice
e. Further neuromuscular blockade should not be administered if front of neck access is to be attempted

MCQ Paper No.8

by

Please select True or False for the following questions.


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