ICU
Renal
Autoimmune
Burn
Outcome Measures
100

What is this line? What is its purpose?

Central Line 

Purpose: 

Delivers medication, blood products, fluids, and nutrition

Invasive hemodynamic monitoring- measures central venous pressure (normal 2-12 mmHg)

100

 In an AKI patient, a serum creatinine rise to 2.2x baseline combined with urine output <0.5 mL/kg/hr for 14 hours meets criteria for this specific AKI Stage.

Stage 2

100

This chronic autoimmune condition involves bilateral small joint swelling, synovial pannus formation, and morning stiffness lasting over 1 hour.

Rheumatoid Arthritis

100

This burn depth is characterized by a dry, pale pink-to-white surface, sluggish capillary blanching, and altered or diminished pinprick sensation.

Deep partial thickness burn

100

An MRC Sumscore falling below this total cutoff score (out of 60) confirms the diagnosis of ICU-Acquired Weakness (ICU-AW).

48

200

While assessing a patient in the ICU, you notice that the black telemetry lead has been disconnected. Where should you reattach this lead?

Left Upper Chest / Below Left Clavicle 

Remember: “White is right, clouds over grass, smoke before fire, brown in the middle”

200

End-Stage Renal Disease (ESRD) or Stage 5 CKD is defined by an eGFR falling below this numerical cutoff (in mL/min/1.73m²).

<15 mL/min/1.73m²

200

In patients with Axial Spondyloarthritis, physical therapy should emphasize what, while strictly avoiding what?

Emphasize: trunk extension and postural strengthening

Avoid: high-impact exercise and spinal flexion

200

Under the adult Rule of Nines, a patient with thermal burns covering their entire anterior torso and their entire right upper extremity has this calculated %TBSA

27% TBSA (18% entire torso+ %9 full right arm)

200

Research demonstrates that the single most consistent modifiable risk factor associated with muscle weakness 2 years following ARDS is this duration parameter in the ICU

Duration of bed rest

300

In the evidence-based ABCDEF Bundle for ICU liberation, the letter "B" stands for these two paired clinical safety trials aimed at reducing ventilator dependency and delirium

Both SAT (Spontaneous Awakening Trial) and SBT (Spontaneous Breathing Trial)

  • A: Assess, prevent, and manage pain.
  • B: Both Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT).
  • C: Choice of sedation and analgesics.
  • D: Delirium: assess, prevent, and manage.
  • E: Early mobility and exercise (Physical therapy plays a leading role!).
  • F: Family engagement and empowerment
300

What is the aerobic FITT exercise prescription for individuals with renal disease?

Double Jeopardy: Give the resistance FITT principles.

Aerobic: 

Frequency: 3-4 days/week, Intensity: 40% HRmax, Time: 15 mins/session; progress duration before intensity, Type: walking, cycling

Resistance: 

Frequency: 2+ days/week (progress to 3-4), 40% 1RM/RPE 12-13, 1 set of 8-12 reps

Clinical tip: Educate your patients that functional strength gains will take 2-3 times longer to achieve compared to healthy individuals

300

What is some education you can give to patients with rheumatoid arthritis or Systemic Lupus Erythematosus regarding activity?

Fatigue management: The 4 Ps: pacing, prioritizing, planning, and positioning and the Spoon theory

Joint protection: use larger, stronger joints for daily tasks and avoid tight hand grasping

300

A 28-year-old firefighter sustained thermal burns across his anterior right arm and dorsal right hand 4 weeks ago.

What specific positions for the MCP joints and IP joints should be placed in to counteract contracture formation?

 

MCP Flexion to ~70° and IP Joint Extension (0°) to prevent dorsal clawing and scar band contractures

300

List 3/5 S5Q commands

Open/close your eyes, look at me, nod your head, open your mouth and stick out your tongue, raise your eyebrows when I count to 5

400

A patient resting in bed with a PEEP of 12 cmH2 or FiO of 0.65 triggers this traffic light color, indicating potential risk that must be weighed against benefit

yellow light

400

During a 4-hour outpatient hemodialysis session, intradialytic exercise (such as in-chair cycling) is strictly limited to this specific time window to maximize ultrafiltration safety and minimize hypotensive events.

First 2 hours

400

What are the general arthritis exercise guidelines (FITT-P principle)?

F: 3-5x/week

I: 60-80% of peak heart rate or RPE 11-16/20

T: start w/ 5-10 minute intervals and build to 30 mins/session

T: large muscle activities- walking, cycling, rowing, swimming

Progression Rule: always progress duration over intensity

400

Harvested from an animal source (typically porcine/pig skin), this temporary biological dressing is placed over clean excised wounds to prevent fluid loss and infection before permanent autografting.

xenograft
400

A RASS score of -3 (Moderate Sedation) is operationally defined by this specific physical response when the patient's name is called aloud.

Movement or Eye Opening to voice (without sustained eye contact)

500

Given this patient's current medical status, can we mobilize him?

  • History: 67-year-old male recovering from severe urosepsis and acute kidney injury.
  • Airway & Respiratory: Nasal cannula at 3 L/min SpO2 = 94%, RR = 20 bpm
  • Cardiovascular & Vitals:
    • HR= 88bpm (sinus rhythm)
    • MAP = 67 mmHg on a low-dose Norepinephrine drip 
    • Serum lactate = 1.8 mmol/L (normal).
  • Lines & Equipment:
    • Right Femoral CRRT (hemodialysis) catheter actively running continuous dialysis.
    • Internal jugular Central Venous Line (CVL) and Foley catheter.
  • Neurological Status: Alert, calm RASS=0, CAM-ICU negative, fully oriented and following 3-step commands.

Green light! This patient is good for OOB mobility. 

Unlike a femoral arterial line, a femoral venous CRRT catheter is approved for OOB mobility as long as you don't exceed hip flexion greater than 90 degrees

500

Among vascular access options for hemodialysis, this surgical connection has the lowest infection risk and longest lifespan, but takes 2 to 4 months to mature.

AV Fistula

500

This targeted drug class used in advanced RA carries a unique risk profile requiring baseline screening for hyperlipidemia, blood clots, and serious cardiac events.

Janus Kinase Inhibitors

500

Silicone gel sheets or custom silicone inserts placed under compression garments soften scars and decrease erythema primarily by increasing local tissue hydration and reducing this cellular activity.


Fibroblast Proliferation, Collagen Synthesis, and Capillary Hyperemia

500

You are evaluating a 64-year-old mechanically ventilated patient with a tracheostomy, a right subclavian central venous line, and a femoral arterial line in the ICU. During the AM-PAC "6-Clicks" assessment, you observe the following performance:

  1. Turning in bed: The patient turns to side-lying with 1 therapist providing verbal cues and light guidance (Minimal Assistance).
  2. Sitting up on edge of bed: Requires 2 staff members (1 PT for trunk support and 1 RN to secure ventilator tubing and central lines) to achieve edge-of-bed posture.
  3. Moving bed-to-chair: Requires 2 staff members for a standing-pivot transfer due to quadriceps weakness and line management.
  4. Sit-to-stand from chair: Requires 1 therapist providing Moderate Assistance (~50% physical effort).
  5. Walking in room: Unable to attempt due to transient orthostatic hypotension upon standing.
  6. Climbing 3–5 stairs: Unable to attempt / contraindicated in the ICU environment.

What is the total AMPAC score? At this point, where would their discharge plan be to?

9=3+1+1+2+1+1

This patient's score is below the 18 point cutoff so it strongly predicts discharge to a SNF, IRF, or LTAC

Remember: If a transfer needs to 2 people it counts as a 1 on the AMPAC

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