Rajiv Gandhi University of Health Sciences
D.M Degree Examination ? JULY 2018
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Time: Three HoursMax. Marks: 100 Marks
Critical Care Medicine - PAPER ? IV
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QP Code: 9139
Your answers should be specific to the questions asked.
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Draw neat, labeled diagrams wherever necessary. Answer all questionsLONG ESSAY (These questions carry 10 marks each)
10 X 10 = 100 Marks
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1.
What is the recent evidence and guidelines for use of neuromuscular blocking agents in critically ill
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patients?2.
Elaborate and criticize the new Sepsis and SIRS definition.
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3.
What is the recent evidence for albumin as a resuscitation fluid?
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4.What are the metabolic disturbances in the obese and the nutritional implications in the ICU?
5.
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Should selective digestive decontamination be used for critically ill patient? Support your answer.
6.
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What are the evidence based indications for Intra aortic balloon counter pulsation?7.
Detail super refractory septic shock.
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8.
What is the evidence for steroids in ARDS?
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9.Critically evaluate the role of a Clinical Information System (CIS) in intensive care.
10.
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Critically evaluate the role of corticosteroids in the management of severe community acquired
pneumonia.
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* * * * *Document Outline
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