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Sepsis Broadcast Posttest


INSTRUCTIONS: Select the most appropriate response. To receive credit, participants must earn a score of 80% or higher.

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1. Sepsis is defined as infection accompanied by _______________.
A: Systemic inflammatory response syndrome (SIRS)
B: Local inflammation
C: Hypotension
D: Organ hypoperfusion

2. Research has demonstrated that each hour delay in initiating antibiotic therapy ______________.
A: Decreases inappropriate antibiotic use
B: Increases mortality risk
C: Decreases antibiotic costs
D: Improves patient outcomes

3. Sepsis is often the result of ______________ infection.
A: Genitourinary
B: Respiratory
C: Abdominal
D: Wound related

4. ______________________ is a resuscitation protocol that specifies the rapid achievement of hemodynamic and _______________ endpoints.
A: Early goal-directed therapy, tissue perfusion
B: Mean arterial pressure (MAP), temperature
C: Maintenance therapy, glucose
D: Maintenance therapy, systolic blood pressure

5. ___________________ and venous oxygen levels are good indicators of tissue oxygenation in most clinical settings.
A: Blood pressure
B: Cardiac index
C: Stroke index
D: Serum lactate levels

6. The following are signs of organ hypoperfusion or dysfunction EXCEPT:
A: Decreased serum lactate levels
B: Hypotension
C: Respiratory distress
D: Oliguria

7. Sepsis care “bundles” are key ________________ that should be applied __________ and are expected to improve outcomes.
A: Antibiotics, in a specified time frame
B: Antibiotics, as time allows
C: Practice recommendation, in a specified time frame
D: Practice recommendations, as time allows

8. Recommendations in the SSC/ Institute for Healthcare Improvement (IHI) severe sepsis resuscitation bundle should be completed within __ hours of identifying severe sepsis.
A: 6
B: 12
C: 18
D: 24

9. The SSC/IHI severe sepsis resuscitation bundle specifies that a broad-spectrum antibiotic should be administered within ___ hours of ED admission and _______ blood cultures have been obtained.
A: 3, after
B: 6, after
C: 3, before
D: 6, before

10. Which of the following are adjunctive therapies that should be considered within 24 hours according to the SSC Sepsis Management Bundle?
A: Low-dose steroid therapy, rhAPC administration, and insulin therapy for glycemic control
B: Serum lactate measurement, blood culture collection, and fluid resuscitation
C: Antibiotic administration, low-dose steroid therapy, and fluid resuscitation
D: Blood culture collection, serum lactate measurement, low-dose steroid administration

11. Tools for starting the SSC, developing sepsis protocols, and assessing protocol success at your institution are available ______________.
A: Only by special mail order request
B: At the SSC website (http://www.survivingsepsis.org)
C: At the IHI website (http://www.ihi.org/IHI/Topics/CriticalCare/Sepsis)
D: At both the SSC and IHI websites

12. The following are possible indicators of SIRS EXCEPT:
A: Temperature > 38°C
B: Elevated heart rate (> 90 beats/min)
C: Wound infection
D: Elevated white blood cell count (> 12000/mm3)

13. ________________________ may be necessary, in addition to antibiotics, to effectively treat infection in patients with sepsis.
A: Vasopressors
B: Fluid therapy
C: Inotropic therapy
D: Source control

14. Mortality due to sepsis may be as high as ________.
A: 20%
B: 30%
C: 40%
D: 50%

15. Dysfunction of ____ organ system(s) away from the site of infection is indicative of severe sepsis.
A: 1
B: 2
C: 3
D: > 4

16. ________________ increases as sepsis progresses and more organs dysfunction.
A: Antibiotic dose
B: Mortality
C: Steroid response
D: Mean arterial pressure (MAP), temperature

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