Your-Doctor
Multiple Choice Questions (MCQ)


Quiz Categories Click to expand

Category: Critical Care Medicine-Gastrointestinal, Nutrition and Genitourinary Disorders--->Diagnostic and Management Modalities
Page: 2

Question 6# Print Question

A 55-year-old male who is POD # 3 status post a Whipple procedure suddenly begins to have worsening tachycardia, tachypnea, and destruction with abdominal distention. Surgically placed intra- abdominal drains are in place. Chest X-ray shows bilateral patchy infiltrates, PaO2 /FiO2 ratio is 150, and he has sinus tachycardia with heart rate 130 bpm and stable blood pressures.

How would you diagnose and confirm a pancreatic leak in a post Whipple patient?

A. CT abdomen and pelvis with PO and IV contrast
B. Reexploration in the operating room
C. Send drain fluid for Amylase level, diagnostic if the abdominal drain fluid Amylase level is 2× the upper limit of normal serum Amylase
D. Send drain fluid and serum for Amylase level, diagnostic if the abdominal drain fluid Amylase level is 3× the upper limit of normal serum Amylase


Question 7# Print Question

A 64-year-old male with no significant past medical history has recently immigrated to the United States from Peru and now presents with severe abdominal pain and sinus tachycardia, with otherwise stable vital signs. CT of the abdomen and pelvis shows a 14-cm liver cyst in the right lobe with multiple daughter cysts, intermittent minute calcifications, and small pockets of gas. Liver enzyme tests show a slight elevation of AST and ALT but no elevation of alkaline phosphatase or total and direct bilirubin. No evidence of biliary obstruction is noted. Owing to concerns for impending rupture, the patient is sent to the ICU for close monitoring.

What is the BEST next step?

A. Start Albendazole and monitor the patient closely
B. Start Flagyl and monitor the patient closely
C. Start Albendazole and consideration for puncture, aspiration, injection, reaspiration, (PAIR) versus surgical treatment
D. Start metronidazole and consideration for PAIR versus surgical treatment


Question 8# Print Question

Which is the BEST test to detect the gastrointestinal bleeding rate of 0.3 to 0.5 mL/min in a hemodynamically labile patient in the ICU?

A. CT angiography of the abdomen and pelvis
B. Radionuclide Imaging
C. Capsule endoscopy
D. Formal interventional radiology Angiogram




Category: Critical Care Medicine-Gastrointestinal, Nutrition and Genitourinary Disorders--->Diagnostic and Management Modalities
Page: 2 of 2