EDAIC Emergency Medicine 3

Question 1

In the management of status epilepticus, if benzodiazepines fail, which is the preferred second-line agent?

Accepted Answer

Levetiracetam or valproate

Answer

Levetiracetam, valproate, or fosphenytoin are recommended second-line agents for benzodiazepine-refractory status epilepticus per current guidelines.

Question 2

A patient with pulmonary embolism develops cardiac arrest. What is the most appropriate intervention?

Accepted Answer

Systemic thrombolysis with alteplase

Answer

Systemic thrombolysis with alteplase is the recommended treatment for PE-associated cardiac arrest due to rapid administration and availability.

Question 3

Which acid-base disorder is most commonly seen in salicylate (aspirin) poisoning in adults?

Accepted Answer

Mixed respiratory alkalosis and metabolic acidosis

Answer

Salicylates directly stimulate the respiratory center causing respiratory alkalosis, while also producing an organic acidosis, resulting in a mixed pattern.

Question 4

What is the correct needle decompression site for tension pneumothorax using the second intercostal space approach?

Accepted Answer

Second ICS, midclavicular line, above the third rib

Answer

Needle decompression is performed at the 2nd ICS, midclavicular line, above the upper border of the third rib to avoid the neurovascular bundle.

Question 5

In acute upper GI hemorrhage, what is the primary hemodynamic target for initial resuscitation before endoscopy?

Accepted Answer

Restrictive transfusion targeting Hb 7 g/dL

Answer

Restrictive transfusion strategy targeting Hb of 7 g/dL has been shown to improve outcomes in acute upper GI bleeding compared to liberal transfusion.

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC Emergency Medicine 3