FNB CRITICAL CARE

Back in action 👋🏼

2018-05-17T01:01:00.001-04:00

Dear all,
Critical care has grown by leaps and bounds in the last few years. Also Critical Care Medicine is now recognised as a Superspeciality and will be a Superspeciality Degree course from the year 2019.

I wanna sincerely apologise for not posting regularly on the group. But now I have decided to post very much regularly and atleast one/ two MCQs per week, with explanations.
I want to thank Dr Mayur S Shah , for recollecting all the MCQs that appeared in the 2018 FNB entrance exam, which I will post here with explanations.

Also with the MCQs, I will be posting regular reading material on my blog https://icucare.blogspot.com .... which will work as a good information platform.

You can gain access to power points in critical care medicine, from this blog link https://medicalslides-ppt.blogspot.com . If you wish to have them in a PowerPoint format, pls post a comment on the ppt you want / shoot a mail to fnbcriticare@gmail.com.

Also I will posting all the landmark trials - current as well the previous ones, on this blog https://criticalupdates.blogspot.com .
So please log on regularly to be updated.
Cheers !!!

MCQ 21

2011-06-25T05:59:00.001-04:00

Aspirin:
a) Selective inhibitor of both COX-1 and COX-2
b) Antiplatelet effect lasts for the life time of platelets, approximately 7-10 days
c) Plasma half life is 1 hour
d) Does not prolong bleeding time

Answer: b (Antiplatelet effect lasts for the life time of platelets, approximately 7-10 days)

MCQ 20

2011-06-13T18:12:00.002-04:00

A 35 year old man is brought to the casualty after being rescued from a house fire. 100% oxygen is administered by nonrebreather mask, and his oxygen saturation is 99% by pulse oximetry. Pulse rate is 115/min, respiration rate is 30/min, and blood pressure is 120/70 mm Hg. There is no stridor, no use of the accessory muscles of respiration, and GCS is 15. There are facial burns as well as singed nasal hairs and soot in the posterior oropharynx. Lungs are clear with good air entry bilaterally.
Which one of the following is most correct about this patient’s condition?
A. The pressure of facial burns reliably predicts the presence of airway injury.
B. Direct laryngoscopy or bronchoscopy should be performed for airway injury.
C. This patient is at low risk for delayed 2 days postinhalation injury to the lower airways.
D. Dexamethasone should be empirically administered.
Answer : B (Direct laryngoscopy or bronchoscopy should be performed for airway injury)

2010 - AHA ECC Adult Chain of Survival

2010-10-31T15:58:00.001-04:00

The links in the 2010 AHA ECC Adult Chain of Survival are as follows:
1. Immediate recognition of cardiac arrest and activation of the emergency response system
2. Early CPR with an emphasis on chest compressions
3. Rapid deﬁbrillation
4. Effective advanced life support
5. Integrated post–cardiac arrest care

MCQ 19:

2010-10-31T15:52:00.003-04:00

A fifth link in the AHA ECC Adult Chain of Survival in 2010 guidelines is:
a) Early CPR

b) Post Cardiac arrest care

c) Rapid defibrillation

d) Effective advanced life support

Ans: b) Post Cardiac arrest care

Click here to know more about 2010 AHA Adult chain of survival
Click here to view powerpoint presentation on theurapeutic hypothermia post cardiac arrest

MCQ 18

2010-10-31T15:01:00.003-04:00

The Adult BLS Sequence recommended as per 2010 AHA Guidelines for CPR is:

a) Airway – Breathing – Circulation

b) Breathing – Airway – Circulation

c) Circulation – Airway – Breathing

d) Circulation – Breathing – Airway

Ans: c) Circulation – Airway – Breathing

MCQ 17:

2010-07-19T10:41:00.002-04:00

Mechanism of Action of Dopexamine is:
(a)- Stimulation of Beta 1 adrenergic and Dopamine receptors
(b)- Stimulation of Beta 2 adrenergic and Dopamine receptors
(c)- Inhibition of Beta 1 adrenergic receptors and Stimulation of Dopamine receptors
(d)- Inhibition of Beta 2 adrenergic receptors and Stimulation of Dopamine receptors

Ans: (b) - Stimulation of Beta 2 adrenergic and Dopamine receptors

FNB APTITUDE TEST / INTERVIEW

2010-02-23T22:21:00.001-05:00

Hi Guys,

Congratulations to everyone who have cleared the theory. To prepare for the Aptitude Test, read:

- Guidelines

- Classifications

- Gradings of Diseases

- ARDS / Nutrition

Wish you all good luck!

