Ethical Issues in End-of-Life Care — Flashcards

Flashcard 1: If the patient has presented to a non-PCI-capable hospital, a fibrinolytic agent is given within 30 minutes of the patient presenting if the anticipated time to PCI is >_____ minutes

Answer: 120

Flashcard 2: _____ score assesses the severity and mortality risk in alcoholic hepatitis

Answer: Maddrey

Flashcard 3: In patients with neuromuscular disease (e.g., GBS, Myasthenia Gravis), what Vital Capacity (VC) threshold is typically used as an indication for mechanical ventilation?

Answer: < 10–15 mL/kg

Extra: Normal Vital Capacity is approximately 60–70 mL/kg. Indications for mechanical ventilation in neuromuscular respiratory failure (e.g., GBS, Myasthenia Gravis) include: - Vital Capacity (VC) < 15 mL/kg - Maximal Inspiratory Pressure (MIP) < -30 cm H2O - Maximal Expiratory Pressure (MEP) < 40 cm H2O

Flashcard 4: _____ score is used to assess the risk of stroke in patients who have atrial fibrillation

Answer: CHA2DS2-VASc

Flashcard 5: Prognosis of ARDS is poor with _____% mortality rate

Answer: 40

Flashcard 6: What is the next step in management for a patient failing standard oxygen therapy?

Answer: High-flow nasal cannula (HFNC) or Non-invasive ventilation (NIV)

Flashcard 7: _____ is the first line of management of Humoral hypercalcemia of malignancy

Answer: IV saline

Flashcard 8: _____ therapy will decrease mortality in chronic obstructive pulmonary disease (COPD).

Answer: Long-term oxygen

Flashcard 9: A patient of dengue hemorrhagic fever can be discharged if there is absence of fever for at least _____ hours without the use of antipyretic drugs

Answer: 48 (WHO SEARO guidelines) / 24 (National Indian guidelines)