icupearls.org Archive

Q: : Patients with Peripartum Cardiomyopathy (PPCM) who undergoes heart transplant have better outcome than compared group. A) True B) False...

Q: 22 years old college student residing at dorm presented to ED third time in a month with hypoglycemia without the history of diabetes. Th...

Q:  What is  the  "Round belly sign" on a CT scan in patients with suspicion of intra-abdominal compartment syndrome (IACS)? Answe...

Q : Liver abscesses are more commonly involved in which lobe of the liver?  - select one A) Right B) Left C) Caudate lobe D) Quadrate lobe A...

Q: What could be the pulmonary findings in Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN)? Answer : sloughing of the b...

Q : While obtaining the blood pressure (BP) via the classical auscultatory method, the cuff should be deflated? - select one A) 1 mmHg per s...

Q: The rumination syndrome is described as recurrent vomiting in mentally disadvantaged children. A) True B) False Answer: B The rumination ...

Case: 22 year old female is admitted to the ICU with supraventricular tachycardia (SVT), premature atrial complexes (PACs), and hypotension....

Q: 58 years old male is admitted to the ICU with severe alcohol ketoacidosis (AKA). Patient is now recovering in the ICU. The patient has p...

Q: Health care-associated pneumonia (HCAP) is a critical concept for any clinician to be aware of, as it helps start antibiotics before cul...

Q; 52 years old female from Denmark* presented to ED with sudden enlargement of her known substernal goiter associated with pain. A bedside ...

Q : What's the difference between immune globulin (IG) and hyperimmune globulin (HG)? Answer: Immune globulin is derived from the plasm...

Q: Allopurinol can be used as an anti-anginal drug. A) True B) False Answer: A There is weak evidence that Allopurinol, a xanthine oxidase...

Q:  What is the urine "dipstick" test, which can help in the diagnosis of septic arthritis? Answer: The two confirmatory (aka gold...

Q:  A 67-year-old male with renal insufficiency with a baseline Glomerular Filtration Rate (GFR) of 34 is admitted to the ICU with COVID-19 ...

Q:  In a typical attack of multiple sclerosis (MS), visual loss is usually associated with?  select one A) pain B) no pain Answer: A The ty...

Q: Ventilator-associated pneumonia (VAP) also includes patients who develop nosocomial pneumonia (HAP) within 48 hours of extubation. A) Tru...

Q:  78 years old male is admitted to the ICU with acute psychosis kind of symptoms.  The patient has been previously diagnosed with dementia...

Q:  Why is a short course of azithromycin considered relatively sufficient in comparison to other macrolides? Answer:  For most infections, ...

A note on pulse methylprednisolone and arrhythmias Glucocorticoids, particularly high doses, tend to cause arrhythmias like atrial flutter a...

Q: What are the four classes of acutely incarcerated/strangulated groin hernia? Answer: Acutely incarcerated or strangulated groin hernia a...

Q : Which of the pleural findings on imaging is usually more of a sign of concern for cancer? A) Nodularity B) Plaque Answer: A Any of the ...

Q : Platelets are routinely stored at? - select one A) cold temperature B) room temperature  Answer: B Platelets are best stored at room tem...

Q: One of the reasons for the effectiveness of thiazide diuretics is via weight loss in arginine vasopressin resistance (AVP-R), also known ...

Q: The high severity of neurologic deficit in stroke should be considered for intravenous thrombolysis (IVT) due to the high risk of intrac...

Q : Lactic Acidosis (LA) due to thiamine deficiency may not respond to intravenous sodium bicarbonate. A) True B) False Answer : A One of th...

Q: The severity of the hypothermia is related to mortality in Myxedema coma. A) True B) False Answer: A The seven cardinal signs, though n...

Q: Which of the glucocorticoids is least likely to induce psychosis? - select one A) Methylprednisolone B) Dexamethasone C) Betamethasone D)...

Q: All of the following conditions EXCEPT ONE may bar patients from diagnosis of Sjögren's syndrome (SS) and participation in SS studi...

Q: While evaluating pneumothorax (PTX) on Chest-X-Ray (CXR), a distance of ≥3 cm between the pleural line and the chest wall at the level o...

Case:  44 years old female is admitted to the ICU with severe, sudden headache in the occipital region, associated with nausea and photosens...