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Sepsis Quiz

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1) The original Sepsis-1 definition from 1991 included all the following criteria EXCEPT:

a) Documented or suspected infection

b) Temperature > 100.4F

c) Heart rate > 100/min

d) WBC > 12,000

2) Which organ system is NOT included in the SOFA scoring for Sepsis-3 criteria?

a) Cardiovascular

b) Coagulation

c) Digestive

d) Neurologic

e) Renal

3) A 64-year-old female with hypertension but no other chronic medical problems is admitted with altered mental status and cellulitis. Other clinical findings include WBC 15,000, hemoglobin 13.2, platelets 120,000, bilirubin 0.8, creatinine 1.0, pulse 102, BP 130/80, respirations 25, SpO2 on room air 95%, Glasgow coma score 14. This patient meets the criteria for:

a) Sepsis-3 SOFA criteria

b) Sepsis-2 SIRS criteria

c) Sepsis-2 SIRS and Sepsis-3 SOFA criteria

4) The baseline Sepsis-3 SOFA score for any organ system is assumed to be ___ if the baseline is unknown and the patient has no known preexisting dysfunction in that organ system.

a) 3

b) 2

c) 1

d) 0

5) A 24-year-old male with a history of IV drug abuse and type 1 diabetes, stage 3 CKD is admitted for fever and suspected subacute bacterial endocarditis. SpO2 (room air) = 97%; platelets = 170,000; bilirubin 1.3; mean arterial blood pressure (MAP) = 90; GCS = 15; and creatinine 1.5. Does he qualify for a diagnosis of sepsis based on Sepsis-3/SOFA criteria?

a) Yes

b) No

c) Clinically unable to determine

6) Sepsis-2 defines sepsis as __________ due to _________. Sepsis-3 defines it as a _______ change in baseline _______________.

a) Infection, SIRS, 2-point, SOFA score

b) SIRS, infection, 2-point, SOFA score

c) SIRS, infection, 2-point, WBC

7) The Sepsis-3 qSOFA bedside sepsis screening tool is no longer recommended to identify likely sepsis on admission.

a) True

b) False

8) The Sepsis-3 criteria definitions have been endorsed by which one of the following:

a) American College of Chest Physicians (ACCP)

b) American College of Emergency Physicians (ACEP)

c) Infectious Diseases Society of America (IDSA)

d) Society of Critical Care Medicine (SCCM)

9) The Sepsis-3 criteria for septic shock are:

a) Lactate > 4

b) Persistent hypotension requiring vasopressors to maintain MAP > 65 + Lactate > 2

c) Refractory hypotension (SBP < 90, or MAP < 70)

d) Refractory hypotension + SOFA score > 4

10) For patients with CKD, the baseline creatinine must increase 2 times or more to count as a point towards the Sepsis-3 renal SOFA score.

a) True

b) False

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