Multiple Choice Questions (MCQ)

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Category: Critical Care Medicine-Cardiovascular Disorders--->Vascular Disorders
Page: 2

Question 6#Print Question

A 64-year-old male with a past medical history significant for hypertension, heart failure with reduced ejection fraction, myocardial infarction 2 years prior, and chronic kidney disease presents to the ICU following open AAA repair. He was restarted on his home medications on postoperative day 1. Three days later, his vitals and pertinent laboratory values include: blood pressure 150/100 mm Hg, heart rate 94 bpm, potassium 2.9 mmol/L, serum creatinine 2.6 mg/dL. The following electrocardiogram is obtained 24 hours after admission:

Which of the following medications was the patient most likely taking before surgery?

a. Atenolol
b. Digoxin
c. Lisinopril
d. Furosemide

Question 7#Print Question

Which of the following findings on physical examination are most likely observed in post-thoracic aortic aneurysm repair spinal cord infarction?

a. Bilateral loss of proprioception in lower extremities
b. Inability to flex the knee but maintained motor function of ankle and feet bilaterally
c. Loss of sensation, motor function, and dorsalis pedis pulse in the right lower extremity
d. Flaccid paralysis at T8 level with complete loss of sensory and motor function

Question 8#Print Question

Which of the following potential complications IS NOT paired correctly with the corresponding classification of aortic dissection? 

a. Elevated lactate, elevated INR and AKI—DeBakey Type II
b. Elevated troponin—Stanford Type A
c. New onset diastolic murmur heard at the right second intercostal space—DeBakey Type III
d. New onset right hemiplegia—DeBakey Type I

Question 9#Print Question

A 65-year-old male is admitted to the ICU with confusion, headache, nausea, vomiting, and hypertension. He underwent right carotid endarterectomy 8 hours ago. The first set of vital signs obtained in the ICU showed blood pressure 171/94 mm Hg, heart rate 84 bpm, respiratory rate 22 per minute, and oxygen saturation 96% on room air.

Which of the following IS NOT recommended as treatment for his complication?

a. Hypertonic saline
b. Mannitol
c. Labetalol
d. Levetiracetam

Category: Critical Care Medicine-Cardiovascular Disorders--->Vascular Disorders
Page: 2 of 2