ICU Monitoring MCQ PDF

Monitoring in ICU 1- All of the following are for circulation monitoring EXCEPT: a) Urine output b) Central venous pressure c) Arterial line Invasive BP mentoring d) EKG e) Glasgow coma scale 2- Alarms in ICU ventilator (all true except one): a) Low airway pre...

Monitoring in ICU 1- All of the following are for circulation monitoring EXCEPT: a) Urine output b) Central venous pressure c) Arterial line Invasive BP mentoring d) EKG e) Glasgow coma scale 2- Alarms in ICU ventilator (all true except one): a) Low airway pressure: leakage b) High airway pressure: disconnection c) Low expired tidal volume: leakage d) Apnea alarm (disconnection) e) O2 sensor failure 3- PEAK INSPIRATORY PRESSURE (all true except one): a) Depends on airway resistance b) Not affected by lung compliance c) During controlled ventilation look for increase airway resistance d) Increased by bronchospasm e) Increased by kinked endotracheal tube 4- During mechanical ventilation, the peak inspiratory pressure suddenly increases, what could be a potential cause for this change? a) Decreased airway resistance b) pulmonary embolism c) Bronchospasm d) Leakage e) Pleural effusion 5- Which monitor provides information about the filling pressure of the right side of the heart? a) Swan-Ganz catheter b) Pulse oximetry c) Arterial line d) Electrocardiogram e) Central venous line 6- A 70-year old patient post-cardiac surgery has a Swan-Ganz catheter in place. The pulmonary artery pressure waveform shows a prominent x wave with "y descent" What condition is most likely indicated by this waveform? a) Pulmonary stenosis b) Tricuspid regurgitation c) Pulmonary hypertension d) Right ventricular infarction e) Constrictive pericarditis ‫ منتظر جميل‬:‫ترتيب‬ 1 7- Which method is used to measure the concentration of oxygen in the patient breathing system? a) Clinical signs such as respiratory pattern b) Delivered gas analysis with an oxygen analyzer c) Continuous end-tidal carbon dioxide analysis d) Auscultation of breath sounds e) Transesophageal echocardiography 8- What does capnography measure, making it a vital sign for ventilation and perfusion? a) Oxygen saturation in blood b) Blood pressure c) CVP d) PH level in the blood e) Carbon dioxide in airway 9- Which condition is most likely indicated by an exaggerated x descent in the CVP waveform? a) Constrictive pericarditis b) Right ventricular infarction c) Tricuspid stenosis d) Tricuspid regurgitation e) Atrial fibrillation 10- A 55-year-old patient with severe sepsis is being monitored in the ICU. The arterial blood gas results indicate a PaO2 of 55 mmHg. What does this suggest about the patient's oxygenation status? a) Adequate oxygenation b) Hypoxemia c) Hypoventilation d) Hyperoxia e) Respiratory alkalosis 11- All these are accepted normal ranges in monitoring EXCEPT: a) pH 7.35-7.45 b) PaO2 75- 100 mmHg c) PaCO2 35- 45 mmHg d) Oxygen saturation 95- 100% e) Central venous pressure >8 12- Why is monitoring of flow sensor failure important in respiratory monitoring? a) To assess lung compliance b) To detect bronchospasm c) To measure oxygen concentration in the delivered gas d) To ensure accurate assessment of tidal volume e) To evaluate pulmonary congestion 13- Waveform abnormalities of CVP and specific pathologies (all true except one): a) Dominant a wave - pulmonary embolism b) Cannon a wave - complete heart block c) Dominant v wave - tricuspid regurgitation d) Absent x descent - Atrial Fibrillation e) Exaggerated x descent - pericardial tamponade ‫ منتظر جميل‬:‫ترتيب‬ 2 14- Causes of high CVP, all of the following is a TRUE except: a) Rt. Ventricular failure b) Pericardial effusion c) Superior vena cava obstruction d) Fluid overload e) Low PEEP settings 15- What does the Peak Inspiratory Pressure (PIP) depend on in respiratory monitoring? a) Blood viscosity b) Airway resistance and lung compliance c) Heart rate variability d) Alveolar surface tension e) Serum electrolyte levels 16- When using a Swan-Ganz catheter for monitoring, what information does it primarily provide? a) Central venous pressure b) Arterial blood pressure c) Cardiac output d) Brain activity (EEG) e) Blood glucose levels 17- what does a dominant "v wave" in the CVP waveform suggest? a) Right ventricular infarction b) Constrictive pericarditis c) Tricuspid regurgitation d) Atrial fibrillation e) Complete heart block 18- What is the normal range for Central Venous Pressure (CVP) in a spontaneously breathing non-ventilated patient? a) 0-6 mmHg b) 10-15 mmHg c) 20-30 mmHg d) 40-50 mmHg e) 60-70 mmHg 19- Which clinical signs are useful for evaluating ventilation in a patient? a) Blood pressure and heart rate b) Chest movement and auscultation of breath sounds c) Body temperature and oxygen saturation d) Palpation of a pulse and auscultation of heart sounds e) Urine output and central venous pressure 20- Which of the following waveform abnormalities of CVP suggest Tricuspid stenosis? a) Dominant a wave b) Cannon a wave c) Exaggerated x descent d) Absent x descent e) Dominant v wave ‫ منتظر جميل‬:‫ترتيب‬ 3 21- PEAK INSPIRATORY PRESSURE (PIP) a) Depends on airway resistance(Raw) b) Increased by bronchospasm c) Increased by kinked ETT d) inversely proportional to compliance e) all the above 22- Waveform abnormalities of CVP and specific pathologies (all true except one): a) Dominant a wave – pulmonary hypertension b) Cannon a wave - complete heart block c) Dominant v wave - tricuspid regurgitation d) Exaggerated x descent pericardial tamponade e) Sharp y descent-tricuspid stenosis 23- Methods of Cardiac Output measurement (all true except one) a) Thermodilution b) Dye Dilution c) Esophageal Doppler d) Echocardiography e) Electrocardiography 24- When interpreting a CVP waveform, the end of systole best coincides with the: a) A wave b) C wave c) X descent d) V wave e) Y descent 25- When interpreting a CVP waveform, the beginning of systole is best represented by the: a) A wave b) C wave c) X descent d) Y descent e) V wave 26- What is the recommended range for ETT cuff pressure during mechanical ventilation? a) 10-20 cm H20 b) 20-30 cm H20 c) 30-40 cm H20 d) 40-50 cm H20 e) None of the above ‫ منتظر جميل‬:‫ترتيب‬ 4