CBS-1 – SATS Academy

CBS 1 - Set 1 - EPIC 2 Autumn 2024

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Question No. 1

i) What is the initial diagnosis?

Acute respiratory alkalosis

Raised A-a gradient

ii) What is the condition after 4 hours of treatment?

HAGMA

Lactic acidosis due to Salbutamol Shock

Question No. 2

i) What is the likely cause of hyponatremia?

Cerebral salt wasting syndrome

ii) What is the management?

NaCl replacement

Fludrocortisone

Question No. 3

i) What is the most likely diagnosis?

Myxoedema coma

Rhabdomyolysis

ii) What are your management options?

Intravenous T3/T4 + hydration 5

IV steroids /rewarming

Question No. 4

i) What is the most likely diagnosis ?

Iron deficiency Anaemia

Auto immune haemolytic Anaemia

ii) What are your management options?

Iron replacement

Best match least incompatible PRBC transfusion

Steroids/IVIG/Rituximab

Question No. 5

i) What does the above ventilator screen show?

Air hunger/Increase flow demand

Double Trigger

Patient ventilator asynchrony

ii) How will you solve the problem?

Increase Inspiratory flow

Decrease expiratory flow trigger

Increase tidal volume

Question No. 6

i) What is your diagnosis?

ST elevation in aVR

Likely Main Stem Occlusion

ii) How would you proceed?

Send Troponin/perform ECHO 5

Consider/transfer to PCI 5

Question No. 7

i) TEG-What is your interpretation?

Hyperfibrinolysis

Question No. 8

i) What is happening?

Transmembrane pressure begins to rise, and the effluent pressure becomes increasingly negative

ii) Why is it happening?

Exhausted/clogged filter

Question No. 9

i) Interpret the EEG

Triphasic waves suggesting metabolic encephalopathy

Question No. 10

i) What does it show?

Swing in the arterial trace

Volume depletion

ii) What is the treatment?

Resuscitation with IV fluids