Refractory Septic shock is defined as?
AShock requiring mechanical ventilation and inotropic support
BShock with lactate levels >4 mmol/L despite treatment
CShock that does not respond to initial fluid bolus within 1 hour
DShock persisting despite adequate fluid resuscitation and vasopressor support
Following pathogenetic mechanisms operate in septic shock except -
ADirect toxic endothelial injury
BVeno constriction
CIncreased peripheral vascular resistance
DActivation of complement
A patient in the ICU with a central venous catheter (CVC) develops an infection. Microscopy reveals ovoid budding yeast cells. What is the most likely organism?
ACandida
BStaphylococcus epidermidis
CEscherichia coli
DStaphylococcus aureus
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