Surviving Sepsis
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Test used to evalute the Surviving Sepsis Education Program
- 1.It is generally recommended to wait until the patient is Admitted to the ICU before implementing the Severe Sepsis Protocol.
- A.
True
- B.
False
- 2.Blood cultures should be obtained and the first antibiotic administered within three hours of Emergency Department admission.
- A.
True
- B.
False
- 3.Blood cultures are frequently negative in cases of septic shock
- A.
True
- B.
False
- 4.The goal of the Surviving Sepsis Campaign is to reduce the global mortality rate from Severe Sepsis.
- A.
True
- B.
False
- 5.Questions 5 and 6 refer to the following case.A 70-yesr-old man presents to the emergency department with a 2-day history of fever, chills, cough, and right sided pleuritic chest pain. On the day of admission, the patient's family noted that he was more lethargic and dizzy and was falling frequently. The patient's vital signs are: temperature, 101.5 F; heart rate, 120 bpm; respiratory rate, 30 breaths/min; blood pressure, 70/35mm hg; and oxygen saturation as measured by pulse oximetry, 80% without oxygen. A chest x-ray shows a righth lower lobe infiltrate.The patient's condition can be best defined as which of the following?
- A.
Multi-organ dysfunction syndrome
- B.
Sepsis
- C.
Septic shock
- D.
Severe sepsis
- 6.What is the first step in the initial management of this patient?
- A.
Antibiotic therapy
- B.
Intravenous (IV) fluid resuscitation
- C.
Supplemental oxygen and airway management
- D.
Vasopressor therapy with dopmaine
- 7.Severe sepsis may be manifested as:
- A.
Altered mental status
- B.
Lactic acidosis
- C.
Oliguria
- D.
All of the above
- 8.Which of the following statements regarding blood cultures and antibiotics is false?
- A.
Begin with a broad-spectrum antibiotic until the causative organism and its antibiotic susceptibilities are identified.
- B.
Failure to promptly initiate appropriate antibiotic therapy has adverse consequences on outcome.
- C.
Gram positive organisms account for most cases of septic shock
- D.
Antibiotics should be started after the appropriate cultures have been obtained.
- 9.Adult death is the United States from sepsis are about equal to deaths that occur from which diagnosis?
- A.
Breast cancer
- B.
HIV/AIDS
- C.
Acute myocardial infarction
- D.
Trauma
- 10.The initial sepsis resuscitation bundle in adult patients with hypotension calls for a bolus of which amount and kind of intravenous fluid resuscitation?
- A.
20ml/kg of crystalloid fluid
- B.
20ml/kg of colloid fluid
- C.
40ml/kg of crystalloid fluid
- D.
40ml/kg of colloid fluid
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