Pyrexia - PACT - ESICM

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Self-assessment SELF-ASSESSMENT EDIC-style Type K 1. Clinical signs or measurements associated with fever include: A. Rigor B. Increased oxygen consumption C. Decreased energy expenditure D. Tachycardia 2. Fever in a patient on the second day after major trauma: A. Is a common phenomenon B. Is abnormal when it occurs C. Is a strong indication of an infection D. Usually does not exceed 38.5 C 3. Fever above 39 C in a patient with head injury A. Is normal and does not need treatment B. May increase cerebral damage C. Should immediately be treated with broad-spectrum antibiotics D. Acetaminophen (paracetamol) is the first treatment of choice 4. Clinical manifestations of heat stroke include A. Core temperature above 42 C required for diagnosis B. Reduced consciousness C. Convulsions D. Hypertension 5. The Neuroleptic Malignant syndrome is caused by: A. Mutation in calcium channels of sarcoplasmatic reticulum B. Excessive stimulation of beta receptors in the musculature C. Drug-induced blockade of dopamine receptors D. Inactive Na/K channels in myocytes 6. Safe drugs to use in a patient at risk of malignant hyperthermia include: A. Thiopentone (thiopental) B. Propofol C. Succinylcholine D. Lignocaine 7. Important pathways responsible for increasing heat production and temperature include: A. Activation of arachidonic acid metabolites B. Down-regulation of prostaglandin levels C. Activation of α receptor activity D. Increase in cyclo-oxygenase-2 (COX-2) pathway activity [46]
Self-assessment EDIC-style Type A 8. The definition of fever in an ICU patient is temperature above: A. 38.0 B. 38.3 C. 38.5 D. 38.8 E. 39.0 9. The part of the brain mainly involved in the pathogenesis of fever is: A. Hypothalamus B. Hippocampus C. Cerebellum D. Pons E. The 4th ventricle 10. Core temperature is measured in all of the following anatomical sites EXCEPT the: A. Pulmonary artery B. Bladder C. Oesophagus D. Rectum E. Femoral artery 11. Non-infective causes of fever in an ICU patient include all of the following EXCEPT: A. Thromboembolism B. Drugs C. Central venous catheter D. Myocardial infarction E. Acute pancreatitis 12. Central venous catheter (CVC)-related sepsis is a frequent cause of sudden fever in the ICU. This complication is most commonly reported to occur at a rate of: A. 0–2 episodes/1000 CVC days B. 2–15 episodes/1000 CVC days C. 16–30 episodes/1000 CVC days D. 30 episodes/1000 CVC days E. 15–20% of CVCs 13. Effective prevention strategies to reduce central venous catheter (CVC)-related sepsis includes all of the following EXCEPT: A. Prophylactic antibiotic intravenously B. Use of alcohol-based skin disinfection C. Use of sterile gloves and gown D. Protocol-based care and maintenance of the CVC E. Antibiotic coating of the CVC [47]
Page 1 and 2: AN ESICM MULTIDISCIPLINARY DISTANCE
Page 3 and 4: LEARNING OBJECTIVES After studying
Page 5 and 6: Introduction INTRODUCTION Thirty pe
Page 7 and 8: Task 1. Assessing and measuring fev
Page 19 and 20: Task 2. Determining the cause of fe
Page 35 and 36: Task 3. Fever in specific categorie
Page 39 and 40: Fever in neurological disease Task
Page 43 and 44: Task 4. Understanding and treating
Page 49: Task 4. Understanding and treating
Page 53 and 54: Self-assessment Self-assessment ans
Page 55 and 56: Patient Challenges Q. Outline the p
Page 57 and 58: Patient Challenges A cardiogenic ca
Page 59 and 60: Patient Challenges Cooling techniqu
Page 61 and 62: syndrome was clear and antibiotics,
Page 63 and 64: Patient Challenges An 18-year-old m
Page 65: Patient Challenges often a transien

Pyrexia - PACT - ESICM

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