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

Download RGUHS (Rajiv Gandhi University of Health Sciences ) DM (Doctor of Medicine) 2017 July 9137 Critical Care Medicine Paper II Previous Question Paper

Rajiv Gandhi University of Health Sciences

D.M Degree Examination ? JULY 2017

Time: Three Hours

Max. Marks: 100 Marks

Critical Care Medicine - PAPER ? II

QP Code: 9137

Your answers should be specific to the questions asked.

Draw neat, labeled diagrams wherever necessary. Answer all questions

LONG ESSAY (These questions carry 10 marks each)

10 X 10 = 100 Marks

1.

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

ill patient.

2.

Compare and contrast albumin and gelatins (Haemaccel and Gelofusin) as volume replacement
fluids in the critically ill patient.

3.

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

infections in intensive care.

4.

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

5.

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.

6.

Discuss fat embolism syndrome.

7.

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

8.

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

examination. Describe the ancillary tests required for same.

9.

Critically evaluate the role of immunonutrition in critically ill patients.

10.

What is post-resuscitation syndrome?

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