MCQs from Dr. Satrajit

2010-02-08T15:27:00.001-05:00

MCQ 27: A patient on mechanical ventilator in the ICU needs an urgent CT scan. Which of the following is of least importance regarding transportation of this patient out of ICU for a CT scan ?

(a) Check the position of the endotracheal tube and fix it securely
(b) Talk to the personnel in the CT scan department that they are ready to accept the patient there
( c) Attach all routine monitors including pulse oximeter, ECG etc
(d) Monitor the EtCO2 levels

MCQ 28: Regarding aerosolized drug delivery what should be the optimum size of drug particles/droplets ?
(a) < 2 microns
(b) 2-5 microns
(c) 5-10 microns
(d) > 10 microns

More MCQs

2010-02-07T07:12:00.001-05:00

Thanks Satrajit.

MCQ 26: Which of the following carries the highest mortality rate?
(a) Cardiac failure
(b) Hepatic failure
(C) Renal failure

More FNBE 2010 MCQs from Dr. Akhil (updated…)

2010-02-04T12:16:00.001-05:00

MCQ 18: A patient present to em department with bloody diarhoea P-124, Bp-80mm systolic. all abdominal signs are absent. xray abdomen shows thum print sign. the diagnosis is
1. bowel ischemia
2. diverticulitis
3. angiodysplasia
4. IBD
answer is bowel ischemia

MCQ 19: Treatment for aspirin induced asthma?
a. Cromolyn
b. Leukotriene inhibitor
c. corticosteroids

MCQ 20: Normal creatinine clearance
a. < 20 b. 20-40 c. 40-60 d. 90-125

MCQ 21: oligive syndrome:

(options ????)

MCQ 22: insertion of IABP is Contraindicated in
a. Severe end stage cardiac disease
b. severe AR
c. Severe MR
d. coagulopathy

MCQ 23: HATRICK!
All the following drugs are dialysable except:
a – Salicylate
b – Sertaline
c - Ethylene Glycol
d – Methanol

MCQ 24: pulse oximetry gives false reading with
a. flourescein dye
b. HbF
c. HbS
d. methylene blue

MCQ 25: diagnosis of hemothorax?
a. Hct>20%
b. Hct>30%
c. Hct>40%
d. Hct>45%

MCQs FNBE 2010

2010-02-04T03:11:00.001-05:00

Thanks Dr. Nikhil for the MCQs

MCQ 14: All cause decreased anion gap except
a. hypoalbunemia
b. lithium ingestion
c. paraproteinemia
d. hyperparathyroidism

MCQ 15: Hyperbaric oxygen is treatment of choice in
a. decompression sickness
b. ischemic skin grafts
c. osteoradionecrosis
d. burns

MCQ 16: all seen in hypomagnesemia except
a. weakness, lethargy
b. muscle spasms
c. hypotension
d. seizures

MCQ 17: Patient with ST elevation MI all of the following to be given except
a. beta blockers
b. Alteplase
c. LMWH
d. Glucose potassium insulin infusion

Few more FNBE 2010 MCQs from Dr. Vidyesh

2010-02-03T04:22:00.001-05:00

MCQ 8: Digoxin causes all EXCEPT

a. SINUS BRADYCARDIA

b. AV BLOCK

c. ATRIAL TACHY

d. VENTRICULAR TACHY

MCQ 9: Heparin is C/I in

a. PREGNANT WITH ASTHMA

b. SAH STATUS

c.-------------------

d.------------------------

MCQ 10: Most harmful cutaneous reaction is

a. Type A

b. TYPE B

c. TYPE C

d. TYPE D

MCQ 11: Bilateral Pulmonary infiltrates, Diarrhoea, cutaneous rash-

a. LEGIONELLA

b. MYCOPLASMA

c. CLOXIELLA BUNETTI

d. HISTOPLASMA

MCQ 12: Chest expansion measures:

a. TLC

b. VC

c. IRC

d. IC

MCQ 13: TRIS buffer is:

a. NA BICARB

b. CRBI CARB

c. TROMETHAMINE

d. --------------

More MCQs in FNBE 2010

2010-02-02T17:24:00.001-05:00

Dr. Akhil Taneja wrote:

