Critical Care

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Transfusion Threshold in Acute Brain Injury

A liberal transfusion threshold, targeting a hemoglobin of 9g/dL compared to a restrictive  strategy targeting a hemoglobin of 7g/dL, was associated with a lower risk of unfavorable neurological outcome at 180 days in patients with acute brain injury.

  • True
  • False
Volume 40.4 - Question 31

Noninvasive Ventilation for Preoxygenation During Emergency Intubation

Among critically ill adults undergoing tracheal intubation, preoxygenation with noninvasive ventilation (bilevel positive airway pressure) results in a lower incidence of hypoxemia during intubation than preoxygenation with an oxygen mask.

  • True
  • False
Volume 40.2 - Question 21

Prevention of Ventilator-Associated Pneumonia

In patients with acute brain injury, a single (2g) ceftriaxone dose decreased the risk of early ventilator-associated pneumonia.

  • True
  • False
Volume 40.2 - Question 4

Tazocin for Sepsis

Among patients with suspected sepsis treated with vancomycin and no clear indication for anti-anaerobic coverage, administration of piperacillin-tazobactam is associated with higher mortality compared with cefepime.

  • True
  • False
Volume 40.1 - Question 4

In-hospital Cardiac Arrest Mortality

The likelihood of favorable functional status for patients with in-hospital cardiac arrest receiving CPR for 32 minutes or longer is less than 1%. 

  • True
  • False
Volume 39.5 - Question 26

Vitamin K Prophylaxis

Which one of the following statements about vitamin K prophylaxis in newborns is false?

  • Early vitamin K deficiency bleeding (VKDB) is commonly associated with maternal medications that inhibit vitamin K activity.
  • Late VKDB rarely occurs in breastfed infants.
  • There is a 50% chance that infants with late VKDB will experience serious intracranial hemorrhage.
  • Infants receiving oral vitamin K should have more than one dose.
Volume 35.61 - Question 18

Norepinephrine in Septic Shock

Comparing early vs. late initiation of norepinephrine in patients with septic shock, each of the following is decreased except: 

  • Short-term mortality   
  • ICU length of stay   
  • Time to achieve target mean arterial pressure   
  • Volume of intravenous fluids within six hours 
Volume 36.4 - Question 14

Intravenous Fluids in Critically Ill Patients

Among critically ill patients requiring fluid challenges, use of a balanced solution compared with 0.9% saline solution significantly reduces 90-day mortality.

  • True
  • False
Volume 37.2 - Question 20

Haloperidol for the Treatment of Delirium in ICU Patients

Among patients in the ICU with delirium, treatment with haloperidol will lead to a significantly fewer days alive and out of the hospital at 90 days than placebo.

  • True
  • False
Volume 38.3 - Question 33

Prone Positioning in Hypoxemic Patients with COVID-19

In non-intubated adults with hypoxemic respiratory failure due to covid-19, awake prone positioning compared with usual care results in which one of the following significantly improved outcomes?

  • Mortality
  • Risk of endotracheal intubation
  • Hospital length of stay
  • Ventilator-free days
Volume 38.3 - Question 13

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