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Question

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 :

The correct answer is
1, 2 and 4

SOFA Score Components Identification

The Sequential Organ Failure Assessment (SOFA) score is used to determine a patient's status in an intensive care unit (ICU) after their admission, reflecting the number of organ systems that are failing. It assesses six specific organ systems:

  • Respiratory system
  • Coagulation (platelet count)
  • Liver (bilirubin levels)
  • Cardiovascular function
  • Central Nervous System (CNS)
  • Renal function (creatinine levels)

Let's analyze the listed items:

  • 1. Serum bilirubin: This is a key indicator for liver function assessment within the SOFA score.
  • 2. Platelet count: This reflects the coagulation status and is a component of the SOFA score.
  • 3. Leucocyte count: While related to infection and inflammation, leucocyte count is not a direct component of the standard SOFA score calculation.
  • 4. Serum Creatinine: This is a primary measure for assessing renal function in the SOFA score.

Based on the standard SOFA components, items 1, 2, and 4 are included. Therefore, the correct combination is Serum bilirubin, Platelet count, and Serum Creatinine.

Correct Answer Derivation

The question asks to identify the components of the SOFA score from the given list. The standard components include:

  1. Serum bilirubin (Liver)
  2. Platelet count (Coagulation)
  3. Serum Creatinine (Renal)

Leucocyte count is not a direct component of the SOFA score.

Thus, the correct options are 1, 2, and 4.

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Important Questions from ICU Protocols

  1. 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 :
  2. Which one of the following is NOT an appropriate criterion for diagnosis of Systemic Inflammatory Response Syndrome (SIRS)?

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

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