Download RGUHS DM 2020 9138 Critical Care Medicine Paper III Question Paper

I. Answer all questions (10 marks each) 10 X 10 = 100 Marks

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1. Outline the methods available to reduce nosocomial infections in the ICU and briefly discuss their advantages and limitation. (You may tabulate your answer).

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2. What is the role of cardio selective betablockers in the management of severe heart failure in ICU?
3. Outline the causes, consequences and management of Vancomycin Resistant Enterococcus in the critically ill patient.
4. What are the neuroprotective measures to prevent secondary brain injury?
5. What are the physiological complications in acute liver failure?
6. Discuss four assessments of the right ventricle that can be made by transthoracic echocardiography.

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7. A patient presents with a red swollen leg and systemic signs of sepsis. You suspect necrotizing fasciitis. How will you confirm the diagnosis and what are the priorities of management?
8. What are the causes and management of delirium in ICU?
9. Compare and contrast osmotherapy with hypertonic saline and mannitol.
10. Critically evaluate the use of neuromuscular blocking agents in severe respiratory failure due to acute respiratory distress syndrome (ARDS).

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