TEMI Adulto (AMIB AMB) Practice Questions - TEMI - Título de Especialista em Medicina Intensiva - Área Adulto (AMIB AMB) Exam - TEMI Adulto (AMIB AMB) Practice Questions - TEMI - Título de Especialista em Medicina Intensiva

Question 1

A 62-year-old intubated patient with septic shock is mechanically ventilated in volume-controlled mode (tidal volume 8 mL/kg predicted body weight, PEEP 10 cmH2O, zero spontaneous respiratory efforts). Arterial line analysis reveals a Pulse Pressure Variation (PPV) of 16%. Which condition is a mandatory physiological prerequisite for PPV to accurately predict fluid responsiveness?

Absence of spontaneous breathing efforts and regular sinus rhythm without significant cardiac arrhythmias. Spontaneous breathing triggering with pressure support ventilation (PSV) below 10 cmH2O. Presence of moderate-to-severe right ventricular failure with pulmonary hypertension. Tidal volume set between 4 and 6 mL/kg of predicted body weight with active patient triggering.

Correct Answer:

Absence of spontaneous breathing efforts and regular sinus rhythm without significant cardiac arrhythmias.

Question 2

During the resuscitation of a patient with vasodilatory shock, the intensivist performs a Passive Leg Raise (PLR) test. Which measurement method is recommended to accurately assess the hemodynamic response during PLR?

Real-time continuous measurement of cardiac output or stroke volume within 60 to 90 seconds. Isolated measurement of radial arterial systolic blood pressure after 5 minutes. Monitoring central venous pressure (CVP) elevation at 3 minutes. Assessment of urine output increase over the subsequent 2 hours.

Correct Answer:

Real-time continuous measurement of cardiac output or stroke volume within 60 to 90 seconds.

Question 3

In a critically ill patient monitored with a pulmonary artery catheter (Swan-Ganz), which physiological condition will cause the Pulmonary Artery Occlusion Pressure (PAOP / wedge pressure) to overestimate true Left Ventricular End-Diastolic Pressure (LVEDP)?

Catheter tip wedged in West Zone 1 or Zone 2 under high positive end-expiratory pressure (PEEP). Severe aortic regurgitation with preserved mitral valve function. Severe left ventricular systolic dysfunction with elevated filling pressures. Catheter tip accurately positioned in West Zone 3 below the left atrium.

Correct Answer:

Catheter tip wedged in West Zone 1 or Zone 2 under high positive end-expiratory pressure (PEEP).

Question 4

In transpulmonary thermodilution (e.g., PiCCO system), which parameter directly quantifies pulmonary edema and correlates strongly with ARDS severity and ICU mortality?

Extravascular Lung Water Index (EVLWI). Global End-Diastolic Volume Index (GEDVI). Intrathoracic Blood Volume Index (ITBVI). Cardiac Function Index (CFI).

Correct Answer:

Extravascular Lung Water Index (EVLWI).

Question 5

A patient with septic shock has a Mean Arterial Pressure (MAP) of 68 mmHg on norepinephrine, Central Venous Oxygen Saturation (ScvO2) of 74%, but arterial blood lactate continues to rise (4.8 mmol/L). Venous-to-arterial carbon dioxide difference (Pv-aCO2 / PCO2 gap) is calculated at 9 mmHg (normal

Systemic tissue hypoperfusion and microvascular stagnation despite macrohemodynamic pressure targets. Adequate global cardiac output with primary cellular cytopathic dysoxia. Hyperventilation-induced respiratory alkalosis with tissue hyperperfusion. Severe arterial hypoxemia resulting in decreased CO2 clearance.

Correct Answer:

Systemic tissue hypoperfusion and microvascular stagnation despite macrohemodynamic pressure targets.

Question 1

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Prepare with the TEMI Adulto (AMIB AMB) Practice Questions - TEMI - Título de Especialista em Medicina Intensiva - Área Adulto (AMIB AMB) Exam practice quiz. This question bank includes 100 questions covering shock, severe, patient, pressure, and acute. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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TEMI Adulto (AMIB AMB) Practice Questions - TEMI - Título de Especialista em Medicina Intensiva - Área Adulto (AMIB AMB) Exam

This practice set contains 100 questions from the matching question bank and focuses on shock, severe, patient, pressure, and acute. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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TEMI Adulto (AMIB AMB) Practice Questions - TEMI - Título de Especialista em Medicina Intensiva - Área Adulto (AMIB AMB) Exam

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