Critical Care upmc Exam with
Complete Solutions
Myocardial ischemia with subendocardial injury. - ANS-What is the pathophysiology of a
NSTEMI?
1. Statins
2. Beta-blockers
3. ACE Inhibitors ex: Enalapril - ANS-What are 3 discharge medications/first line
therapies for acute coronary syndrome?
V-fib arrhythmia - ANS-What is the most common complication and cause of death post
myocardial infarction?
Low tidal volume
Moderate to high PEEP - ANS-What are the best vent settings for ARDS?
>8 days
interstitial fibrosis and restructuring - ANS-When does the Fibrotic Phase of ARDS start
and what happens in it?
Inattention. - ANS-What is a key feature of delirium?
Hypertension. - ANS-What is the major cause of diastolic heart failure? (HFpEF)?
Dilated Cardiomyopathy (non-ischemic) - ANS-What is the most common form of
cardiomyopathy?
Heart rate. - ANS-What is the major determinant of myocardial oxygen consumption?
The right atrium using the Phlebostatic Axis.
4th ICS @ sternum drawn to side of body.
Midway between anterior & posterior chest. - ANS-Where are central/art lines leveled
to?
1. For continuous real time BP monitoring of unstable pt.
2. If you need multiple ABGs. - ANS-Why do patients need arterial lines? (2 reasons)
1. Obstruction
2. Reduced circulation
3. Renal parenchymal disease - ANS-What are 3 causes of AKI?
Complete Solutions
Myocardial ischemia with subendocardial injury. - ANS-What is the pathophysiology of a
NSTEMI?
1. Statins
2. Beta-blockers
3. ACE Inhibitors ex: Enalapril - ANS-What are 3 discharge medications/first line
therapies for acute coronary syndrome?
V-fib arrhythmia - ANS-What is the most common complication and cause of death post
myocardial infarction?
Low tidal volume
Moderate to high PEEP - ANS-What are the best vent settings for ARDS?
>8 days
interstitial fibrosis and restructuring - ANS-When does the Fibrotic Phase of ARDS start
and what happens in it?
Inattention. - ANS-What is a key feature of delirium?
Hypertension. - ANS-What is the major cause of diastolic heart failure? (HFpEF)?
Dilated Cardiomyopathy (non-ischemic) - ANS-What is the most common form of
cardiomyopathy?
Heart rate. - ANS-What is the major determinant of myocardial oxygen consumption?
The right atrium using the Phlebostatic Axis.
4th ICS @ sternum drawn to side of body.
Midway between anterior & posterior chest. - ANS-Where are central/art lines leveled
to?
1. For continuous real time BP monitoring of unstable pt.
2. If you need multiple ABGs. - ANS-Why do patients need arterial lines? (2 reasons)
1. Obstruction
2. Reduced circulation
3. Renal parenchymal disease - ANS-What are 3 causes of AKI?
