FRCS Critical Care and Emergency 2

Question 1

During a cardiac arrest, the Resuscitation Council UK algorithm recommends administering adrenaline at what dose and frequency for a shockable rhythm?

Accepted Answer

1 mg IV after the third shock, then every 3-5 minutes

Answer

1 mg IV immediately, then every 3-5 minutes

Answer

0.5 mg IV after each shock

Answer

1 mg IV after the first shock only

Question 2

A patient develops tension pneumothorax. What is the immediate emergency treatment before chest drain insertion?

Accepted Answer

Needle decompression in the 2nd intercostal space, midclavicular line

Answer

Urgent CT thorax

Answer

Emergency thoracotomy

Answer

High-flow oxygen and observation

Question 3

What is the initial recommended dose of intravenous amiodarone for a patient in refractory ventricular fibrillation according to the ALS algorithm?

Accepted Answer

300 mg

Answer

150 mg

Answer

600 mg

Answer

900 mg

Question 4

A 60-year-old man is ventilated in ICU with the following settings: FiO2 0.6, PEEP 10 cmH2O, tidal volume 450 ml (6 ml/kg IBW). His plateau pressure is 35 cmH2O. What is the driving pressure?

Accepted Answer

25 cmH2O

Answer

35 cmH2O

Answer

10 cmH2O

Answer

45 cmH2O

Question 5

Which vasopressor is recommended as first-line in the management of septic shock according to the Surviving Sepsis Campaign guidelines?

Accepted Answer

Noradrenaline (norepinephrine)

Answer

Adrenaline (epinephrine)

Answer

Dopamine

Answer

Vasopressin

Question 6

A patient presents to the emergency department with a Glasgow Coma Scale (GCS) score of 8. According to ATLS principles, what airway intervention is indicated?

Accepted Answer

Definitive airway (endotracheal intubation)

Answer

Oropharyngeal airway only

Answer

Nasopharyngeal airway only

Answer

Oxygen via non-rebreather mask only