Crazing paving on hrct is seen in?

a. pulmonary alveolar peoteinosis
b. pnuemocystic carinii
c. broncholaveolar ca
d. sarcoidosis

Answer is: A

A pattern of coexistent septal lines and ground-glass that is sharply demarcated from normal lung is known as "crazy-paving."

Differential diagnosis:
Alveolar proteinosis is most likely but lipoid pneumonia, bronchioloalveolar carcinoma, and pneumocystis pneumonia should also be considered.
What were the options, Akhil??
Plz post more mcqs. Thanks.

MCQs asked in FNBE 2010

2010-02-02T17:21:00.001-05:00

Dr Vidyesh has sent these MCQs

MCQ 1:

A pt developed acute onset of quqdripqresis, k was 2.0 meq/l , bp was 140/106, no abdominal stiae, what is the diagnosis?
a.    Cushings
b.    Conns
c.    Licorice
d.    Barter syndrome

MCQ 2:

Coagulopathy of trauma is associated with

a. Normthermia

b. Met acidosis

c. Met alkalosis

d. normocalcemia

MCQ 3: Mounier-Kuhn syndrome is associated with

1. absence of cartilage in trachea and bronchi

2. bronchectasis

3. presence of elastic fbers

4. -------------

MCQ 4: All is true about type II pneumocytes

1. Lamellar bodies

2. At the corner of alveoli

3. Limited ability to replicate

4. Cubodal in shape

MCQ 5: Dynamic function test of liver

1. Indocyanine green excreation

2. Albumin

3. PT

4. SGOT/SGPT

MCQ 6: WHY PT WITH COPD DETERIORATES WITH O2

1.LOSS OF HYPOXIC DRIVE

2.V/Q MISMATCH

3. Bohr effect

4. haldane effect

MCQ 7: MOST COMMAN CAUSE OF PULMONARY OSTEOARTROPATHY

1.BRONCIECTASIS

2.LUNG NEOPLASM

3. INTERSTITIAL LUNG DISEASE

4.CHD

Please post your answers and references.

And also try n recollect n post as many MCQs as u can.

Or mail to fnbcriticare@gmail.com

Please post the FNB enterance MCQs

2010-02-01T11:51:00.002-05:00

Hi friends,

How was the exam? Please post the MCQs asked in the FNB Entrance test, in the comment box below. Please help the future aspirants of FNB :)

Thanks

Vaughan Williams Classification of Anti-arrythmic Drugs

2010-01-03T13:35:00.001-05:00

Class	Action	Drugs	Caution
Ia	Sodium channel inhibition: prolong repolarization	Quinidine, procainamide, disopyramide	myocardial infarction, congestive heart failure, renal disease
Ib	Sodium channel inhibition: shorten repolarization	Lidocaine	Proarrhythmias
Ic	Sodium channel inhibition: no effect on repolarization but reduce conductivity	Flecainide, propafenone	Structural heart disease, myocardial infarction, congestive heart failure
II	B-Adrenergic inhibition	Timolol, esmolol, atenolol, bisoprolol	Acute heart failure, bronchospasm
III	Potassium channel inhibition: prolong repolarization	Amiodarone, sotalol	Renal disease, pulmonary disease
IV	Calcium channel inhibition	Verapamil, diltiazem	Not in conjunction with B-blockers
Misc	Na-K ATPase inhibition: potentiate parasympathetic response	Digoxin	Renal disease, hypokalemia

Types of Antibiotics:

2010-01-03T12:15:00.001-05:00

Concentration-dependent activity of antibiotics: Rate of kill is related to peak concentration above breakpoint,

eg: Aminoglycosides, fluoroquinolones, amphotericin B and metronidazole

Time-dependent activity: Kill rates related to the length of time concentrations are sustained above breakpoint MIC.

eg: Penicillins, cephalosporins, macrolides, carbapenems, clindamycin, linezolid and glycopeptides

FNB FORMS ARE OUT…..finally!

