FFICM Evaluations 2 — Questions and Answers
Question 1: Which scoring system specifically quantifies organ dysfunction across six organ systems in ICU patients?
- APACHE II
- SOFA (Correct answer)
- SAPS II
- CPIS
Correct answer: SOFA
The Sequential Organ Failure Assessment (SOFA) score evaluates respiratory, coagulation, hepatic, cardiovascular, neurological, and renal dysfunction.
Question 2: A patient has a GCS of 8, PaO2/FiO2 of 200, creatinine 2.5 mg/dL, bilirubin 2.0 mg/dL, and requires norepinephrine. What is the approximate SOFA score?
- 6-8
- 9-11 (Correct answer)
- 12-14
- 15-17
Correct answer: 9-11
Each component scores 0-4; the described values yield neurological=3, respiratory=2, renal=2, hepatic=1, cardiovascular=2, giving approximately 10-11.
Question 3: The CURB-65 score is used to evaluate severity in which condition?
- Acute pancreatitis
- Community-acquired pneumonia (Correct answer)
- Septic shock
- Acute kidney injury
Correct answer: Community-acquired pneumonia
CURB-65 assesses community-acquired pneumonia severity using confusion, urea, respiratory rate, blood pressure, and age ≥65.
Question 4: In the Glasgow Coma Scale, what is the maximum score for the motor response component?
- 4
- 5
- 6 (Correct answer)
- 7
Correct answer: 6
The motor component is scored 1-6, where 6 = obeys commands and 1 = no motor response.
Question 5: Which tool is most appropriate for assessing delirium in mechanically ventilated ICU patients?
- MMSE
- CAM-ICU (Correct answer)
- PHQ-9
- MOCA
Correct answer: CAM-ICU
The Confusion Assessment Method for the ICU (CAM-ICU) is validated for assessing delirium in non-verbal, mechanically ventilated patients.
Question 6: A RASS score of -3 indicates which level of sedation?
- Unarousable
- Moderate sedation — movement to voice
- Light sedation — eye opening to voice
- Deep sedation — no response to voice but movement to physical stimulus (Correct answer)
Correct answer: Deep sedation — no response to voice but movement to physical stimulus
RASS -3 indicates deep sedation: no response to voice but movement or eye opening to physical stimulation.
Question 7: Which parameter is NOT included in the APACHE II scoring system?
- Temperature
- Mean arterial pressure
- Serum lactate (Correct answer)
- Serum sodium
Correct answer: Serum lactate
APACHE II includes 12 physiological variables but does not include serum lactate; lactate is used in sepsis protocols but not APACHE II.
FFICM Evaluations 2
Which scoring system specifically quantifies organ dysfunction across six organ systems in ICU patients?