Rajiv Gandhi University of Health Sciences
D.M Degree Examination - JULY 2017
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Critical Care Medicine - PAPER - II
QP Code: 9137
Time: Three Hours
Max. Marks: 100 Marks
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
- List five major causes and three important clinical manifestations of hypocalcaemia in the critically ill patient.
- Compare and contrast albumin and gelatins (Haemaccel and Gelofusin) as volume replacement fluids in the critically ill patient.
- Outline the aetiology, clinical manifestations and possible preventative measures for nosocomial infections in intensive care.
- Outline how the pathophysiological changes in septic shock affect the pharmacokinetics and pharmacodynamics of commonly used antimicrobials.
- Briefly outline the role of prophylactic (planned) Non-Invasive Ventilation (NIV) immediately following extubation. Explain how this differs from therapeutically applied (rescue) NIV used in the same context.
- Discuss fat embolism syndrome.
- Discuss the role of vasopressin and its analogues in critically ill patients.
- List the preconditions that would preclude the determination of brain death by clinical examination. Describe the ancillary tests required for same.
- Critically evaluate the role of immunonutrition in critically ill patients.
- What is post-resuscitation syndrome?
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