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Post Test WS IACC-ECHO MCVU 2025

Authored by Rizky Maulyda

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Post Test WS IACC-ECHO MCVU 2025
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10 questions

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1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A 65-year-old male with decompensated heart failure is monitored using a pulmonary artery catheter. His data show: CVP: 16 mmHg PCWP: 24 mmHg CO: 1.9 L/min SVR: 2800 dyn·s/cm⁵ What is the most likely hemodynamic profile?

Hypovolemic shock

Septic shock - early phase

Cardiogenic shock

Obstructive shock due to pulmonary embolism

2.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A 44-year-old female with septic shock on norepinephrine is evaluated for fluid responsiveness. She is on controlled mechanical ventilation. Distensibility index 25%. What is the most appropriate intervention?

Administer fluid bolus

Increase vasopressor dose

Give diuretics

No further intervention needed

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A central venous catheter (CVC) is planned for a 56-year-old man in the ICU for vasopressor support. On physical exam, he has active cellulitis over the right neck. Which of the following is the best course of action?

Proceed with right internal jugular access

Delay catheter placement until infection resolves

Choose left femoral vein for access

Insert catheter through right subclavian vein

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A 50-year-old woman in septic shock is being monitored with an arterial line. Despite MAP of 75 mmHg, she remains tachycardic and oliguric. CVP is 3 mmHg. What is the most likely issue?

Volume overload

Vasoconstriction from norepinephrine

Hypovolemia

Cardiac tamponade

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A 70-year-old patient with diagnose STEMI inferior, has a MAP of 57 mmHg, CVP of 16 mmHg, PCWP of 22 mmHg, and CO of 1.8 L/min, SVR 2800 dyn·s/cm⁵ Which of the following therapies is most appropriate?

Fluid bolus

Vasopressor escalation

Inotropes

Blood transfusion

6.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

60 years old male patient on Mechanical ventilation, Which of the following suggests fluid responsiveness in patient?

IVC collapsibility index < 15%

IVC distensibility index > 18%

LVOT VTI increase < 10% with passive leg raise

IVC diameter > 2.5 cm with no variation

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A 63-year-old male is admitted to the ICU with altered mental status, hypotension (BP 85/50 mmHg), and a history of pneumonia. He is febrile and tachycardic. A bedside transthoracic echocardiogram is performed: LV: Hyperdynamic RV: Normal IVC: Collapsing with respiration (>50%) Pericardial space: No effusion Question: Based on the echo findings, what is the most likely hemodynamic state and appropriate next step?

Cardiogenic shock; start inotropes

Obstructive shock; consider pericardiocentesis

Hypovolemic/septic shock; administer IV fluids

Fluid overload; restrict fluids and start diuretic

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