2013 critical care board review (board certific steve marvel

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INTRODUCTION

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CriticalCare
EditedbyThomasHill
KnowledgeTestingBookID:MD_CRITICAL_CARE


TableofContents
Introduction
Section1(Questions1-200)
Section2(Questions201-400)
Section3(Questions401-600)
Section4(Questions601-800)
Section5(Questions801-1000)
Section6(Questions1001-1200)

Section7(Questions1201-1400)
Section8(Questions1401-1600)
Section9(Questions1601-1800)
Section10(Questions1801-2000)
AboutKnowledgeTesting



Section1
Question1:Howisradiationintensityrelatedtodistance?
Choices:
1. Directlyproportional
2. Inverseproportional
3. Half
4. Inverselyrelatedtothesquare


Answer:4-Inverselyrelatedtothesquare
Explanations:
Radiationintensitydecreaseswiththesquareofdistance
Gotothenextpageifyouknewthecorrectanswer,orclickthelinkimages
belowtofurtherresearchtheconceptsinthisquestion(ifdesired).

ResearchConcepts:
RadiationPhysics:

Tapflagtoreportanyproblemswiththisquestion.


Question2:Whatistheleastimportantassessmentimmediatelyafter
laminectomy?

Choices:
1. Pulserate
2. Evidenceofaninfection
3. Evidenceofbleeding
4. Neurologicalstatus


Answer:2-Evidenceofaninfection
Explanations:
Postlaminectomycanresultinspinalnervecompression
Neurologicalstatusmustbemonitored
Monitoringvitalsignsandsurgicalsiteareimportant
Infectionisnotamajorconcernintheimmediatepostoperativeperiod
Gotothenextpageifyouknewthecorrectanswer,orclickthelinkimages
belowtofurtherresearchtheconceptsinthisquestion(ifdesired).

ResearchConcepts:
Laminectomy:





Tapflagtoreportanyproblemswiththisquestion.

Question3:Caregiversusuallyprescribetotalparenteralnutritionforwhat
timeperiod:

Choices:
1. Twoweeks
2. Fiveweeks
3. Eightweeks
4. Tenweeks


Answer:1-Twoweeks
Explanations:
TPNisnormallygivenfortwo-threeweeks
Itisnotusuallyindicatedforshort-termreplacementsuchasafewdays
Gotothenextpageifyouknewthecorrectanswer,orclickthelinkimages
belowtofurtherresearchtheconceptsinthisquestion(ifdesired).

ResearchConcepts:
TotalParenteralNutrition:





Tapflagtoreportanyproblemswiththisquestion.


Question4:WhatisnotafeatureonanECGinapatientwithatrial

fibrillation?

Choices:
1. AbsentPwaves
2. Irregularventricularrate
3. Rapidoscillationfwaves
4. WideQRS


Answer:4-WideQRS
Explanations:
ECGinapatientwithatrialfibrillationwillshowabsentPwaves,
irregularlyirregularheartrateandrapidoscillationfwaves
Theventricularresponseisusuallyirregularinatrialfibrillation
TheQRSisnormalinpatientswithatrialfibrillation;otherwise,therhythm
wouldbesimilartoventricularfibrillation
Gotothenextpageifyouknewthecorrectanswer,orclickthelinkimages
belowtofurtherresearchtheconceptsinthisquestion(ifdesired).

ResearchConcepts:
AtrialFibrillation:





Tapflagtoreportanyproblemswiththisquestion.


Question5:Spherulesarecommonlyassociatedwith:

Choices:
1. Histoplasmosis
2. Coccidioidomycosis
3. Nocardia
4. Candida


Answer:2-Coccidioidomycosis
Explanations:
Coccidioidomycosisisadimorphicfungusendemictosouthernareasof
ArizonaandCentralAmerica.Theorganismgrowsinsoilandwhen
inhaledcantransformintomultinucleatedspherules
FilipinoshavethehighestriskofC.immitisprimarilybecausetheywork
outsideinthegardens.Themajorityofinfectionsinhealthypeopleare
asymptomatic
Typicalfindingsarepulmonarynodulescavitarylesionsand
pneumothorax.Directexaminationofspecimenforspherulesisthemost
rapidmethodofdiagnosis.
Ingeneral,onlysymptomaticpatientsneedtreatment.Thosewhohave
weightloss,nightsweats,lunginfiltratesoradenopathyneedtobetreated
withanantifungalagent
Gotothenextpageifyouknewthecorrectanswer,orclickthelinkimages
belowtofurtherresearchtheconceptsinthisquestion(ifdesired).

ResearchConcepts:
Coccidioidomycosis:

Tapflagtoreportanyproblemswiththisquestion.


Question6:WhatisthemostcommoncauseofbronchiectasisinNorth
America?

Choices:
1. Tuberculosis
2. Cysticfibrosis
3. Asbestosis
4. Smoking


Answer:2-Cysticfibrosis
Explanations:
CFoccurswithaprevalenceof1in2,500births
CFisthelargestcauseofchroniclunginfectionandbronchiectasisin
NorthAmerica
Gotothenextpageifyouknewthecorrectanswer,orclickthelinkimages
belowtofurtherresearchtheconceptsinthisquestion(ifdesired).

ResearchConcepts:
Bronchiectasis:

CysticFibrosis:

Tapflagtoreportanyproblemswiththisquestion.


Question7:WhichofthefollowingisNOTanemergenttreatmentofacute
MI?

Choices:
1. Intranasaloxygen
2. Chewableaspirin
3. Cholesterolmeasurement
4. Atenolol


Answer:3-Cholesterolmeasurement
Explanations:
Lipidprofilesdrawnduringtheacuteeventdonotaltertreatment
Intranasaloxygen,beta-blockers,andchewableaspirinaremeasuresthat
areneededurgently
Immediateactionsareaimedtoreducethedegreeofischemia
Gotothenextpageifyouknewthecorrectanswer,orclickthelinkimages
belowtofurtherresearchtheconceptsinthisquestion(ifdesired).

ResearchConcepts:
AcuteMyocardialInfarction:

Tapflagtoreportanyproblemswiththisquestion.


Question8:Whichofthefollowinglungdiseasescanbeassociatedwith
fingerclubbing?

Choices:
1. Asthma
2. COPD
3. Pneumonia
4. Tuberculosis


Answer:2-COPD
Explanations:
Theexactmechanismoffingerclubbingisunknown
LungdiseasesassociatedwithfingerclubbingincludeCOPD,lungcancer,
cysticfibrosis,andbronchiectasis
Cyanoticcongenitalheartdiseasesarealsoassociatedwithclubbing
GIdisorderssuchasceliacdisease,Crohn'sdiseaseandcirrhosiscancause
clubbing
Gotothenextpageifyouknewthecorrectanswer,orclickthelinkimages
belowtofurtherresearchtheconceptsinthisquestion(ifdesired).

ResearchConcepts:
Nails,Clubbing:

Tapflagtoreportanyproblemswiththisquestion.


Question9:Therapyforhyperglycemiccomainvolvesallofthefollowing,
except:

Choices:
1. IVglucose
2. Regularinsulin
3. Fluids
4. Bicarbonate