I.C.

U Pretest 1
1.Mention one example of specific treatment of hypovolemic shock:---------2.and cardiogenic shock---------------3.and anaphylactic shock---------------4.and septic shock-----------5.Mention 2 mediators inhibitors used in the management of septic shock ------6. --------------7. Mention 2 classes of drugs used for cardiovascular shock patients---------8. ----------------9. Mention 2 indications of mechanical ventilation in respiratory failure------10. --------------11. Mention 2 complications of mechanical ventilation ------------12. ----------------13. In type 2 respiratory failure blood gas analysis reveals -----------P02 14. and-------------Pco2 15. In type 1 respiratory failure blood gas analysis reveals------------p02 16. and --------------Pco2 17. Normal PH ranges from -----------------18. Oxygen saturation means ------------19. Normal range of oxygen saturation is --------20. Acidosis shifts oxygen dissociation curve to the --------which causes hemoglobin to 21. Leave o2 at higher or lower P02 --------------22. Most important cause of type 1 respiratory failure--------23. Change in --------------- represents respiratory acid-base disorder

24. Change in --------------- represents metabolic acid-base disorder 25. Normal serum potassium is------26. Normal serum sodium is-------------27. In metabolic acidosis Pco2 is-----------28. Increased PCo2 in metabolic acidosis is caused by -----------29. Critical values of Pulse ----------------30. Blood pressure ------------------31. Respiratory rate ---------------32. Commonest complication in ICU is ----------------33. Its prevention ----------------34. Type of Coma scale used -------------- and its 3 parameters 35. 1st parameter----------------36. 2nd parameter---------------37. 3rd parameter------------------38. Site of cardiac compression-------------------39. Patient with congested neck veins, most probably which type of shock----40. Site of checking of pulsation -------41. Found person lying in the street, unresponsive, after checking breathing , Next step is ---------42. And get a -----------------43. What is the type of this rhythm: ------------

44. Is it shockable ? ------------

45. Type of this rhythm-------------.

46. Treatment -----------------47. Mention anatomical site of central cyanosis-------------48. Peripheral cyanosis-------------49. Central venous pressure------------50. Definition of Pa02------------51. Pco2---------------52. What is level serum HCo3 -------------? 53. Normal PH-------------54. Mention 3 causes of hyperkalemia are -----------------55. ----------------56. ----------------57. Mention 2 drugs causing hypokalemia are---------------58. ---------------59. Mention 3 causes of metabolic acidosis are --------------------60. ---------------61. ---------------62. Mention 2 causes of metabolic alkalosis are ----------------63. ----------------

N.B 1. Study normal values of vitals and all normal values in ICU 2. Questions may be repeated in the same idea like being asked of different ECGs ED3OOLY Made by:Amino This questions where updates by Mohamed Hassan,menna shamma,Yomna galal

Answers for Pretest 1:

1- IV fluid 2- + ve inotropes 3- Corticosteroids 4- IV antibiotics 5- Steriods 6- Activated protein C 7- +ve inotropes 8- Vasopressors 9- Shock 10- Coma 11- Infection (pneumonia ( 12- Barotraumas 13- Decreased 14- Increased 15- Decreased 16- normal or decreased 17- 7.35 7.45 18- o2 carrying Hb in the blood 19- 95 100 % 20- Right 21- Higher 22- Pneumonia 23- PCO2 24- HCO3 25- 3.5 5 mmol / l 26- 135 145 mmol / l 27- Decreased 28- Associated respiratory depression ( BUT NOT SURE ) 29- > 130 or < 45 / min 30- Systolic > 200 or < 80 mmHg, Diastolic > 120 or < 55 mmHg 31- > 26 or < 12 / min 32- Sepsis 33- Antibiotics 34- Glascow coma scale 35- Eye opening 36- Verbal response

37- Motor response 38- Lower part of sternum 39- Obstructive 40- Carotid Artery 41- Code blue 42- DC 43- VT (Ventricular Tachycardia). 44- Yes 45- Asystole 46- CPR with IV adrenaline 47- Tongue 48- Fingers and mucous membranes (lips) 49- 5 8 mmH20 50- Partial pressure of O2 that is dissolved in the arterial blood 51- Partial pressure of CO2 that is dissolved in the arterial blood 52- 22-26 mmol / l 53- 7.35 -7.45 54- Metabolic acidosis 55- Renal failure 56- Beta blockers 57- B2 agonists 58- Thiazides 59- Diabetic ketoacidosis 60- Shock 61- Salicylate toxicity 62- Excessive vomiting 63- Excess intake of NaHCO3

