Question 1

The gastrointestinal system is a common target organ for MODS related to

Accepted Answer

A)  anorexia. 
B)  limited or absent food ingestion. 
C)  disruption of the mucosal barrier from hypoperfusion. 
D)  a decrease in hydrochloric acid secretion. 
A)  anorexia. 
B)  limited or absent food ingestion. 
C)  disruption of the mucosal barrier from hypoperfusion. 
D)  a decrease in hydrochloric acid secretion.

Question 2

A patient has been on the medical floor for 1 week after a vaginal hysterectomy.A urinary catheter was inserted.Complete blood cell count results have revealed escalating white blood cell counts.The patient is transferred to the critical care unit when her condition deteriorates.Septic shock is diagnosed.The medical management of the patient's condition is aimed toward

Accepted Answer

A)  limiting fluids to minimize the possibility of congestive heart failure. 
B)  finding and eradicating the cause of infection. 
C)  discontinuing invasive monitoring as a possible cause of sepsis. 
D)  administering vasodilator substances to increase blood flow to vital organs. 
A)  limiting fluids to minimize the possibility of congestive heart failure. 
B)  finding and eradicating the cause of infection. 
C)  discontinuing invasive monitoring as a possible cause of sepsis. 
D)  administering vasodilator substances to increase blood flow to vital organs.

Question 3

One theory suggests that organ dysfunction in MODS occurs in a sequential or progressive pattern.Place the following organs in the order in which they are affected:
1)Bone marrow
2)Cardiac
3)Gut
4)Kidneys
5)Liver
6)Lungs

Accepted Answer

A)  6, 5, 2, 1, 3, 4 
B)  5, 4, 6, 1, 2, 3 
C)  6, 5, 3, 4, 2, 1 
D)  6, 3, 4, 5, 2, 1 
A)  6, 5, 2, 1, 3, 4 
B)  5, 4, 6, 1, 2, 3 
C)  6, 5, 3, 4, 2, 1 
D)  6, 3, 4, 5, 2, 1

Question 4

A patient has been on the medical floor for 1 week after a vaginal hysterectomy.A urinary catheter was inserted.Complete blood cell count results have revealed escalating white blood cell counts.The patient is transferred to the critical care unit when her condition deteriorates.Septic shock is diagnosed.A pulmonary artery catheter is placed.Which of the following hemodynamic values would you expect to find?

Accepted Answer

A)  Cardiac output of 8 L/min 
B)  Right atrial pressure of 17 mm Hg 
C)  Pulmonary artery wedge pressure of 23 mm Hg 
D)  Systemic vascular resistance of 1100 
A)  Cardiac output of 8 L/min 
B)  Right atrial pressure of 17 mm Hg 
C)  Pulmonary artery wedge pressure of 23 mm Hg 
D)  Systemic vascular resistance of 1100

Question 5

Shock syndrome can best be described as a

Accepted Answer

A)  physiologic state resulting in hypotension and tachycardia. 
B)  generalized systemic response to inadequate tissue perfusion. 
C)  degenerative condition leading to death. 
D)  condition occurring with hypovolemia that results in irreversible hypotension. 
A)  physiologic state resulting in hypotension and tachycardia. 
B)  generalized systemic response to inadequate tissue perfusion. 
C)  degenerative condition leading to death. 
D)  condition occurring with hypovolemia that results in irreversible hypotension.

Question 6

A vasoconstrictor used to treat shock is

Accepted Answer

A)  adrenaline. 
B)  Nipride. 
C)  Dobutrex. 
D)  adenosine. 
A)  adrenaline. 
B)  Nipride. 
C)  Dobutrex. 
D)  adenosine.

Question 7

The key to treatment of septic shock is finding the cause of the infection.Which of the following cultures are obtained before antibiotic therapy is initiated?

Accepted Answer

A)  Blood cultures x 2 
B)  Wound cultures 
C)  Urine cultures 
D)  Sputum cultures 
E)  CBC with differential 
A)  Blood cultures x 2 
B)  Wound cultures 
C)  Urine cultures 
D)  Sputum cultures 
E)  CBC with differential

Question 8

Which of the following clinical manifestations is not suggestive of systemic inflammatory response syndrome (SIRS)?

Accepted Answer

A)  Temperature of 37.5° C 
B)  Heart rate of 95 beats/min 
C)  Respiratory rate of 24 breath/min 
D)  White blood cell (WB
C)  count of 15,000 cells/mm3 
A)  Temperature of 37.5° C 
B)  Heart rate of 95 beats/min 
C)  Respiratory rate of 24 breath/min 
D)  White blood cell (WB
C)  count of 15,000 cells/mm3

The gastrointestinal system is a common target organ for MODS related to

One theory suggests that organ dysfunction in MODS occurs in a sequential or progressive pattern.Place the following organs in the order in which they are affected: 1)Bone marrow 2)Cardiac 3)Gut 4)Kidneys 5)Liver 6)Lungs

Shock syndrome can best be described as a

A vasoconstrictor used to treat shock is

The key to treatment of septic shock is finding the cause of the infection.Which of the following cultures are obtained before antibiotic therapy is initiated?

Which of the following clinical manifestations is not suggestive of systemic inflammatory response syndrome (SIRS)?

Caring for the Critically Ill Patient

Ethical and Legal Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Gerontological Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Hematologic Disorders and Oncologic Emergencies

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Exam 26: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

The gastrointestinal system is a common target organ for MODS related to

One theory suggests that organ dysfunction in MODS occurs in a sequential or progressive pattern.Place the following organs in the order in which they are affected: 1)Bone marrow 2)Cardiac 3)Gut 4)Kidneys 5)Liver 6)Lungs

Shock syndrome can best be described as a

A vasoconstrictor used to treat shock is

The key to treatment of septic shock is finding the cause of the infection.Which of the following cultures are obtained before antibiotic therapy is initiated?

Which of the following clinical manifestations is not suggestive of systemic inflammatory response syndrome (SIRS)?

Caring for the Critically Ill Patient

Ethical and Legal Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Gerontological Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Hematologic Disorders and Oncologic Emergencies

Filters