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CBS 2 - Set 2 - EPIC 2 Spring 2025
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Question No. 1
i) Why there is sudden change in the waveform?
Swan Ganz catheter is pooled back to right ventricle
Question No. 2
i) Interpret MAP and ICP trend
No cerebral autoregulation
Question No. 3
i) Interpret the X-ray
Deep Sulcus Sign (Right)
Right sided pneumothorax
Question No. 4
i) What are the concerns?
Acute cerebellar ICH with surrounding oedema
Blood extending up the 4th ventricle
Brain stem compression
Acute hydrocephalus
Question No. 5
i) What is your diagnosis?
PRES
i) How will you treat?
BP control
Antioedema measures
Question No. 6
i) Describe the major CT findings
Embolus in Right main pulmonary artery
A lesion corresponding to a peripheral
infarct in the RLL
Question No. 7
i) What is your diagnosis?
Left sided emphysematous pyelonephritis
ii) How will you proceed?
IV antibiotics
Urgent surgical consultation for Nephrectomy (source control)
Question No. 8
i) What does the arrow indicate?
Lung point
ii) What is the diagnosis?
Pneumothorax
Question No. 9
i) Describe the major echocardiographic findings
Dilated RV
Compromised LV (D-shaped)
ii) State the most likely diagnosis
Pulmonary embolus
Question No. 10
i) What is the likely diagnosis?
Meningococcaemia
Purpura Fulminans
ii) What is the likely cause?
Neisseria meningitidis
iii) How will you treat?
Penicillin / Third gen Cephalosporin
Vancomycin