icupearls.org Archive

Q: Low serum albumin is a risk factor for Critical Illness Polyneuropathy (CIP). A) True B) False Answer: A CIP is commonly seen in patient...

Q:  A 24-year-old female with 22 weeks of pregnancy is admitted to the ICU with severe symptoms of Parvovirus 19, confirmed with a high IgM ...

Case: 22 years old atheletic male went through a non-complicated appendectomy under general anesthesia. Patient became agitated on weaning ...

Q:  A 43-year-old male with an established history of ulcerative colitis is admitted to the ICU with Lower GI bleed requiring transfusion. O...

Q : Prolonged use of inhaled Nitric Oxide (iNO) is intended to cause more of? - select one A) Kidney dysfunction B) liver dysfunction Answer...

Q: In Methanol and Ethylene Glycol toxicity, the time-relationship of 'osmolal gap' and 'Anion gap' is inversely proportiona...

Q:  A 52-year-old male with a history of End Stage Renal Disease (ESRD) is admitted to the ICU with suspected infective endocarditis (IE).  ...

Q : In Critical Illness Myopathy (CIM), the presence of extraocular muscle weakness is diagnostic. A) True B) False Answer : B CIM has a few...

Q: On chest X-ray, the aortopulmonary angle can be found on? - select one A) left side B) right side Answer: A The aortopulmonary angle, a...

Q: Patients with elevated Intra-Cranial Pressure (ICP) should not be fed enteral free water.  A) True B) False   Answer : A  Patients with ...

Q: Small cell carcinoma in the lungs is considered a neuroendocrine tumor. A) True B) False Answer : A Small cell carcinoma, large cell neu...

Q : What is the dose of Midazolam to give intranasally if no IV or IM route is available? Answer: if its an emergency and no IV line is est...

Q: The Critical Illness Myopathy (CIM) affects which group of muscles more? - select one A) distal  B) proximal  Answer : B CIM, although i...

Q : Utilizing "Banana bag" plays an integral part in the management of alcohol withdrawal as it contains thiamine. A) True B) Fals...

Q : What is the target Kt/V in patients with peritoneal dialysis? - select one A) ≥ 1.3/week B) ≥ 1.7/week Answer : B The objective of this ...

Q: The postconcussion syndrome (PCS) is associated with daytime sleepiness. A) True B) False Answer : A Almost all patients who went through...

Q: A 47-year-old male in the ICU went into supraventricular tachycardia (SVT) and was successfully converted to Normal Sinus Rhythm (NSR) w...

Case:  32-year-old newly pregnant patient admitted to the ICU with Pulmonary Embolism, and now getting discharged.  The clinician decided to...

Q:  The cardiology team decided to start Bromocriptine for a postpartum cardiomyopathy patient. Which one other intervention should be consi...

Q: Which of the following is a more reliable sign of acute opioid toxicity? - select one A) Depressed mental status B) Decreased respirator...

Q: The presence of two out of three cardinal symptoms of COPD exacerbation helps to justify? - select one A) Start antibiotics B) Admit to h...

Q: All of the following pathologies will cause pleural fluid acidosis EXCEPT? - select one A) Malignancy B) Tuberculosis C) Urinothorax  D)...

Q:  A 68-year-old male whose blood pressure medicines have recently been changed presented to the Emergency Room with severe colicky abdomin...

Q : In the ICU, using antibacterial urethral lubricants at the meatal site prevents catheter-related urinary tract infections (CAUTIs). A) T...

Q: Mastication ____________ the release of bacterial endotoxins of oral origin into the bloodstream. (select one) A) decreases B) increases ...

Case : 72-year-old male ventilated in ICU after severe community-acquired pneumonia has been sedated on Ketamine infusion.  On the fifth day...

Q: Patients should not be fed in prone positioning, and tube feeding should be stopped. A) True B) False Answer: B Conventionally, it was th...

Q: Advanced cirrhosis with portal hypertension is an absolute contraindication for laparoscopic cholecystectomy. A) True B) False Answer: ...

Q: Chiari malformations by definition is _________________ displacement of the cerebellum. - select one A) downward  B) upward Answer: A Chi...

Q : What's the difference between 'Livedo reticularis' and 'Livedo racemosa'? Answer: Although Livedo reticularis and Li...

Q : 68-year-old patient admitted with CHF. Now, with diuresis, the patient is clinically stable and ready for transfer to the floor. Patient...

Q : What is the pentad of Graves' disease? Answer : A full-blown ideal Graves' disease usually consists of five features: Hyperthyro...