Rajiv Gandhi University of Health Sciences
D.M Degree Examination - JULY 2017
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CRITICAL CARE MEDICINE - PAPER - I
QP Code: 9136
Max. Marks: 100 Marks
Time: Three Hours
Your answers should be specific to the questions asked.
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Draw neat, labeled diagrams wherever necessary. Answer all questions
LONG ESSAY (These questions carry 10 marks each)
10 x 10 = 100 Marks
- Define preload and afterload of the heart. Describe factors influencing preload and afterload and clinical implications of these factors in the critically ill.
- Describe and draw the ventilator waveforms seen in volume control ventilation. Describe the effect seen in the scalars with change in lung mechanics.
- Define and describe the various types of brain edema seen in the critically ill.
- Describe the microbiological and therapeutic principles underlying treatment of febrile Neutropenia in the ICU.
- Describe the Kaplan-Meier test and its utility in critically ill patients.
- Compare and contrast the Stewart (SID) and standard (Boston) approach to ABG (Arterial Blood Gas) interpretation.
- Describe your approach to EOL (End of Life) scenarios in the ICU.
- Describe the utility of Creatinine clearance in the critically ill.
- Describe the physiological principles which could have contributed to the initial benefits seen with tight glucose control in ICU patients.
- Describe the patterns of MRI imaging of blood in the brain and their implications in neurocritical care.
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