Corona virus Questions 2020

1- How long must hands be washed when using water and soap?

A-Minimum of 5 to 10 seconds

B-Minimum of 5 to 20 seconds

C-Minimum of 10 to 30 seconds

D-Minimum of 40 to 60 seconds

2- Ventilator-associated pneumonia (VAP) was encountered in several patients in the Medical Intensive

Care Unit. Which of the following is the most effective and most straightforward method to prevent

transmission of microbes?

A-Wear a disposable lab coat

B-Wash hands between patients

C-Observe proper isolation technique

D-Sterilize all equipment in a patent s room

3- A 36-year-old woman presents to the Emergency Room with a 1-week history of fever, dysuria, and
flank pain. She is admitted to the hospital after fluid resuscitation (a total of 6 litres of isotonic saline)

and started on IV antibiotics. She also requires a low dose of norepinephrine to maintain her blood

pressure. The day after admission, she complains of shortness of breath and requires 5 litres of

supplemental oxygen; oxygen saturation is 91% after this management. Chest X-ray confirms new,

bilateral alveolar infiltrates. Bedside echocardiogram does not show evidence of left ventricular

dysfunction (see lab results).

Blood pressure

78/34 mmHg

Heart rate

125 /min

Respiratory rate

25 /min

Temperature

38.6 oC

Oxygen saturation 95 %

Which of the following is the most likely diagnosis?

A-Diffuse alveolar hemorrhage

B-Cardiogenic pulmonary edema

C-Healthcare-associated pneumonia

D-Acute respiratory distress syndrome

4- Which of the following mechanisms of hypoxia is associated with poor response to oxygen

supplement?

A-Hypoventilation

B-Intrapulmonary shunt

C-Diffusion abnormalities

D-Low inspired oxygen concentration

5- Which of the following procedures provides an emergency non-surgical airway when endotracheal
intubation and mask ventilation are not possible?

A-Laryngeal mask

B-Cricothyroidotomy

C-Transtracheal jet ventilation

D-Non-invasive positive pressure ventilation

6- A 34-year-old woman patient coded in the Female Medical Ward. The code team was trying to
intubate her with size 9.0 ETT tube. 40 seconds has passed while trying to insert the tube. The vocal
cords are visible, the ETT is lubricated, the stylet is inserted and prepared, but tube insertion was not
possible.

Weight

60 Kg

Height

150 cm

What should be done now?

A-Ask the nurse to give size 8.0 ETT while making sure not to lose the view

B-Remove the laryngoscope، oxygenate the patient، then retry to intubate the patient with another
tube that has the same size

C-Remove the laryngoscope، oxygenate the patient، then retry to intubate the patient with another
tube that has size 7.5

D-Keep trying to intubate the patient while providing a flow-by oxygen with oxygen tubing

7- A 36-year-old man presents to the Emergency Room with a 3-day history of fever, cough and
dyspnoea. He is awake and alert. Despite receiving appropriate antibiotics and a bolus of 500 ml normal
saline solution, he remains hypotensive. Central venous pressure measured through an internal jugular
catheter is 4 cm H2O (see image). Heart rate 126 /min Respiratory rate 24 /min Temperature 38.6 oC
Oxygen saturation 91 % Which of the following is the most appropriate management?

A-Dopamine infusion

B- 250 ml 5% albumin
C- 500 ml normal saline

D- Norepinephrine infusion

8- 44-year-old woman presents to the Emergency Department with a three day history of fever,
dyspnoea, cough and yellow sputum. Chest exam confirms dullness to percussion and bronchial breath
sounds in the right base. Her peripheries are dry, warm to touch and have bounding pulses.

Blood pressure

78/42 mmHg

Heart rate

132/min

Respiratory rate

36/min

Temperature

39.5o C

What are the most likely findings of her hemodynamic profile?

A-Decreased systemic vascular resistance, decreased cardiac output

B-Decreased systemic vascular resistance,increased cardiac output

C-Increased systemic vascular resistance,decrease dcardiac output

D-Increased systemic vascular resistance, increased cardiac output

9- A confirmed COVID-19 patient developed ARDS and required mechanical ventilation. Which of the
following is the most appropriate setting?

A-High tidal volumes (Vt > 8mL/kg)

B-Low levels of PEEP, less than 10 cmH2O

C-Plateau pressures (Pplat) of > 30 cmH2O

D-Low tidal volume (Vt) ventilation (Vt 4 8 mL/kg body weight)

10- A confirmed COVID-19 patient required endotracheal intubation for ventilatory support. Who is the
most appropriate person to perform intubation?
A-First arrived person

B-Available intensivist

C-Most experienced person

D-Attending health care worker

11- An 88-year-old man who is a resident of the long-term care facility, presented to the Emergency
Room with respiratory distress. His Chest X-ray revealed a typical lobar pneumonia. His roommate at the
long- term care facility was diagnosed with COVID-19 three days earlier. His attended nurse reported an
ongoing outbreak of COVID-19 Disease at their facility. Which of the following is the most appropriate
isolation procedure?

A-Standard precautions

B-Droplet precautions

C-Contact precautions

D-Airborne precautions

12- A 35-year-old woman brought to the Emergency Department complaining of high fever, shortness of
breath, and a sore throat. Laboratory results confirmed COVID-19 and she has a history of asthma. The
patient reported that her mother visited her recently and that she has 4 kids. Which of the following is
the most appropriate first step in management?

A-Isolate the patient to reduce human-to-human transmission.

B-Report all possible and confirmed cases to prevent outbreak.

C-Manage the patient then trace contacts for testing.

D-Quarantine the family and neighbors for monitoring