FFICM FFICM Organ System Failure and Support

Question 1

Which KDIGO (Kidney Disease: Improving Global Outcomes) criteria define acute kidney injury Stage 1?

Accepted Answer

Serum creatinine rise ≥0.3 mg/dL within 48h or ≥1.5× baseline within 7 days

Answer

Serum creatinine rise ≥2× baseline

Answer

Urine output <0.3 mL/kg/h for 24h

Answer

GFR decrease >50% from baseline

Question 2

In continuous renal replacement therapy (CRRT), which modality uses both convection and diffusion for solute removal?

Accepted Answer

Continuous veno-venous hemodiafiltration (CVVHDF)

Answer

Continuous veno-venous hemofiltration (CVVH)

Answer

Continuous veno-venous hemodialysis (CVVHD)

Answer

Sustained low-efficiency dialysis (SLED)

Question 3

Which electrolyte abnormality most commonly complicates continuous renal replacement therapy requiring supplementation?

Accepted Answer

Hypophosphatemia

Answer

Hyperkalemia

Answer

Hypernatremia

Answer

Hypercalcemia

Question 4

Which scoring system is most commonly used to assess severity and prognosis in acute liver failure?

Accepted Answer

King's College Criteria

Answer

SOFA score

Answer

APACHE II

Answer

Child-Pugh score

Question 5

What is the primary mechanism of hepatic encephalopathy in critically ill patients with liver failure?

Accepted Answer

Accumulation of ammonia and false neurotransmitters impairing cerebral function

Answer

Cerebral infarction from portal hypertension

Answer

Direct viral invasion of neural tissue

Answer

Hypoglycemia-induced neuronal death

Question 6

In acute respiratory distress syndrome (ARDS), what is the Berlin Definition criterion for severe ARDS?

Accepted Answer

PaO2/FiO2 ratio <100 mmHg with PEEP ≥5 cmH2O

Answer

PaO2/FiO2 ratio <200 mmHg with PEEP ≥5 cmH2O

Answer

PaO2/FiO2 ratio <300 mmHg with PEEP ≥5 cmH2O

Answer

SpO2 <88% on FiO2 1.0