icupearls.org Archive

Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day"

Friday, January 30, 2026

Hyperkalemia-induced Brugada pattern on EKG

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Q: What is "hyperkalemic Brugada sign"? Answer: Type I Brugada type change on EKG with hyperkalemia  Frequently observed in ICU ...
Thursday, January 29, 2026

findings in advSM

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Q: In advanced systemic mastocytosis (advSM), impaired organ function will be described as? - select one A) A findings B) B findings  C) C ...
Wednesday, January 28, 2026

CRAB in MM

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Q: What is the "CRAB" of Multiple Myeloma (MM)? Answer:  "CRAB" is an acronym "CRAB" to remember the essentia...
Tuesday, January 27, 2026

Modified Marshall Score

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Q: In the Modified Marshall scoring system for organ dysfunction in acute pancreatitis, deterioration of which of the following organs is i...
Monday, January 26, 2026

pulmonary complication with Daptomycin infusion

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Q: Which life-threatening pulmonary complication may happen with Daptomycin infusion? Answer: Eosinophillic Pneumonia Accor...
Saturday, January 24, 2026

"ventricular interdependence" In cardiac tamponade

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Q: What is "ventricular interdependence" In cardiac tamponade? Answer: Distension of one ventricle alters the distensibility and...
Wednesday, January 21, 2026

Na in Posm formula

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Q : While calculating Effective Plasma Osmolality, particularly in hyperosmotic hyperglycemic nonketotic state (HHNK), which of the sodium (...
Tuesday, January 20, 2026

Etomidate and ICP

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Q:  Etomidate? - select one A) decreases the intracranial pressure B) increases the intracranial pressure     Answer: A    Etomidate is a us...
Monday, January 19, 2026

LIMA. RIMA and RA

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Q : Which of the following arteries has the largest medial cross-sectional area? - select one A) Left internal mammary artery (LIMA) B) Radi...
Sunday, January 18, 2026

APS and INR

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Q : In patients with Anti-Phospholipid Syndrome (APS), PT/INR can be? - select one A) falsely elevated B) falsely lowered Answer: A Many pa...
Saturday, January 17, 2026

Green tea and liver failure

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Case : 38 years old female is admitted to the ICU with jaundice, fever, hypotension, and elevated liver enzymes.  Patient has no past medica...
Friday, January 16, 2026

GFR, steroids and reliable test

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Q: Systemic Glucocorticoids usually increase plasma creatinine. Which other test can be performed to estimate the actual glomerular filtrat...
Thursday, January 15, 2026

PTA and airway

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Q : A 42-year-old male is admitted to the ICU with a peritonsillar abscess (PTA).  On exam, the patient is anxious, leaning forward, tripodi...
Wednesday, January 14, 2026

COPD - GOLD criteria

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Q: As per GOLD criteria, the definition of COPD requires airflow obstruction to be? - select one A) Intermittent B) Persistence C) Progress...
Tuesday, January 13, 2026

PVOD

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Q:  A 44-year-old male is getting transferred from the ICU to the rehabilitation center after 6 weeks of stay, where he was admitted for sev...
Monday, January 12, 2026

Semaglutide and substance abuse

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Q:  Semaglutide, a GLP-1 receptor agonist, can be used as an adjuvant treatment for substance abuse disorder. A) True B) False Answer : A Al...
Sunday, January 11, 2026

Rx in WN virus

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Q : Which of the following has not shown any benefit in the treatment of West Nile (WN) infection? A) Corticosteroids  B) Intravenous immuno...
Saturday, January 10, 2026

IBD and decrease AP

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Q:  38 years old male with a long-standing history of Inflammatory Bowel Disease (IBD) presented with Right Upper Quadrant (RUQ) pain and su...
Friday, January 9, 2026

Pathophysiology of orthostatic hypotension

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Q:  In a normal individual, orthostatic hypotension results in diastolic blood pressure to?  - select one A) fall B) rise Answer: B The obj...
Thursday, January 8, 2026

PESI

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Q:  In the Full Pulmonary Embolism (PE) Severity Index (PESI), which gender is included?  (select one)   A) Male  B) Female   Answer: ...
Wednesday, January 7, 2026

MALA and metformin level

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Q : A serum metformin level usually correlates with the severity of the poisoning, known as MALA (Metformin Associated Lactic Acidosis). A) ...
Tuesday, January 6, 2026

Anti-GBM - Rx

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Q: A 52-year-old male presented to the Emergency Department (ED) with hemoptysis and a creatinine level of 6.2 mg/dL. There is a high degree...
Monday, January 5, 2026

Azoles and pseudohyperaldosteronism

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Q : Which of the following azoles may cause pseudohyperaldosteronism? - select one A) Fluconazole B) Voriconazole C) Isavuconazole D) Itraco...
Sunday, January 4, 2026

Patient height and PES

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Q: Which of the following is a risk factor for post-extubation stridor (PES)? - select one A) High ratio of patient height (in mm) to ETT di...
Saturday, January 3, 2026

Vision in HELPP

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Q:  A 28-year-old female is admitted to the ICU with HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets). Delivery was pla...
Wednesday, December 31, 2025

Serum prolactin in seizures from non-epileptic attacks

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Q: What's the importance of serum prolactin in the differential diagnosis of seizures? Answer : It may help in ruling in or out psychoge...
Tuesday, December 30, 2025

A note on Rheumatic Mitral and Tricuspid valves disease interaction

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A note on Rheumatic Mitral and Tricuspid valves disease interaction Although the mitral valve is conventionally considered the valve most co...
Monday, December 29, 2025

Black Marks on ETT

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  Q : What does this single or double mark near the cuff of the ETT mean if present? Answer : Vocal Cord Markers ETT should be placed in a w...
Sunday, December 28, 2025

Digoxin toxicity and risk factors

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Q : Why in lean people, Digoxin loading should be either avoided or given with less intensity. Answer:   The lean people with less skeletal ...
Saturday, December 27, 2025

Assessing adequacy of collateral foot circulation

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Q:  How is the Allen's test performed for the dorsalis pedis artery? Answer:  – An Allen's test should be performed to assess the co...
Friday, December 26, 2025

AVWS in heart valve disease

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Q : Which of the following cardiac valve conditions tends to cause Acquired von Willebrand syndrome (AVWS) - select one A) Aortic stenosis (...
Wednesday, December 24, 2025

PPCM and heart transplant

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Q: Patients with Peripartum Cardiomyopathy (PPCM) who undergo heart transplant have better outcomes than the comparison group. A) True B) Fa...
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