CH 29 WALSH
Study online at [Link]
1. A 13 yr old boy is admitted to the PICU with a diagno- C. Moderate
sis of ARDS. His PAO2/FIO2 ratio is 176 with a PEEP of
8. According to the 2011 Berlin consensus definition,
what is the severity of his ARDS?
A. ALI
B. Mild
C. Moderate
D. Severe
2. A pt undergoing mechanical ventilation has a mean B. 16
airway pressure of 18cm H2O and the blood gas
shows a PaO2 or 90mmHg at a FIO2 of 0.80. What is
the pts oxygenation index? (OI)
A. 20
B. 16
C. 140
D. 90
3. Which of the following are pathological stages of A. I, II, III
ARDS?
I. Exudative
II. Proliferateive
III. Fibrotic
IV. Edematous
A. I, II, III
B. II, IV
C. II, III, IV
D. III, IV
4. A 68 yr old man with a history of chronic alcoholic D. low tidal vol-
consumption was admitted to the unit for aspiration umes
pneumonia. His clinical course was complicated by
ARDS. Which of the following treatment strategies for
acute lung injury in adult pts has been demonstrat-
ed to improve mortality in a prospective, randomized
clinical trial?
A. prone positioning
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CH 29 WALSH
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B. Inhaled NO
C. Low PEEP
D. Low tidal volumes
5. A 6 yr old child with a history of acute lymphoblastic D. I, II, III
leukemia was admitted to the ICU for Klebsiella pneu-
moniae septic shock. He developed ARDS on the third
day of septic shock. The overall goal in the treatment
of ARDS for this child include:
I. treatment of the underlying disease
II. achieve adequate tissue oxygenation
III minimize ventilator induced lung injury
IV. ensure normocarbia
A. I, II
B. II, III
C. II, IV
D. I, II, III
6. The criteria used to define ARDS include: D. I, II, III
I. hypoxemia
ii. bilateral pulmonary infiltrates
iii. presence of risk factors
iv. need for invasive mechanical ventilation
A. I, II, III, IV
B. I, II
C. I, IV
D. I, II, III
7. Which of the following are useful therapies in pedi- D. I, II, IV
atric patients with acute lung injury?
i. permissive hypercapnia
ii. permissive hypoxemia
iii administration of activated protein C for sepsis
iv. low tidal volume ventilation
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A. I, II
B. I, IV
C. I, II, III
D. I, II, IV
8. Which of the following characteristics of infants and C. I, II, III
young children ( as compared with older children and
adults) causes this population to be particularly prone
to respiratory failure?
I. Smaller caliber airways
II. Increased chest wall compiacne
III. greater propensity for rapid fatique of respiratory
muscles
IV. reduced cardiac function in children compared
with adults
A. III, IV
B. I, II
C. I, II, III
D. I, II, III, IV
9. The most common nonpulmonary risk factor in pa- C. sepsis
tients with ARDS is:
A. multiple trauma
B. Cardiac failure
C. sepsis
D. Acute pancreatitis
10. Of the choices listed, which is generally the latest D. hypercapnia
clinical finding in pediatric patients with ARDS?
A. hypoxemia
B. decreased pulmonary compliance
C. increased WOB
D. hypercapnia
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