Correct!
5. All of the above

The patient is clinically presenting with septic shock despite broad spectrum antibiotic coverage. Vasopressors were begun and the blood pressure initially increased. A chest x-ray should be obtained because ventilator-associated pneumonia is quite possible given his prolonged intubation (Figure 6).

Figure 6. Repeat portable chest radiography on hospital day 8.

To search for a source of sepsis a CT scan was performed (Figure 7).

Figure 7. Representative views from the thoracic CT scan without contrast.

Which of the following are true? (Click on the correct answer to proceed to the sixth and final page)

1. The chest x-ray shows diffuse consolidation consistent with ventilator-associated pneumonia.
2. The abdominal CT scan shows the balloon of the Foley catheter in the penis with a distended bladder.
3. The patient should be given repeated fluid challenges for his septic shock.
4. 1 and 3
5. All of the above

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