FFICM Patient Assessment and Evaluation 3

Question 1

A patient with septic shock has a ScvO₂ of 58%. Which physiological mechanism best explains this finding?

Accepted Answer

Impaired oxygen delivery relative to demand

Answer

ScvO₂ <70% indicates increased oxygen extraction by tissues due to inadequate oxygen delivery relative to metabolic demand.

Question 2

Which clinical scoring tool is specifically validated for predicting ICU mortality and incorporates chronic health evaluation points?

Accepted Answer

APACHE II

Answer

APACHE II (Acute Physiology and Chronic Health Evaluation II) was designed and validated to predict ICU mortality and includes chronic health comorbidity points.

Question 3

A 55-year-old intubated ICU patient has absent cough and gag reflexes, fixed pupils, and no motor response to pain. Which assessment should be performed next to evaluate for brain death?

Accepted Answer

Apnea test after confirming prerequisites

Answer

The apnea test is a mandatory component of brain death determination after clinical criteria are met and confounders are excluded.

Question 4

In an ICU patient with suspected abdominal compartment syndrome, which measurement confirms the diagnosis?

Accepted Answer

Intra-abdominal pressure ≥20 mmHg with new organ dysfunction

Answer

Abdominal compartment syndrome is defined as sustained intra-abdominal pressure ≥20 mmHg associated with new organ dysfunction.

Question 5

Which clinical feature most reliably differentiates neurogenic pulmonary edema from cardiogenic pulmonary edema in a head-injured patient?

Accepted Answer

Temporal association with central nervous system injury

Answer

Neurogenic pulmonary edema characteristically develops rapidly after a CNS insult (e.g., SAH, TBI) in the absence of primary cardiac disease.

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

FFICM Patient Assessment and Evaluation 3