Multiple Choice Questions (MCQ)

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Category: Critical Care Medicine-Neurologic Disorders--->Encephalopathy and Delirium
Page: 2

Question 6# Print Question

A 17-year-old female patient is admitted to the ICU with acute-onset right-sided hemiparesis and hemianopia. Brain imaging demonstrated parietal cortical and subcortical lesions that do not follow vascular distribution. Her laboratory workup was significant for lactic acidosis. Patient has had similar episodes in the past, occasionally associated with seizures. She has residual motor deficit at baseline and impaired cognitive function. Patient’s mother states that her other daughter is suffering from a similar condition.

Which of the following is MOST likely to be found during further workup?

A. Ragged-red muscle fibers
B. High-grade bilateral stenosis of internal carotid arteries
C. CSF with moderately elevated protein and moderate pleocytosis
D. Adrenal hemorrhage on computed tomography
E. Antimitochondrial antibodies

Question 7# Print Question

Drug and alcohol withdrawal: A 72-year-old man was admitted to the ICU after surgical control of abdominal sepsis. The patient’s shock has resolved, but he remains mechanically ventilated and could not be extubated because of agitation. After morning rounds a medical student approaches you and expresses concern that this patient is at high risk for ICU delirium which, in turn, increases mortality. She asks if there are any pharmacological options to address ICU delirium.

Which of the following is currently recommended for prevention or treatment of ICU delirium in this patient?

A. Haloperidol for prevention
B. Haloperidol for treatment
C. Risperidone for prevention
D. Dexmedetomidine for treatment
E. Rosuvastatin for prevention

Category: Critical Care Medicine-Neurologic Disorders--->Encephalopathy and Delirium
Page: 2 of 2