Download RGUHS DM 2017 July 9137 Critical Care Medicine Paper II Question Paper

Rajiv Gandhi University of Health Sciences

D.M Degree Examination ? JULY 2017

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Time: Three Hours

Max. Marks: 100 Marks

Critical Care Medicine - PAPER ? II

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QP Code: 9137

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

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1.

List five major causes and three important clinical manifestations of hypocalcaemia in the critically

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ill patient.

2.

Compare and contrast albumin and gelatins (Haemaccel and Gelofusin) as volume replacement

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fluids in the critically ill patient.

3.

Outline the aetiology, clinical manifestations and possible preventative measures for nosocomial

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infections in intensive care.

4.

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Outline how the pathophysiological changes in septic shock affect the pharmacokinetics and
pharmacodynamics of commonly used antimicrobials.

5.

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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.

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6.

Discuss fat embolism syndrome.

7.

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Discuss the role of vasopressin and its analogues in critically ill patients.

8.

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List the preconditions that would preclude the determination of brain death by clinical

examination. Describe the ancillary tests required for same.

9.

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Critically evaluate the role of immunonutrition in critically ill patients.

10.

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What is post-resuscitation syndrome?

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