Anästhesie final exam

42)) A pulse may be present in:

43)) Choose the incorrect sentence:

46))Which fluid is contraindicated in the treatment of sepsis:

47)). After diagnosing sepsis antibiotic should be given:

48)). What makes recognizing death due to cardiac reasons difficult?

49.)) Physiological effects of the positive intrathoracic pressures on the cardiovascular system are best characterized by:

50)) Parameters of lung protective ventilation are all expect:

51)) Measuring procalcitonin blood levels in patients at ICU is used in:

54)) Clinical state of a patient diagnosed with septic shock was assessed in the SOFA scale: 10 points at the admission to the ICU, 8 points on the second day, and 6 points on the fourth day. These results indicate:

55)) A 60 year old male patient at the ICU was in the cardiac arrest. 6 minutes of the CPR resulted in the restoration of the circulation.

The patient’s blood gas results: pH 7.18 ; PaCO2 62mmHg ; HCO3 17,5 mmol/L ; PaO2 65 mHg. They indicate:

56)) Which one of the following methods of anesthesia induction might be used in small children?

57)) How long before general anesthesia children should be on an empty stomach?

ACHTUNG! It’s actually (also in the ppt) 4h mothers milk and 2h clear fluids -> there’s no such answer!! —> if it’s on the exam, ask what they mean!!

58)). In a patient with fever, cough, rhonchi and rales over both lungs, increasing dyspnea and necessity of intubation despite ambulatory antibiotic therapy (amoxicillin with calvulanic acid) following diagnostic examinations should be done:

59)) A patient without relevant medical history, who was admitted to the ICU (from home) due to cardiopulmonary insufficiency with temperature of 39 C and purulent cough, was diagnosed with increased number of leukocytes, high PCT and CRP and left sided inflammatory changes in ?????

What antibiotic should be given empirically in community acquired pneumonia?

60)) A 54 year old female patient was admitted to the ICU from the Infectious Diseases Clinic due to cardiopulmonary and kidney insufficiencies during sepsis (with a suspicion of meningitis) without culture results conformation. What antibiotics should be given empirically?

2) The leading cause of cardiac arrest in children is:

3) Brain-stem reflexes include:

4) Which of the following investigations is the most important to perform immediately after hospital admission in a patient with clinical signs of stroke?

5) Acute kidney injury is associated with:

6) The typical pattern of hyperdynamic septic shock is:

7) What is your preferred option?

BP 140/79

Pulse 130

RR 35

audible wheezing

unable to speak full sentence

PH 7,18

PaO2 75mmHg

PaCO2 90mmHg

HCO3 23mmol/L

BE -2 mmol/L

8) Which equation describes Cardiac output (CO)

9) ARDS is characterized by all except:

10) Early phase septic shock is characterized by

11) The initial MAP target values for the treatment of shock should be:

12) Risk of misdiagnosis of brain death according to circulatory criteria is possible in circumstances EXCEPT :

13) *can’t read* Before diagnosis of .....death .....evaluated except

14) Gold standard for the diagnosis of death using confirmatory investigation is:

15) Calculate cerebral perfusion pressure (CPP) based on the following data: HR 75, BP 120/80 (MAP 65), CVP 15, ICP 15, Respiratory rate 25, Minute volume 10 l/min