UPMC Critical Care Class Exam with
Complete Solutions
When assessing CN VIII on your patient who was found down, but now awake. You are
concerned if: Patient states "I can't smell"
Pupils are WNL
Has no cough reflex
Patient has balance issues - ANSWER-Patient has balance issues
Myocardial oxygen demand would be increased in the person who is:
Sleeping
Sprinting on the treadmill at the gym
OOB to chair, performing mindfulness exercises
Having a nice conversation with Family/Friends - ANSWER-Sprinting
When you assess Mr. Business, you notice bubbling in the water seal chamber, what's
happening? hemothorax
air leak
cancer
tamponade - ANSWER-Air leak
Mr. C is a 29 year old with DM. BG 852, K 6.5, Na 155. What is the first goal of
treatment?
Correction of his elevated blood sugar
Correction of his elevated potassium
Correction of his fluid volume deficit
Correction of his acidosis - ANSWER-Fluid volume deficit
Mr. G's ABG is as follows: pH 7.05/ PCO2 79/Bicarb 22. Interpretation?
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis - ANSWER-Respiratory acidosis
How do we calculate the CPP for a patient with a BP 165/78 and ICP 12?
CPP = MAP - ICP
MAP - CPP - ICP
СРР= DCIP -МАР
IСP - СРР-МАР - ANSWER-CPP = MAP - ICP
What 3 behaviors does the Glascow Coma Scale test?
, Eye opening response, Best Verbal Response, Best motor response
Eye opening response, LOC, Best Verbal response
LOC, Best Verbal response, Posturing
LOC, Eye opening, Verbal and Motor Response - ANSWER-Eye opening, Best Verbal
Response, Best motor response
Initial stroke management includes all except:
serum glucose
establish the last known time well
perform NIHSS/Neurologic exam
Take patient immediately to MRI - ANSWER-Take patient immediately to MRI
Mr R. has an ETT. On assessment, you ask if his breathing is ok, audibly he says "yes":
Perform a PLR
Change ventilator mode to Assist Control
notify the physician stat
check the functioning of the cuff - ANSWER-I check the functioning of the cuff
The high pressure alarm on a ventilator will not be triggered by:
biting the tube
possible pneumothorax
disconnection from the ventilator
who cares, just silence the alarm and - ANSWER-disconnection from the ventilator
Which is incorrect in the VAE/VAP bundle?
Sedation Interruption
Spontaneous Breathing Trial
Hand Hygiene
Mouth care only once ETT is removed - ANSWER-Mouth care only once ETT is
removed
Drug options for sedation/pain management in the ICU patient include all except:
Fentanyl
Lorazepam
Nimbex
Morphine - ANSWER-Nimbex
Which of the following is the rationale for immediate treatment of hypertensive crisis?
Decrease permanent end-organ damage
increase fundoscopic findings
promote increase in sympathetic nervous system
preserve lung function activity - ANSWER-Decrease permanent end-organ damage
During neurologic assessment, how should painful stimuli be applied to initiate a
response?
Nailbed pressure for max 30 sec
Complete Solutions
When assessing CN VIII on your patient who was found down, but now awake. You are
concerned if: Patient states "I can't smell"
Pupils are WNL
Has no cough reflex
Patient has balance issues - ANSWER-Patient has balance issues
Myocardial oxygen demand would be increased in the person who is:
Sleeping
Sprinting on the treadmill at the gym
OOB to chair, performing mindfulness exercises
Having a nice conversation with Family/Friends - ANSWER-Sprinting
When you assess Mr. Business, you notice bubbling in the water seal chamber, what's
happening? hemothorax
air leak
cancer
tamponade - ANSWER-Air leak
Mr. C is a 29 year old with DM. BG 852, K 6.5, Na 155. What is the first goal of
treatment?
Correction of his elevated blood sugar
Correction of his elevated potassium
Correction of his fluid volume deficit
Correction of his acidosis - ANSWER-Fluid volume deficit
Mr. G's ABG is as follows: pH 7.05/ PCO2 79/Bicarb 22. Interpretation?
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis - ANSWER-Respiratory acidosis
How do we calculate the CPP for a patient with a BP 165/78 and ICP 12?
CPP = MAP - ICP
MAP - CPP - ICP
СРР= DCIP -МАР
IСP - СРР-МАР - ANSWER-CPP = MAP - ICP
What 3 behaviors does the Glascow Coma Scale test?
, Eye opening response, Best Verbal Response, Best motor response
Eye opening response, LOC, Best Verbal response
LOC, Best Verbal response, Posturing
LOC, Eye opening, Verbal and Motor Response - ANSWER-Eye opening, Best Verbal
Response, Best motor response
Initial stroke management includes all except:
serum glucose
establish the last known time well
perform NIHSS/Neurologic exam
Take patient immediately to MRI - ANSWER-Take patient immediately to MRI
Mr R. has an ETT. On assessment, you ask if his breathing is ok, audibly he says "yes":
Perform a PLR
Change ventilator mode to Assist Control
notify the physician stat
check the functioning of the cuff - ANSWER-I check the functioning of the cuff
The high pressure alarm on a ventilator will not be triggered by:
biting the tube
possible pneumothorax
disconnection from the ventilator
who cares, just silence the alarm and - ANSWER-disconnection from the ventilator
Which is incorrect in the VAE/VAP bundle?
Sedation Interruption
Spontaneous Breathing Trial
Hand Hygiene
Mouth care only once ETT is removed - ANSWER-Mouth care only once ETT is
removed
Drug options for sedation/pain management in the ICU patient include all except:
Fentanyl
Lorazepam
Nimbex
Morphine - ANSWER-Nimbex
Which of the following is the rationale for immediate treatment of hypertensive crisis?
Decrease permanent end-organ damage
increase fundoscopic findings
promote increase in sympathetic nervous system
preserve lung function activity - ANSWER-Decrease permanent end-organ damage
During neurologic assessment, how should painful stimuli be applied to initiate a
response?
Nailbed pressure for max 30 sec
