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WorksheetsSepsis Quiz
Total questions: 20
Worksheet time: 10mins
How does Rosen’s Emergency Medicine define sepsis?
Infection with fever and leukocytosis
Infection with hypotension
Life-threatening organ dysfunction caused by dysregulated host response to infection
Presence of bacteria in blood
Organ dysfunction in sepsis is identified by which scoring system?
APACHE II
qSOFA
SOFA
NEWS2
A rise in SOFA score of how much defines organ dysfunction?
≥1
≥2
≥3
≥4
Which of the following is NOT part of qSOFA?
Respiratory rate ≥22/min
Altered mental status
Systolic BP ≤100 mmHg
Oxygen saturation <90%
According to Rosen, qSOFA is best used as:
Diagnostic tool
Prognostic tool
Screening tool
Severity scoring system
Which statement about septic shock is CORRECT?
Hypotension responding to fluids
MAP <65 without lactate elevation
Need for vasopressors + lactate >2 mmol/L despite fluids
SBP <90 alone
What is the FIRST priority in suspected sepsis in the ED?
Blood cultures
Antibiotics
Airway, breathing, circulation
Lactate measurement
Recommended initial fluid resuscitation in sepsis is:
10 mL/kg
20 mL/kg
30 mL/kg crystalloid
40 mL/kg colloid
Which fluid is preferred initially according to Rosen?
Normal saline
Colloids
Balanced crystalloids
Dextrose saline
First-line vasopressor in septic shock is:
Dopamine
Epinephrine
Vasopressin
Norepinephrine
Target MAP in septic shock resuscitation is:
≥55 mmHg
≥60 mmHg
≥65 mmHg
≥75 mmHg
Antibiotics in sepsis should ideally be started within:
30 minutes
1 hour
3 hours
After culture reports
Blood cultures should be taken:
After antibiotics
Only if fever present
Before antibiotics, without delaying therapy
Only in ICU
Which lactate level indicates higher mortality risk?
>1 mmol/L
>1.5 mmol/L
>2 mmol/L
>5 mmol/L only
Elevated lactate in sepsis reflects:
Hypoxia only
Liver failure only
Mitochondrial dysfunction and stress response
Dehydration
Steroids are indicated in sepsis when:
All septic patients
Lactate >4 mmol/L
Refractory septic shock requiring vasopressors
Fever persists
Recommended steroid regimen is:
Dexamethasone 8 mg OD
Methylprednisolone 1 g
Hydrocortisone 200 mg/day
Prednisolone oral
Elderly patients with sepsis may present with:
Only high fever
Typical hypotension always
Delirium or falls without fever
Normal lactate always
Which is a common pitfall in sepsis management?
Early antibiotics
Early fluids
Waiting for hypotension before treatment
Source control
Rosen’s key teaching point on sepsis is:
Treat after confirmation
Sepsis is only ICU disease
Treat first, confirm later
Fluids should be conservative
