Smith Seminars Online Multiple Organ Dysfunction Syndrome (MODS) Test

Fill out all required fields (*) and press submit. Once we receive your test it will be graded and you will receive your certificate per your chosen method of delivery.


If for some reason you do not pass the test with 70% correct you will be notified by email to retake the test. Your order number will stay valid until you pass the test.


 Part 1 - Your Information














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Certificate Delivery:


Order Number:


AARC Member #:

CEBroker #:

(if applicable)


 Part 2 - The Test


1) Sepsis is a systemic response to:

A) Allergies

B) Blood clots

C) Infection

D) None of the above

2) Inflammatory mediators release becomes a self-stimulating process (an autocrine), and release of other inflammatory mediators, including:

A) Interleukin-1 (IL-1)

B) Platelet activating factor, IL-2, IL-6, IL-8, IL-10, INF

C) Nitric oxide

D) All of the above

3) Nitric oxide plays a central role in the _____ of septic shock:

A) Vasodilatation

B) Vasoconstriction

C) Thermoregulation

D) None of the above

4) Neutrophil entrapment within the pulmonary microcirculation initiates and amplifies the injury to:

A) Cardiac ventricles

B) Alveolar capillary membranes

C) Collagen

D) All the above

5) Acute renal failure often accompanies sepsis due to acute:

A) Tubular necrosis

B) Renal vasodilatation

C) Absorption of cytokines

D) None of the above

6) The microcirculatory injury, which is compounded by the inability of the erythrocytes to navigate the septic microcirculation are caused by:

A) Reactive oxygen sepsis
B) Lytic enzymes
C) Vasoactive substances (nitric oxide, endothelial growth factors)
D) All of the above

7) Patients who have developed septic shock require right heart catheterization with a pulmonary artery (Swan-Ganz) catheter in order to:

A) Provide an accurate assessment of the volume status of a patient
B) Obtain cardiac output measurement
C) Measure mixed venous oxygenation to determining the status of tissue oxygenation
D) All the above

8) In mild criteria for organ dysfunction, the pulmonary criteria is:

A) ARDS requiring PEEP greater than 10 cm H2 O and FiO2 greater than 0.5
B) Hypoxia/hypercarbia requiring assisted ventilation for 3-5 days
C) Intolerance of gastric feeding for more than 5 days
D) None of the above

9) The main causes of patients with impaired host defense mechanisms include:

A) Chemotherapeutic drugs and malignancy
B) Severe trauma, burns, and invasive catheters
C) Diabetes mellitus, renal or hepatic failure, old age, and ventilatory support
D) All of the above

10) Clinically occult infiltrates have been detected by routine use of chest radiography in:

A) Adults who are febrile without localizing symptoms or signs
B) Patients who are febrile and neutropenic without pulmonary symptoms
C) A & B
D) None of the above


 Part 3 - Evaluation


 Learner's achievement of each objective. Rate each on a scale of 1=low 5=high


Objective 1

1) Become familiar with the organs that can be affected by multiple organ dysfunction syndrome. Know the mechanisms of cell injury and resulting organ dysfunction in sepsis leading to MODS. Have a working knowledge of the staging factors and diagnostic modalities in sepsis. Know what treatments are available to patients with sepsis and MODS.


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Purpose/Goal of this activity:

2) Attendee will be aware of the current information and will be able to meet the required continuing education. Relationship of objectives to overall Purpose/Goal of activity.


1   2   3   4   5  



3) If conflict of interest, off-label use, commercial support, or in-kind support were evident in the education component of this program, were you notified? (Choose One)


N/A — not applicable for any of the above






4) Content was presented without bias of any commercial product or drug. (Choose One)







5) Will the information you gained from this program change your practice? (Choose One)







Additional comments or suggestions


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