Rajiv Gandhi University of Health Sciences
D.M Degree Examination ? JULY 2017
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Time: Three HoursMax. Marks: 100 Marks
CRITICAL CARE MEDICINE - PAPER ? I
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QP Code: 9136
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.
Define preload and after load of the heart. Describe factors influencing preload and after load and
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clinical implications of these factors in the critically ill.2.
Describe and draw the ventilator waveforms seen in volume control ventilation. Describe the effect
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seen in the scalars with change in lung mechanics.3.
Define and describe the various types of brain edema seen in the critically ill.
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4.
Describe the microbiological and therapeutic principles underlying treatment of febrile Neutropenia
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in the ICU.5.
Describe the Kaplan-Meir test and its utility in critically ill patients.
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6.
Compare and contrast the Stewart (SID) and standard (Boston) approach to ABG (Arterial Blood
Gas) interpretation.
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7.
Describe your approach to EOL (End of Life) scenarios in the ICU.
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8.Describe the utility of Creatinine clearance in the critically ill.
9.
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Describe the physiological principles which could have contributed to the initial benefits seen with
tight glucose control in ICU patients.
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10.Describe the patterns of MRI imaging of blood in the brain and their implications in neurocritical
care.
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