Multiple Choice Questions (MCQ)

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Category: Critical Care Medicine--->Analgesia, Sedation and Neuromuscular Blockade
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Question 1#Print Question

A 76-year-old female is admitted after falling on her stairs and fracturing multiple ribs. She is transferred to the intensive care unit (ICU) for increased oxygen requirement. She reports that her pain is very severe. Her breathing is rapid and shallow.

Which of the following would be the MOST effective method of controlling her pain?

a. Intravenous narcotic patient controlled analgesia
b. Lidocaine patch over fracture area
c. Epidural catheter with infusion of local anesthetic
d. Acetaminophen
e. Lorazepam

Question 2#Print Question

A patient in your ICU has rapid deterioration of their respiratory status and needs emergent intubation. You would like to use succinylcholine for neuromuscular blockade after your induction agent.

Administering succinylcholine would be most appropriate in which of the following scenarios?

a. The patient has a family history of malignant hyperthermia
b. The patient has septic shock complicated by anuria, metabolic acidosis, and has a potassium of 6.7 mEq/L
c. The patient has been in the ICU for three weeks
d. The patient was admitted to the ICU 3 hours ago immediately after sustaining severe burns to the entire lower half of body
e. The patient has a history of a large MCA stroke with profound residual hemiparesis

Question 3#Print Question

You have just intubated a patient for respiratory failure and will be initiating a sedation regimen.

Which of the following would be the LEAST preferred choice for sedation?

a. Midazolam
b. Propofol
c. Fentany
d. Dexmedetomidine
e. Hydromorphone

Question 4#Print Question

Which of these nonpharmacologic analgesic adjunct interventions are NOT suggested for routine use?

a. Massage
b. Music
c. Cold Therapy
d. Relaxation Techniques
e. Hypnosis

Question 5#Print Question

Which of the following medications is recommended to use as a sleep aid for ICU patients?

a. Melatonin
b. Dexmedetomidine
c. Propofol
d. Midazolam
e. None of the above

Category: Critical Care Medicine--->Analgesia, Sedation and Neuromuscular Blockade
Page: 1 of 2