icupearls.org Archive

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

Saturday, February 28, 2015

Amiodarone induced thyroid problems

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Q:   Amiodarone causes thyroid problems because? A) It resembles thyroxine B) It contains high amount of Iodine C) Both A and...
Friday, February 27, 2015

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Q:   How is "Reverse use dependence" is defined for any cardiac drug? Answer: Reverse use dependence is defined as an inv...
Thursday, February 26, 2015

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Q: Which of the following may cause SIADH A) Amiodarone B) Empyema C) Pneumothorax D) Positive pressure ventilatio...
Wednesday, February 25, 2015

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Q: For acalculous cholecystitis all of the following are part of treatment except ? A)  open or laparoscopic cholecystectomy B)...
Tuesday, February 24, 2015

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Q: Nasoenteric tubes tend to be blocked frequently because they are usually longer and of finer bore. They are susceptible to being obst...
Monday, February 23, 2015

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Q: 32 year old male with history of ETOH abuse is admitted to ICU with acute upper GI bleed secondary to varices...
Sunday, February 22, 2015

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Q: How Roth's spot is best defined? Answer: Pale-centered hemorrhage. Major causes of Roth's ...
Saturday, February 21, 2015

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Q: Bones of the skull block the transmission of ultrasound, than how transcranial doppler is performed? Answer: Transcranial d...
Friday, February 20, 2015

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Q: You have been called to evaluate a 44 year old male in ER for acute CVA. Patient is still within time limit of thrombolytic therapy a...
Thursday, February 19, 2015

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Q: 54 year old male is admitted via ER to ICU with hypertensive crisis. ER physician chose to use IV Fenoldopam ...
Wednesday, February 18, 2015

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Q: What is the life saving measure in thyroid storm when all conventional treatments fail? Answer: P...
Tuesday, February 17, 2015

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Q: Name 5 very common complications of plasmapheresis, which usually require intervention in ICU? Answer...
Monday, February 16, 2015

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Q: What percentage of patients develop post-extubation laryngeal edema? Answer: Surprisingly, clinically relevant post-extubati...
Sunday, February 15, 2015

Diclofenac suppository in early post-operative relief of pain and shivering in spinal anesthesia?

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Background: Pain and shivering are two challenging components in the post operative period. Many drugs were used for prevention and tre...
Saturday, February 14, 2015

Preventing Fires in the Operating Room

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Friday, February 13, 2015

Foley catheters--is infection the greatest risk?

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PURPOSE: Foley catheters cause a variety of harms, including infection, pain and trauma. Although symptomatic urinary tract infection and a...
Thursday, February 12, 2015

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Q:  Which one simple step before paracentesis may be helpful? Answer:     Emptying ...
Wednesday, February 11, 2015

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Q:   48 year old male with previous history of seizure is in ICU after community acquired pneumonia. Patie...
Tuesday, February 10, 2015

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Q:   Which lab test best describe to suspect pseudohyperkalemia A) platelets (...
Sunday, February 8, 2015

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Q:  Cyanide poisoning is consistent with which kind of Odor? A) Bitter almonds B) Burnt rope C) Ga...
Saturday, February 7, 2015

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Q:  At what  PH Metabolic Alkalosis should be viewed as concern and treatment should be sought A) 7.45 ...
Friday, February 6, 2015

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Q:   Lactate Ringer (LR) is an alkalizing solution. Its PH is A) 7.4 B) 8 C) 7.8 D) 6.5 E) 5 Answer: ...
Thursday, February 5, 2015

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Q:   What does "bolus" means (like in IVF bolus)? Answer: Bolus is a Latin word, which means ball It is used in medic...
Wednesday, February 4, 2015

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Q:   Eptifibatide, glycoprotein IIb/IIIa inhibitor, which is frequently used in acute coronary syndrome and during PCI (percutaneous cor...
Tuesday, February 3, 2015

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Q:  Is penile implant contraindicated for MRI? Answer: Not always, but caution i...
Monday, February 2, 2015

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Q:  What is splenic rub? Answer: In suspected splenomegaly beside palpation and percussion , the left uppe...
Sunday, February 1, 2015

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Q :  Why cardiac workup is essential during diagnosis and management of Myxedema coma? Answer:  Cardiac wor...
Friday, January 30, 2015

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Q:  Which drug used during cardio-pulmonary bypass (CPB) may cause continuous diuresis in immediate post-CABG p...
Thursday, January 29, 2015

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Q:   How Cisatracurium degradation is related to body temperature? Answer: Cisatracurium is degraded by Ho...
Wednesday, January 28, 2015

Train of Four (TOF)

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Link: http://youtu.be/kNLe5hLSFz8 .
Tuesday, January 27, 2015

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Q: What is the best way to avoid damage to recurrent laryngeal nerve during intubation? Answer: One of the...
Monday, January 26, 2015

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Q: 22 year old male is admitted to ICU after cocaine overdose. What one simple maneuver during physical exam is ...
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