2009-12-20T16:03:00.001-05:00

FNB entrance is scheduled for 31st January 2010.

Last date for submission of forms is 31st December 2009.

Check the DNB site

MCQ 16

2009-11-23T03:57:00.001-05:00

Birbeck bodies are seen in

a - Pulmonary Langerhans' cell histiocytosis

b - Lymphangitic carcinomatosis

c - Lipoid pneumonia

d - Hypersensitivity pneumonitis

Ans: a - Pulmonary Langerhans' cell histiocytosis

Causes of ALI/ ARDS

2009-11-19T07:48:00.003-05:00

Causes of Acute Lung Injury and Acute Respiratory Distress Symdrome are:

DIRECT Causes:

Pneumonia
Aspiration
Inhalational injuries
Blunt pulmonary trauma
Near drowning

INDIRECT Causes:

Sepsis
Severe traumatic shock
Large volume blood transfusion (>15 units)
Pancreatitis
Reperfusion after cardiopulmonary bypass

Although more than 60 conditions have been associated with ARDS, the most frequent cause is sepsis, followed by pneumonia and aspiration.

MCQ 15:

2009-11-19T07:48:00.001-05:00

Most common cause of ARDS?

a – Sepsis

b – Trauma

c – Pneumonia

d – Aspiration

Ans: Sepsis

Click here to read about Causes of ARDS

MCQ 14:

2009-11-17T11:52:00.001-05:00

All increase oxygenation except:

a. FiO2

b. Minute volume

c. PEEP

d. None of the above

Ans: Minute volume

MCQ 13:

2009-11-17T11:49:00.001-05:00

Patient having asynchrony on Assist Control Ventilation,

What will you not do?

a. Adjust the trigger sensitivity

b. Change the inspiratory:expiratory time

c. Change the tidal volume

d. Change the mode of ventilation

Ans: c. Change the Tidal Volume

Knaus Criteria for Multiple System Organ Failure

2009-11-17T11:19:00.001-05:00

Multiple systems organ failure is said present when more than one of the system dysfunctions is detected by test values exceeding the threshold values.

1. Respiratory failure (presence of one or more):

- Respiratory frequency <5, >49 (>two years of age)
- Alveolar-arterial difference in O2 >350 mmHg or PaO2/ Fi02 <200 (without congenital cardiac lesion)
- Requires mechanical ventilatory support >24 h
- PaCO2 >50 mmHg and pHa <7.25

2. Circulatory failure (presence of one or more):

- Heart rate <50/mm or episode of ventricular tachycardia/fibrillation
- Mean systemic arterial pressure <50 mmHg and (or) systolic systemic arterial pressure <60 mmHg
- Cardiac Index <2 L/min per sq. meter of body surface (acute onset) and (or) pHa <7.25, PaCO2, <35 without respiratory failure

3. Renal failure (presence of one or more):

- Urine volume 9.3 mL/kg body weight per hour for 8h
- Serum creatinine >266 umol/L
- Urea nitrogen >1.00 g/L or urea >0.60 g/L

4. Hepatic failure (presence of both):

- Bilirubin >60 mg/L or a twofold increase in alkaline phosphatase in serum and
- Prothrombin time >4 s over upper limit of normal range or a twofold increase in aspartate aminotransferase in serum

5. Hematologic failure (presence of one or more):

- Leukocytes <1500/mL or >40000/mL
- Platelets <20000/mL or evidence of ongoing disseminated intravascular coagulation

6. Neurologic failure

- Glasgow Coma Scale <6 (without sedation)

7. Uncontrolled sepsis (presence of one or more):

- Positive blood culture despite antibiotic therapy
- Fever >39.5 °C (rectal temp) for >24 h or spikes on three successive days