ABFM Care of Vulnerable Elderly Exam |
Questions & Answers | Grade A+ | 100%
Correct | Verified Answers and Rationale |
Latest 2025/2026 Guide
Acute Intestinal Ischemia
-Correct Answer- Presents w/ significant pain in absence of physical
findings
-Hx of cv disease - think widespread vascular involvement
-Elderly with low flow states due to cardiac events can have abd pain due
to nonocclusive bowel ischemia
-Can be caused by vasoconstrictors - triptans, ergots, vasopressin, NE,
cocaine
-Tx underlying condition first, if no improvement - Dx with Arteriography
, sepsis
-Correct Answer- SIRS due to confirmed infection
-mortality increases with age
prevalance of adrenal insufficiency in septic shock
-Correct Answer- 50%
corticosteroids in septic shock
-Correct Answer- low-to-moderate quality evidence that corticosteroids
reduce mortality from septic shock if given in low dosages equivalent to <
400 mg /day of hydrocortisone.
-evidence best for 28 day course
Causes of volume depletion in sepsis
-Correct Answer- Venodilation and capillary leak
-pts require large amounts of fluids in 1st 24 hours of mgmt
Bicarb therapy in sepsis
-Correct Answer- 0ol,Not rec for improving hemodynamics or reducing
vasopressor requirements
Dopamine
Questions & Answers | Grade A+ | 100%
Correct | Verified Answers and Rationale |
Latest 2025/2026 Guide
Acute Intestinal Ischemia
-Correct Answer- Presents w/ significant pain in absence of physical
findings
-Hx of cv disease - think widespread vascular involvement
-Elderly with low flow states due to cardiac events can have abd pain due
to nonocclusive bowel ischemia
-Can be caused by vasoconstrictors - triptans, ergots, vasopressin, NE,
cocaine
-Tx underlying condition first, if no improvement - Dx with Arteriography
, sepsis
-Correct Answer- SIRS due to confirmed infection
-mortality increases with age
prevalance of adrenal insufficiency in septic shock
-Correct Answer- 50%
corticosteroids in septic shock
-Correct Answer- low-to-moderate quality evidence that corticosteroids
reduce mortality from septic shock if given in low dosages equivalent to <
400 mg /day of hydrocortisone.
-evidence best for 28 day course
Causes of volume depletion in sepsis
-Correct Answer- Venodilation and capillary leak
-pts require large amounts of fluids in 1st 24 hours of mgmt
Bicarb therapy in sepsis
-Correct Answer- 0ol,Not rec for improving hemodynamics or reducing
vasopressor requirements
Dopamine
