QW03-August 2024

Question 1

Question 01

Shortly after a new Medical Renal Unit (MRU) opened, this outbreak led to 40 cases soon including deaths among patients and staff. The outbreak prompted the establishment of an advisory group led by Lord Rosenheim, which gave a series of recommendations and crucial containment measures. Despite precautions, the outbreak's severity, had a lasting impact on infection control practices in medical settings. This outbreak in the 19^th century was the subject of Colin Douglas's popular outrageous novel "The Houseman's Tale", and it continues to influence the way physicians think about the risks of infection.

Choose the combination of place, year, causative organism and primary mode of outbreak transmission that is being referred to here.

A. Washington D.C. (USA), 1983-84, HIV, contaminated blood transfusions

B. Edinburgh (UK), 1969-70, Hepatitis B and C, contaminated dialysis machines

C. Nairobi (Kenya), 1948-49, MRSA, infected AV fistula

D. New Delhi (India), 1988-89, small pox, poor hygiene practices among MRU staff

Question 2

Clinical Scenario: 02

A 45-year-old male with severe respiratory distress syndrome is initiated on ECMO. During his stay in the ICU, he develops signs of acute kidney injury (AKI). The medical team is considering the best approach for renal replacement therapy (RRT) due to his hemodynamic instability.

Question: In this patient with AKI on ECMO, which of the following statements is correct?

A. AKI is less common in patients receiving ECMO.

B. The use of ECMO is associated with a decreased risk of requiring renal replacement therapy (RRT).

C. Continuous renal replacement therapy (CRRT) is preferred over intermittent hemodialysis (IHD) in ECMO patients due to better hemodynamic stability.

D. The initiation of ECMO always results in immediate improvement in kidney function.

QW03-August 2024​

QW03-August 2024