Critical Care Quiz: SCVO2, Lactate, and Surgical Protocols

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37 Questions

Who is credited with saving lives with the phrase 'wash your hands'?

Ignaz Semmelweis

Which scientist was a pioneer in using carbolic acid as a disinfectant during surgery?

Joseph Lister

Which theory proposes that certain diseases are caused by specific germs or infectious agents?

Germ Theory of Disease

Who discovered microbial fermentation while studying the causes of spoilage in beer and wine?

Louis Pasteur

What is the core temperature indicative of hypothermia?

38.3°C

What did Louis Pasteur disprove with his swan-neck flask experiment?

Spontaneous Generation

Which of the following is a common pathogen in surgical patients that is Gram-negative?

Citrobacter freundii

What core temperature indicates hyperthermia in a patient?

38.3°C

Which of the following is a Gram-positive bacterium commonly found in surgical patients?

Streptococcus pneumoniae

What is one of the indications of significant edema or positive fluid balance in a patient?

>20mL/kg over 24h

Which type of flora is typically found below the umbilicus?

Enterococcus faecalis

Which factor listed in the text can alter the resident microflora of certain body tracts?

Disease like inflammation

What is the role of Propionibacterium in the pathogenesis of infections?

Has a protective function against infections

Which type of infection typically requires surgical treatment according to the text?

Infection from foreign bodies

How are the urogenital, biliary, pancreatic ductal, and distal respiratory tracts different from other body tracts according to the text?

They lack resident microflora

Which statement accurately describes one of the Koch's postulates?

The organism must always be present in every case of the disease

Which of the following infectious agents is considered an aggressive soft tissue infection in immunocompromised patients?

Aspergillus fumigatus

Which individual pioneered principles of antiseptic surgery to reduce wound infections?

Joseph Lister

Which diagnostic method is recommended for detecting branching and septation in certain infectious agents?

KOH testing

Which anatomical barrier plays a role in preventing infections by secreting lactic acid and propionic acid?

Skin

Which action is carried out by the respiratory tract to defend against infections?

Coughing and sneezing

What is a common pathogen associated with a polymicrobial infection?

Candida albicans

Which preventive measure is recommended for patients prior to surgery to reduce the risk of infection?

Bathing or showering with antimicrobial soap

Which microbial agent is involved in the prevention of infections through actions like producing lactic acid?

Normal flora

Which infectious agent is commonly associated with nosocomial infections in healthcare settings?

E.faecalis and faecium

Which statement best reflects the germ theory of disease?

The organism must always be present in every case of the disease, but not in healthy individuals.

In the context of the SOFA score, what does a score of less than 2 points indicate?

Normal organ function

Why is prophylaxis done in cases of high risk of surgical infection?

To prevent formation of new infections

In which classification would a clean wound typically fall under?

Class I

Which statement about antibiotic therapy for severe sepsis/septic shock is true?

Antibiotic therapy should be initiated within the first hour of recognition

What is the purpose of the qSOFA score in the context of sepsis?

To predict sepsis-related mortality

In the context of new sepsis definitions, what does SIRS stand for?

Systemic Inflammatory Response Syndrome

What is a key characteristic of prophylactic use of antibiotics in surgical patients?

Selectively targeting specific bacteria

What is a common type of infection discussed in the context of Skin and Soft Tissue Infections?

Surgical site infection

Which term refers to agents that can cause skin and soft tissue infections?

Bacteria

What is a key characteristic of antifungal agents used in treating infections?

Selective targeting of fungi

Which parameter is typically assessed to determine the severity of surgical infections?

White blood cell count

Test your knowledge on critical care concepts including SCVO2 levels, lactate normalization, and surgical protocols. Answer true/false questions on topics like the germ theory of disease, SOFA score, perioperative care practices, and prophylactic therapy for surgical infections.

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