WorksheetsMODULE II
Total questions: 10
Worksheet time: 20mins
Regarding diabetic ketoacidosis (DKA) which statement is true:
DKA can be diagnosed if a known diabetic patient presents with hyperglycaemia (plasma glucose >180ml/L and a serum bicarbonate of <15mEq/L
A high serum ketone level indicates more severe disease.
When managing a patient with DKA, their usual insulin regime should be stopped but oral antidiabetic medication should be continued.
DKA is deemed to have resolved when urinary ketones are no longer detectable
A 28-year-old woman presents with intentional overdose of 30g of paracetamol. She has also ingested a large quantity of alcohol. Her GCS is initially normal but has fallen to 12 on review 8 hours into her admission. The most likely explanation for this is:
Cerebral oedema
Cerebrovascular accident.
Intracerebral bleed
Uraemia secondary to acute renal failure.
The following are recognised causes of a normal anion gap metabolic acidosis except:
Administration of excess normal saline solution
Addison’s disease
Use of a carbonic anhydrase inhibitor.
Diabetic ketoacidosis.
The following poisons are correctly matched with potential antidotes except:
Methanol = ethanol / fomepizole
Cyanide = sodium thiosulphate
β-blockade = salbutamol
Organophosphates = pralidoxime
The following principle is true regarding the end of life care of intensive care patients :
Any management plan specifying limits of invasive interventions must be reviewed daily
Unanimity amongst the medical and nursing team is necessary before withdrawal of life-sustaining treatment can take place.
The healthcare professional responsible for making the decision about the extent of treatment in a patient lacking capacity should consult with those close to the patient to help reach a decision.
Should an Independent Mental Capacity Advocate be appointed, they assume the responsibility of making the final decision about withdrawal.
A 67-year-old male has a diagnosis of myastheniagravis (MG). Which of the following medications should be avoided to reduce the risk of exacerbation except?
Paracetamol.
Chloroquine
Ciprofloxacin
Tetracycline
The following are examples of severity scoring systems in the intensive care unit EXCEPT
Acute Physiology and Chronic Health Evaluation III (APACHE III)
CT Calcium Score
Sequential Organ Failure Assessment (SOFA).
Mortality Prediction Model (MPM).
In a patient with acute severe tricyclic antidepressant poisoning:
Prolong QT interval
QRS prolongation is a useful prognostic feature and should be routinely measured
1 and 2 both
None of the above
Regarding the prevention and grading of pressure ulcers in the critically ill , is a false statement
Pressure, shear and friction play no role in developing decubitus ulcer
All grade I pressure ulcers have intact skin
The APACHE II score correlates well with the occurrence of pressure ulcers.
Critically ill patients should be turned every 2-3 hours to prevent the development of pressure ulcers, if their clinical condition allows
The following are recognised complications of therapeutic hypothermia except:
Pneumonia
Coagulopathy
Hypoglycaemia
Sepsis
