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Question

Consider the following statements: 

Acute respiratory distress syndrome characteristically occurs in 

1. Gram negative septicaemia 

2. Gastric aspiration 

3. Pancreatitis

 4. Severe burns

 5. Myocarditis

 Which of the statements given above are correct?

The correct answer is
1, 2, 3 and 4

ARDS Causes: Statement Analysis

Acute Respiratory Distress Syndrome (ARDS) is a severe lung condition characterized by widespread inflammation and fluid buildup in the lungs, impairing oxygen exchange.

Statement Analysis for ARDS Causes

  • 1. Gram-negative septicaemia: This condition often triggers a significant inflammatory response throughout the body (sepsis), leading to endothelial damage and increased capillary permeability in the lungs, a hallmark of ARDS.
  • 2. Gastric aspiration: Inhaling stomach contents directly irritates and damages lung tissue, causing chemical pneumonitis and triggering an acute inflammatory lung injury consistent with ARDS.
  • 3. Pancreatitis: Severe pancreatitis releases potent inflammatory mediators (like cytokines) into the bloodstream, which can cause systemic inflammation and damage lung capillaries, leading to ARDS.
  • 4. Severe burns: Extensive burns cause a systemic inflammatory response and significant fluid shifts. Increased vascular permeability and inflammatory mediators contribute directly to the development of ARDS.
  • 5. Myocarditis: While myocarditis (heart muscle inflammation) can lead to heart failure and pulmonary edema, it does not characteristically cause the direct lung injury and inflammation seen in ARDS. ARDS is primarily an epithelial and endothelial lung injury, distinct from cardiogenic pulmonary edema.

Conclusion on ARDS Causation

Based on the analysis, statements 1, 2, 3, and 4 describe conditions that characteristically lead to ARDS. Statement 5 is less characteristic.

Therefore, the correct statements are 1, 2, 3, and 4.

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Important Questions from ICU Protocols

  1. Which of the following are the components of the SOFA (Sequential Organ Failure Assessment) ?
    1. Serum bilirubin
    2. Platelet count
    3. Leucococyte count
    4. Serum Creatinine
    Select the correct answer using the code given below :
  2. Which of the following are reversible causes of electromechanical dissociation seen in pulseless electrical activity ?
    1. Pericardial tamponade
    2. Pulmonary thrombo-embolism
    3. Hyperthermia
    4. Hypokalemia
    Select the correct answer using the code given below :
  3. Which one of the following is NOT an appropriate criterion for diagnosis of Systemic Inflammatory Response Syndrome (SIRS)?

  4. All of the following are signs of Brain death EXCEPT:
  5. Biphasic defibrillation in case of ventricular fibrillation is first done with:
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