MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Describe the characteristic and diagnostic feature of ARDS.
A
Tachypnea, dyspnea, mild to moderate hypoxemia
B
Streptococcus pneumonia, Haemophilus influenza, Staphylococcus aureus
C
Frequent turning, early mobilization, deep breathing maneuvers
D
Hypoxemia that does not respond to supplemental oxygen
Explanation: 

Detailed explanation-1: -The diagnosis of ARDS is based on the following criteria: acute onset, bilateral lung infiltrates on chest radiography of a non-cardiac origin, and a PaO/FiO ratio of less than 300 mmHg.

Detailed explanation-2: -All ARDS patients must be given supplemental oxygen therapy and most will be placed on a mechanical ventilator to help them breathe. Though there is no cure for ARDS, it’s not uniformly fatal. With treatment, an estimated 60% to 75% of those who have ARDS will survive the disease.

Detailed explanation-3: -One needs to have two of the following three criteria to make a formal diagnosis of acute respiratory failure: pO2 less than 60 mm Hg (hypoxemia). pCO2 greater than 50 mm Hg (hypercapnia) with pH less than 7.35. Signs and symptoms of acute respiratory distress.

Detailed explanation-4: -ARDS may develop over a few days, or it can get worse very quickly. The first symptom of ARDS is usually shortness of breath. Other symptoms of ARDS are low blood oxygen, rapid breathing, and clicking, bubbling, or rattling sounds in the lungs when breathing.

There is 1 question to complete.