ICU Fellows Promotional Exam Preparation

3 Questions | Total Attempts: 35

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Standardized Test Quizzes & Trivia

This is a personal efforts while trying to help fellows as much as I can to be well prepared for the promotional exam. Please note this quiz has been designed to allow 3 minutes for each question. Good luck. Ahmed Al-Jabbary.


Questions and Answers
  • 1. 
    A 49-year-old male arrives in the emergency department dyspneic and diaphoretic. He tells the nurse that he had a breating tube placed last year for a bad asthma attack and the doctors told him he had a difficult airway.Which one of the following would be most predictive of a difficult airway?
    • A. 

      Atlanto-occipital joint extension of 35 degree

    • B. 

      Thyromental length of 5 cm

    • C. 

      Mounth opening of 4 cm

    • D. 

      Mandibular length of 9 cm

    • E. 

      Visualization of the soft palate and base of the uvula with maximal opening of the mouth

  • 2. 
    Tow hours after an uneventful anesthetic and tonsillectomy an 18-year-old male, 62 inches (155 cm) tall and weighing 300 lbs (136 kg). He was found in his room choking with blood coming from his mouth. Over the next several minutes, the patient becomes more agitated and is though to have aspirated. He is given oxygen by face mask and pulse oximetry saturation is 82%. Your initial attempt to intubate his trachea bu direct laryngoscopy fails. Which one of the following is the most appropriate for airway control?
    • A. 

      Lighted stylet

    • B. 

      Percutaneous tracheotomy

    • C. 

      Fibrotic endoscopy

    • D. 

      Laryngeal mask airway

    • E. 

      Needle cricothyroidotomy

  • 3. 
    A 59-year-old female was admitted to the hospital with symptoms of severe alcohol withdrawal. She has a past medical history of alcohol-induced cardiomyopathy with an ejection fraction of 25% and chronic obstructive lung disease. Her last measured FEV1 was 35% predicted. Increasing doses of lorazepam was given because of persistent agitation and delirium. One hour after the last dose of lorazepam she was found apneic and without a pulse. Chest compression generated a systolic blood presure of 90 mmHg. The patient was difficult to ventilate by mask and several attempts at tracheal intubation were made by direct laryngoscopy. After the last attempt a disposable colorimeter end-tidal CO2 device was attached to the endotracheal tube. There was an initial color change signifying the presence of CO2 but after 5 breaths by bag ventilation CO2 was no longer detected on subsequent breaths.Which one of the following is the most likely cause of loss of ability to detect end-tidal CO2?
    • A. 

      Esophageal intubation

    • B. 

      Large pulmonary embolism

    • C. 

      Inadequate chest compressions

    • D. 

      Exhaustion of colorimeter CO2 indicator

    • E. 

      Severe bronchospasm