icupearls.org Archive

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

Sunday, July 12, 2026

Octreotide and chylothorax

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Q:  How does octreotide help in the management of chylothorax? Answer : By decreasing intestinal fat absorption Chylothorax continues to rem...
Saturday, July 11, 2026

ACE-I with diuretics in AA patients

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Q:  African American (AA) patients, with the addition of a low dose of a thiazide diuretic to an ACE inhibitor, get a similar response to a ...
Friday, July 10, 2026

SAAG in CHF

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Q : One of the advantages of the serum-to-ascites albumin gradient (SAAG) in congestive heart failure (CHF) is that it can predict treatment...
Thursday, July 9, 2026

DPP-4 with metformin

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Q:  Dipeptidyl peptidase 4 (DPP-4) inhibitors should not be combined with metformin to avoid the risk of severe hypoglycemia. A) True B) Fal...
Wednesday, July 8, 2026

COVID-19, permissive hypercapnia,and permissive hypoxemia

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Q : 72 years old male is admitted to the ICU with pneumonia and requires 12 L/min of oxygen flow. Respiratory culture from admission shows C...
Tuesday, July 7, 2026

Social factors in suicide

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Q: Immigrants are at higher risk for suicide than the citizens of the host country. A) True B) False Answer: B Contrary to popular belief, i...
Monday, July 6, 2026

RDW, RDW-SD and RDW-CV

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Q : What's the difference between RDW, RDW-SD and RDW-SC? Answer:  Red cell distribution width (RDW) signifies either microcytosis (low ...
Sunday, July 5, 2026

Plasmapheresis during pregnancy

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Q : A 32-year-old female, first-time, 26 weeks pregnant, with a known history of Myasthenia Gravis (MG) ,  presented with severe myasthenia ...
Friday, July 3, 2026

SPS in hyperkalemia

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Q : Sodium polystyrene sulfonate (SPS) or other cation-exchange resins should be utilized only in? - select one A) acute hyperkalemia  B) ch...
Thursday, July 2, 2026

capsid inhibitor for HIV-1 treatment and prevention

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Q : How do capsid inhibitors work in HIV? Answer:  They disrupt HIV capsid protein functions Lenacapavir is the capsid inhibitor approved by...
Wednesday, July 1, 2026

Brugada Syndrome in psychiatric disorder

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Q: Which psychological condition is found to be associated with Brugada pattern ECGs? - Select one A) Autism Spectrum Disorder   B) Bipolar...
Tuesday, June 30, 2026

AG in MM

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Q: An anion gap (AG) in multiple myloma (MM) will be? - select one A) high B) low Answer : B Patients suspected of MM, typically with CRAB, ...
Monday, June 29, 2026

Aztreonam cross allergenicity

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Q: Which cephalosporin allergy may also cause an allergy to aztreonam? - select one A) Cefazolin  B) Cefuroxime  C) Ceftazidime  D) Cefepime...
Sunday, June 28, 2026

Gas explosion

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Q:  A gas explosion during a colonoscopy is a possibility. A) True B) False Answer: A A gas explosion during a colonoscopy is a rare but dr...
Saturday, June 27, 2026

Age's risk factor for acute renal transplant rejection

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Q:  Which of the following is at increased risk of acute kidney rejection post-transplant?  - select one A) older recipient and young donor ...
Friday, June 26, 2026

Sweet syndrome

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Q: All of the following are considered "classical" Sweet syndrome EXCEPT? A) Drug-Induced B) Infections associated B) Inflammatory...
Thursday, June 25, 2026

rupture of pyogenic liver abscess

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Q: Why does most hepatic abscess rupture not cause intraperitoneal dissemination? Answer : Due to localization in adjacent spaces The pheno...
Wednesday, June 24, 2026

Droxidopa as a pressor

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Q:  Droxidopa, after decarboxylation, worked as a which pressor or inotrope?  - Select one A) Dopamine B) Dobutamine C) Epinephrine D) Norep...
Tuesday, June 23, 2026

eventration of the diaphragm

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Q: Complete eventration of the hemidiaphragm usually happens on? - select one A) left  B) right Answer : A Diaphragmatic eventration is defi...
Monday, June 22, 2026

Urea and Na

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Q: Oral Urea tablets can be used in the treatment of? - select one A) Hypernatremia B) Hyponatremia Answer: B Although not widely used bec...
Sunday, June 21, 2026

Clozapine and tobacco

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Q: A 64-year-old male with only a past history of depression and smoking is admitted to the hospital for severe community-acquired pneumoni...
Saturday, June 20, 2026

importance of paracentesis in SBP

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Q : What's the importance of paracentesis in spontaneous bacterial peritonitis (SBP)? Answer : Determination of mortality As famously sa...
Friday, June 19, 2026

BAT

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Q : Which of the following has the highest likelihood ratio (LR) of Blunt Abdominal Trauma, popularly known as BAT? - select one A) Abdomina...
Thursday, June 18, 2026

cola colored urine

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Q : What could be the underlying renal pathophysiology in cola or tea colored urine? Answer : Possible glomerular bleeding An astute physici...
Wednesday, June 17, 2026

Anbx in Ebola

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Q: Patients with Ebola virus should be covered at least for? - select one A) Gram-negative pathogens B) Gram-positive pathogens Answer : A ...
Tuesday, June 16, 2026

THAM

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Q: THAM should ideally be infused through central line. A) True B) False Answer: A THAM stands for Tromethamine (tris-hydroxymethyl aminom...
Monday, June 15, 2026

cyproheptadine in serotonin syndrome

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Q: 42 years old female is admitted to the ICU with probable serotonin syndrome. Cyproheptadine has been initiated. Cyproheptadine is a? - se...
Sunday, June 14, 2026

Mushroom-shaped RBCs

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Q: Mushroom-shaped Red Blood Cells (RBCs) signify what? Answer: O xidative stress During the COVID-19 pandemic, Mushroom-shaped RBCs, also ...
Saturday, June 13, 2026

Emergent blood transfusion with Group O

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Q : A 32-year-old male is admitted to the ICU with severe life-threatening shock after an esophageal variceal bleed.  Emergency release of b...
Friday, June 12, 2026

four stages of Neurocysticercosis on neuro-imaging

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Q: What are the four  stages of Neurocysticercosis on neuro-imaging? Answer: There are 4 stages of the cyst itself while reviewing brain ima...
Thursday, June 11, 2026

AKI after cardiac bypass

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Q : Addition of mannitol to Cardio-pulmonary Bypass (CPB) in the OR reduce the risk of acute kidney injury (AKI) post cardiac surgery? A) Tr...
Wednesday, June 10, 2026

DrawingTacrolimus Trough Level

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Q: Which one precaution should be taken while drawing blood for Tacrolimus (FK506) level? Answer: Tacrolimus can leach into plastic cathet...
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