icupearls.org Archive

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

Thursday, September 3, 2026

Colchicine and pericarditis

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Q: Colchicine is found to be effective in pericarditis caused by? - select one A) systemic inflammatory diseases B) bacterial pericarditis C...
Wednesday, September 2, 2026

Transmission of human babesiosis

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Q : Babesiosis is mostly transmitted by? - select one A) blood transfusion B) solid organ transplantation C) transplacental D) tick vectors ...
Tuesday, September 1, 2026

Angioedema Following Discontinuation of ACE Inhibitor Therapy

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Q: Angioedema may occur even after Angiotensin Converting Enzyme inhibitor (ACE-I) is discontinued? A) True B) False Answer : A Although it ...
Monday, August 31, 2026

DDAVP and Hemophilia

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Q: Desmopressin (DDAVP) can be given in bleeding patients with? - select one A) hemophilia A B) hemophilia B  Answer: A Hemophilia is simp...
Sunday, August 30, 2026

RBC Ghosts

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Q: Red Blood Cell (RBC) ghosts can be seen mostly with which bacterial infection? Answer: Clostridium perfringens RBC ghosts are RBC membra...
Saturday, August 29, 2026

hMPV and Lung transplant

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Q : A 63-year-old male with a recent double lung transplant is transferred back from the ward to the ICU due to respiratory distress and req...
Friday, August 28, 2026

Propofol use in colonoscopy

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Case:  A 57-year-old male is admitted to the ICU with severe lower gastrointestinal bleed (LGIB).  Patient is not intubated. GI service requ...
Thursday, August 27, 2026

CPM and ODS

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Q:  Why "central pontine myelinolysis (CPM)" is not a correct term for a neurological complication in the overly rapid correction ...
Wednesday, August 26, 2026

Transfusion in burn patients

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Q : Blood transfusion to keep hemoglobin threshold above 10 g/dL in burn patients may improve mortality. A) True B) False Answer : B Overnee...
Saturday, August 22, 2026

Definition of Dyspnea

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Q: As per American Thoracic Society (ATS), which of the following factor is NOT a part of definition of dyspnea? - select one A) Anatomica...
Friday, August 21, 2026

A succussion splash, Virchow's node and Sister Mary Joseph's node

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Q : With the following three physical findings, what's the diagnosis, if proven otherwise? A succussion splash  A left Virchow's nod...
Thursday, August 20, 2026

Premedication in IV Fe infusion

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Q: Premedication with diphenhydramine should be given before intravenous (IV) Iron (Fe) transfusion due to the risk of allergic reaction. A)...
Wednesday, August 19, 2026

Fosphenytoin and phenytoin

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Q: Which statement is true? - Select one A) Fosphenytoin is the water-soluble prodrug of phenytoin B)  Fosphenytoin is the lipid-soluble pr...
Saturday, August 15, 2026

Clopidogrel & PPIs

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Q: Which of the following Proton Pump Inhibitors (PPIs) is most likely to decrease the effect of clopidogrel? - select one A) Lansoprazole ...
Friday, August 14, 2026

HIV and OB transmission

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Q: Antiretroviral use during pregnancy, at the time of delivery, and breastfeeding can eliminate the chances of HIV transmission by? - sele...
Thursday, August 13, 2026

Sarcoid and IBD

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Q:  Sarcoidosis seems to have a greater tendency to exist with which of the following gastrointestinal immune/inflammatory disorders?  - sel...
Wednesday, August 12, 2026

Risk factors for CAPS

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Q: In patients with antiphospholipid antibodies (aPL), which of the following carries the highest risk for Catastrophic antiphospholipid sy...
Monday, August 10, 2026

ECMO and HCPS

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Q: Extracorporeal membrane oxygenation (ECMO) has shown no survival benefit in Hantavirus Cardiopulmonary Syndrome (HCPS) and should be con...
Sunday, August 9, 2026

Hyperparathyroid crisis

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Q:  What are the three major causes of parathyroid crisis, also known as hypercalcemic crisis? Answer : Parathyroid or hyperparathyroid cris...
Saturday, August 8, 2026

yellow fever vaccine and immunocompromised hosts

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Q:  A 52-year-old male recovering in the ICU after a heart-kidney transplant announces he will travel to South Africa to celebrate his succe...
Thursday, August 6, 2026

VAS in COPD

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Q: What does VAS stand for in the Rome criteria for COPD exacerbation? Answer : Visual Analog Scale (VAS) The Rome criteria for COPD is des...
Wednesday, August 5, 2026

extraintestinal site has the highest propensity for nntyphoidal Salmonella bacteremia

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Q : Which of the following extraintestinal sites has the highest propensity for nontyphoidal Salmonella bacteremia? - select one A) Heart va...
Monday, August 3, 2026

Delafloxacin

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Q: Delafloxacin is a? - select one A) tetracycline B) fluoroquinolone Answer: B The objective of this question is to make students aware o...
Sunday, August 2, 2026

DBS and Diathermy

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Q:  A 68-year-old male is recovering from community-acquired pneumonia (CAP) in the ICU.  Patient has a Deep Brain Stimulator (DBS) implante...
Saturday, August 1, 2026

Body organ involved in IgAN besides kidney

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Q : Which organ in the body may be related to IgA Nephropathy (IgN)? - select one A) Adrenal gland B) Brain C) Cardia D) Liver E) Tonsils An...
Friday, July 31, 2026

Rapalogs and ACE-I-angioedema

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Q:  Post-transplant patients are at increased risk of ACE inhibitor-induced angioedema. A) True B) False Answer: A Post-transplant patients ...
Thursday, July 30, 2026

Paradoxes (and history) of LR

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Q : Resuscitation with Lactated Ringer's (LR) may cause? - select one A) Hypernatremia B) Hyponatremia Answer : B Lactated Ringer's ...
Wednesday, July 29, 2026

Pseudo-hypophosphatemia

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Q: Intravenous (IV) mannitol may cause? - select one A) pseudo-hypocalcemia  B) pseudo-hypokalemia C) pseudo-hypomagnesemia D) pseudo-hypona...
Tuesday, July 28, 2026

murmur of pulmonic stenosis

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Q : The murmur of pulmonic stenosis can be best heard at? - select one A) left upper sternal border B) right upper sternal border Answer: A ...
Sunday, July 26, 2026

Treatment considerations in myasthenia gravis for the pregnant patient

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Q: A 26-year-old female, first-time 30 weeks pregnant, and with a known history of Myasthenia Gravis (MG). pyridostigmine is preferred to b...
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Friday, July 24, 2026

Katayama fever

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Q: In acute schistosomiasis syndrome (Katayama fever), what should be given first? A) Anthelminthic B) Glucocorticoids Answer: B Acute schi...
Thursday, July 23, 2026

TIPSS and HPS

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Q: Transjugular intrahepatic portosystemic shunt (TIPSS) can cure Hepatopulmonary syndrome (HPS). A) True B) False Answer: B Transjugular in...
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