EDAIC Intensive Care Medicine 5

Question 1

Enteral nutrition in mechanically ventilated ICU patients should ideally be started:

Accepted Answer

Within 24–48 hours of ICU admission if hemodynamically stable

Answer

Early enteral nutrition within 24–48 hours reduces infectious complications and mortality in hemodynamically stable ventilated patients.

Question 2

The SOFA score assesses organ dysfunction across how many organ systems?

Accepted Answer

6

Answer

SOFA evaluates 6 organ systems: respiratory, coagulation, hepatic, cardiovascular, neurological (GCS), and renal.

Question 3

Which finding on bedside echocardiography most reliably indicates fluid responsiveness?

Accepted Answer

Respiratory variation in IVC diameter >18% in ventilated patients

Answer

IVC collapsibility (spontaneous breathing) or distensibility (positive pressure ventilation) >18% predicts fluid responsiveness with reasonable sensitivity and specificity.

Question 4

A patient with acute pancreatitis and organ failure is admitted to the ICU. Antibiotic prophylaxis should be given:

Accepted Answer

Only when infected pancreatic necrosis is confirmed or strongly suspected

Answer

Prophylactic antibiotics do not improve outcomes in sterile pancreatitis; they are indicated only when infected necrosis is confirmed or strongly suspected.

Question 5

In the management of massive pulmonary embolism with cardiovascular collapse, the treatment of choice is:

Accepted Answer

Systemic thrombolysis (e.g., alteplase 100 mg over 2 hours)

Answer

Systemic thrombolysis with alteplase is the first-line treatment for massive PE with hemodynamic instability unless contraindicated.

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC Intensive Care Medicine 5