NUR 2016: SHOCK, SIRS/SEPSIS, MODS, DIC: TEST
QUESTIONS WITH COMPLETE SOLUTIONS
1) What is does MODs stand for? -- Answer ✔✔ multiple organ dysfunction syndrome
2) What are the two pathways of MODs? -- Answer ✔✔ Primary is a direct result of
well-defined event (i.e., hypoxia event resulting in lack of perfusion) Secondary is a
result of SIRs.
3) The primary pathway of MODs usually occurs within ___ hours. -- Answer ✔✔ 72
4) The secondary pathway of MODs may occur... -- Answer ✔✔ Much later in the
course of illness compared to the primary pathway
5) What are the pathological changes of MODs? -- Answer ✔✔ Uncontrolled systemic
inflammation, tissue hypoxia, unregulated apoptosis
6) What is the Sequential Organ Failure Assessment (SOFA) criteria? -- Answer ✔✔ An
assessment tool that predicts the progression of sepsis.
7) What is on the SOFA criteria? -- Answer ✔✔ Respiratory function (PaO2/FiO2
ratio), cardiovascular function (MAP & vasopressors), coagulation (platelet count),
renal function (Urine output, Cr), CNS function (GSC), liver function (bili)
, 8) What is qSOFA? -- Answer ✔✔ Revised SOFA screening tool that eliminates
invasive data. A positive score is defined as two or more points. (Altered mental
status, SBP < 100, RR >22)
9) What pulmonary systemic changes are seen with MODs? -- Answer ✔✔ ARDs,
increased RR, may need vent support, high oxygen demands
10) What cardiovascular systemic changes are seen with MODs? -- Answer ✔✔
Decreased coronary artery perfusion and contractility, s/s of poor perfusion
11) What renal systemic changes are seen with MODs? -- Answer ✔✔ Decreased
urinary output, may need dialysis
12) What neurological changes are seen with MODs? -- Answer ✔✔ Loss of
consciousness, altered mental status
13) What liver changes are seen with MODs? -- Answer ✔✔ Decrease in clotting
factors, higher instances of hemorrhage
14) What GI changes are seen with MODs? -- Answer ✔✔ Decreased or no peristalsis,
distention, necrosis
15) What hematologic changes are seen with MODs? -- Answer ✔✔ Hypercoagulable
(DVT prophylaxis), increased vessel permeability
16) What is disseminated intravascular coagulation (DIC)? -- Answer ✔✔ Serious
bleeding disorder initiated by widespread, microvascular clotting creating tissue
hypoxia
(You clot clot clot, and because you don't have any clotting factor left you are at risk
of hemorrhaging)
QUESTIONS WITH COMPLETE SOLUTIONS
1) What is does MODs stand for? -- Answer ✔✔ multiple organ dysfunction syndrome
2) What are the two pathways of MODs? -- Answer ✔✔ Primary is a direct result of
well-defined event (i.e., hypoxia event resulting in lack of perfusion) Secondary is a
result of SIRs.
3) The primary pathway of MODs usually occurs within ___ hours. -- Answer ✔✔ 72
4) The secondary pathway of MODs may occur... -- Answer ✔✔ Much later in the
course of illness compared to the primary pathway
5) What are the pathological changes of MODs? -- Answer ✔✔ Uncontrolled systemic
inflammation, tissue hypoxia, unregulated apoptosis
6) What is the Sequential Organ Failure Assessment (SOFA) criteria? -- Answer ✔✔ An
assessment tool that predicts the progression of sepsis.
7) What is on the SOFA criteria? -- Answer ✔✔ Respiratory function (PaO2/FiO2
ratio), cardiovascular function (MAP & vasopressors), coagulation (platelet count),
renal function (Urine output, Cr), CNS function (GSC), liver function (bili)
, 8) What is qSOFA? -- Answer ✔✔ Revised SOFA screening tool that eliminates
invasive data. A positive score is defined as two or more points. (Altered mental
status, SBP < 100, RR >22)
9) What pulmonary systemic changes are seen with MODs? -- Answer ✔✔ ARDs,
increased RR, may need vent support, high oxygen demands
10) What cardiovascular systemic changes are seen with MODs? -- Answer ✔✔
Decreased coronary artery perfusion and contractility, s/s of poor perfusion
11) What renal systemic changes are seen with MODs? -- Answer ✔✔ Decreased
urinary output, may need dialysis
12) What neurological changes are seen with MODs? -- Answer ✔✔ Loss of
consciousness, altered mental status
13) What liver changes are seen with MODs? -- Answer ✔✔ Decrease in clotting
factors, higher instances of hemorrhage
14) What GI changes are seen with MODs? -- Answer ✔✔ Decreased or no peristalsis,
distention, necrosis
15) What hematologic changes are seen with MODs? -- Answer ✔✔ Hypercoagulable
(DVT prophylaxis), increased vessel permeability
16) What is disseminated intravascular coagulation (DIC)? -- Answer ✔✔ Serious
bleeding disorder initiated by widespread, microvascular clotting creating tissue
hypoxia
(You clot clot clot, and because you don't have any clotting factor left you are at risk
of hemorrhaging)
