EDAIC - European Diploma in Anesthesiology and Intensive Care Intensive Care and Emergency Medicine Questions and Answers

Question 1

A 55-year-old patient with sepsis develops moderate-to-severe ARDS, with a PaO2/FiO2 ratio of 110 mmHg.
The patient is ventilated according to a lung-protective strategy (6 mL/kg predicted body weight, plateau pressure < 30 cmH2O).
Which of the following adjunctive therapies has demonstrated the most significant mortality benefit in this patient population?

Accepted Answer

Prone positioning for at least 16 hours per day

Answer

High-frequency oscillatory ventilation (HFOV)

Answer

Inhaled nitric oxide

Answer

Routine administration of high-dose corticosteroids

Question 2

According to the 2021 Surviving Sepsis Campaign guidelines, what is the recommended initial target for mean arterial pressure (MAP) during vasopressor therapy for an adult patient with septic shock?

Accepted Answer

≥ 65 mmHg

Answer

A MAP sufficient to achieve a urine output > 0.5 mL/kg/hr

Answer

75-85 mmHg

Answer

A MAP that normalizes the serum lactate level

Question 3

A 68-year-old patient in the ICU with septic shock is anuric and requires vasopressors to maintain a MAP of 65 mmHg. Laboratory results show severe metabolic acidosis and life-threatening hyperkalemia. Renal replacement therapy is indicated. What is the primary advantage of initiating Continuous Renal Replacement Therapy (CRRT) over intermittent hemodialysis (IHD) for this patient?

Accepted Answer

Improved hemodynamic stability

Answer

More rapid correction of hyperkalemia

Answer

Lower anticoagulation requirement

Answer

Significantly lower cost and complexity

Question 4

A trauma patient with uncontrolled hemorrhage arrives in the emergency department, and the Massive Transfusion Protocol (MTP) is activated. To prevent dilutional coagulopathy and mimic the replacement of whole blood, what is the most widely recommended initial ratio of packed red blood cells (PRBCs) to fresh frozen plasma (FFP) to platelets (PLTs)?

Accepted Answer

1:1:1

Answer

4:2:1

Answer

5:1:1

Answer

10:1:0

Question 5

The Confusion Assessment Method for the ICU (CAM-ICU) is used to diagnose delirium. A positive diagnosis requires the presence of an acute onset or fluctuating course (Feature 1) and inattention (Feature 2). Which of the following is one of the two additional features, where the presence of either one would confirm the diagnosis?

Accepted Answer

Disorganized thinking

Answer

Sleep-wake cycle disturbance

Answer

Psychomotor agitation

Answer

Hallucinations or delusions

Question 6

A 29-year-old patient presents with severe hypotension and bradycardia following an intentional overdose of metoprolol. The condition is refractory to intravenous fluids and atropine. Which of the following therapies should be considered the first-line antidote?

Accepted Answer

Glucagon

Answer

Sodium bicarbonate

Answer

Intravenous lipid emulsion (ILE)

Answer

High-dose insulin euglycemic therapy (HIET)