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MRCS Critical care part 2 exam questions & answers 2024/2025
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MRCS Critical care part 2 exam questions & answers 2024/2025
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MRCS Critical care part 2 examquestions & answers 2024/2025
Parkland formula - ANSWERSReplacement of crystalloids given at 4 ml/kg/%TBSA burned over 24h. Half
given over 8h, half over the subsequent 16h.
Shock - ANSWERSInadequate tissue perfusion secondary to acute circulatory failure. It can be
hypovolaemic, septic, anaphylactic, cardiogenic or neurogenic.
Modified Glasgow Score - ANSWERSPO2 < 8 kPa
Age > 55
Nφ/WBC >15 × 10⁹
Ca (corrected) < 2 mmol/L
Raised Ur > 16 mmol/L
Enzymes (LDH) > 600 IU/L
Albumin < 32 g/L
Sugar (glucose) > 10 mmol/L
Courvoisier's Law - ANSWERSIn the presence of obstructive jaundice, a palpable gallbladder is unlikely to
be due to gallstones.
ARDS - ANSWERSSevere acute lung injury
Progressive and refractory hypoxaemia
Diffuse bilateral pulmonary infiltrates on chest x-ray
Non-cardiac cause (normal pulmonary artery wedge pressure does not exceed 18 mmHg)
Reduced lung compliance
Ventilation-perfusion mismatch
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