I.C.U Pretest 2
1. You found a man lying on the ground and after finding him unresponsive with no breath movement next thing to do is ___cold blue___________ & get a 2. _____________dc_____ 3. Acidosis shifts the Oxygen-Hb dissociation curve to the _right___________ 4. What is the most imp complication in an ICU patient? __sepsis _________ 5. How can we prevent it ____antibiotics________ Mention normal values 6. Serum Sodium: ___135 to 145____ 7. Serum Potassium: ___3.5 to 5______ 8. Serum HCO3:____22 to 26_______ 9. pH:______7.35 to 7.45______ 10. Blood O2 Saturation:____95 to 100%_______ 11. Partial pressure of arterial CO2:___35 to 45 _______ 12. Partial pressure of arterial O2:_____80 t0 100_____ 13. Temperature: ____36.5 to 37.5________ 14. Respiratory rate: ______12 to 20______ 15. Pulse: ____60 to 100/min_______ Fill in the blank with one of the words below O2 saturation Metabolic acidosis Respiratory failure PO2 Respiratory alkalosis shock

16. ______________is a disorder characterized by decrease in PCO2 17. ______________is a disorder characterized by decrease in PO2 18. ______________is a measure of O2 carrying on Hb.

19. ______________is a disorder characterized by tissue hypoperfusion. 20. ______________is a disorder characterized by decrease HCO3 in the Blood 21. ______________is a measure of O2 dissolved in the arterial blood Describe the anatomical site for: 22. Cardiac massage:_________ 23. Artery used to assess pulselessness: ____________ 24. Assessment of central cyanosis: _____________ 25. Assessment of peripheral cyanosis: _____________ 26. Assessment of central venous pressure: _____________ Mention the three indications for mechanical ventilation: 27. _________________________________________ 28. ___________________________________________ 29. ____________________________________________ Mention two complications for mechanical ventilation: 30. _______________________________________ 31. ______________________________________ Mention whether the following parameters are increased, decreased or unchanged: 32. In case of type I respiratory failure, PO2 ______________ 33. PCO2 _______________ 34. In case of type II respiratory failure, PO2 ___________ 35. PCO2 _______________ 36. In case of metabolic acidosis, HCO3 level is _________ 37. PCO2___________________ 38. In case of respiratory acidosis, HCO3 level is ___________ & & & &

39. PCO2___________________ Match column A with column B: 40. Heart rate in ventricular tachycardia 41. Respiratory rate in ARDS 42. Blood pressure in shock 43. Glasgow coma scale in deep coma 44. Hypothermia Match type of shock with their specific treatment 45. Hypovolemic 46. Cardiogenic 47. Anaphylactic 48. Septic Corticosteroids Inotropes Antimicrobials IV fluid <5 < 36.5 > 250 > 28 ..

A 65 year old woman develops diffuse infiltrations in the lungs in chest x-ray after an episode of bacteremia related to a urinary tract infection, after an ABG of pH 7.46, PO2 54, PCO2 21 the patient deteriorated and she was incubated and placed on mechanical ventilation. 49. What type of respiratory failure is this?__________________ 50. What is the most likely cause in the above case?_____________________

Answers for Pretest 2:

1- Code blue 2- DC 3- right 4- sepsis 5- Hand washing & isolation. Prophylactic antibiotics maybe used. 6- 135-145 mmol / l 7- 3.5-5 mmol / l 8- 22-26 mmol / l 9- 7.35 7.45 10- 95 100 % 11- 35-45 mmHg 12- 80 100 mmHg 13- 36.5 37.2 o C

14- 12 20 /min 15- 60 100 /min 16- respiratory alkalosis 17- Respiratory failure 18- O2 saturation 19- Shock 20- Metabolic acidosis 21- PO2 22- lower part (end) of sternum 23- carotid artery 24- tongue 25- fingers and mucous membranes (lips) 26- Internal jugular vein 27- Shock 28- Tachypnea > 36 /min 29- coma 30- infection (pneumonia) 31- barotrauma (pneumothorax) 32- Decreased 33- Normal or decreased 34- decreased 35- increased 36- decreased 37- decreased 38- increased 39- increased 40- > 250 41- > 28 42- ?? 43- < 5 44- < 36.5 45- IV fluid 46- inotropes 47- corticosteroids 48- antimicrobials 49- type 1 respiratory failure 50- ARDS due to pneumonia

The Answers for both pretests are made by your colleges . GOOD LUCK