SRU 7719

D.M. CRITICAL CARE DEGREE EXAMINATION, DECEMBER 2007

GENERAL PRINCIPLES AND PRACTICE OF

CRITICAL CARE AND RESUSCITATION

Time : 3 hours Maximum marks : 100

Answer ALL questions

Define non-invasive ventilation (NIV).

What are the:
(i) Indications
(ii) Contraindications
(iii) Predictors of success or failure
(iv) Mechanisms of benefit
(v) Role in weaning including prevention and management of extubation failure
(30)

2. A previously healthy 20-year-old male is admitted to your intensive care

unit (ICU) with head injury following a road traffic accident. The nurse
who is taking care of the patient informs you that .she thinks that the
patient is Brain Dead'. Discuss in detail the steps you would take to:
(i) confirm brain death
(ii) declare brain death
(iii) retrieve organs from t h s potential donor
(iv) withdrawal of life support

Give a brief account of:

3. Prevention of contrast-induced nephropathy

4. Delirium in the ICU

5. Algorithmic approach to difficult airway management

6. SpeciaI considerations while performing cardiopulmonary resuscitation (CPR) in a

(i) Pregnant woman
(ii) Six year old child
 SRU 5335

D.M. CRITICAL CARE DEGREE E X P L J A T I O N , JUNE 2008

GENERAL PRINCIPLES AND PRACTICE OF

CRITICAL CARE AND RESUSCITATION

Time : 3 hours Maximum marks : 100

Answer ALL questions

A 45-year old patient with bronchial asthma is admitted with an exacerbation and
has significant bronchospasm on auscultation.
Discuss the following:
a) Indications and role of steroids and antibiotics
b) Indications for mechanical ventilation and strategies to be
adopted while ventilating this patient
c) While mechanically ventilating the patient how would you
measure intrinsiclauto PEEP
d) Outline potential hemodynamic complications of intrinsic PEEP
and strategies that you could adopt to reduce auto PEEP

2. Describe principles in the management of a patient with polytrauma.

Give a brief account o f :

3. Gastric stress ulcer prophylaxis

4. Clinical features of snake envenomation, and dose, value and

limitations of anti snake venom therapy

5. Extubation predictors

6. Scoring systems for assessment of sedation and agitation

 SRU 9547

D.M. CRITICAL CARE DEGREE EXAMINATION, JUNE 2009

GENERAL PRINCIPLES AND PRACTICE OF

CRITICAL CARE AND RESUSCITATION

Time : 3 hours Maximum marks : 100

Answer ALL questions

1. Give an account of surviving sepsis guidelines 2008.

2. Discuss the recent advances in resuscitation and

post resuscitation care pertaining to
(a) Sudden cardiac arrest
(b) Trauma

Write brieflv on:

3. Viral haemorrhagic fevers

4. Vasopressors

5. Slow low efficiency daily dialysis

6. Management of right heart failure

 SRU 10825

D.M. CRITICAL CARE DEGREE EXAMINATION, JUNE 2010

PAPER-I1

GENERAL PRINCIPLES AND PRACTICE OF

CRITICAL CARE AND RESUSCITATION

Time : 3 hours Maximum marks : 100

Answer ALL questions

1. Discuss the pathogenesis, prevention and diagnosis of

central-line related blood stream infection.

2. Explain the pathophysiology and clinical features of

severe organophosphorus poisoning.
Discuss the general management, critical care support and the
definitive treatment currently recommended for organophosphorus poisoning.
(30)

Write briefly on:

3. Heparin induced thrombocytopaenia

4. Activated factor VII

5. Management of heat stroke

I

6. Diagnostic approaches in ventilator associated pneumonia