Thursday, April 30, 2015

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Q: Effects of Dabigatran (an oral Direct Thrombin Inhibitor) may get accentuated (increase) with all of the following drugs except ? A) qu...
Wednesday, April 29, 2015

Tei Index

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Q: What is Tei Index? Answer:  The Tei index is increasingly used to evaluate and described cardiac function. The Tei index is easily d...
Tuesday, April 28, 2015

A note on use of Methyl Prednisolone in acute Reversal of anti-platelets

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There is some literature that exist on rapid reduction in the platelet inhibition following intravenous injection of methyl prednisolone i...
Monday, April 27, 2015

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Q: During resuscitation in "acute hemorrhagic shock" what is the ratio of IVF in expanding intravascular volume? Answer: 3:1 ...
Sunday, April 26, 2015

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Q : 46 year old female with no history of tobacco smoking presented to ER with shortness of breath, fever and hypoxia requiring BiPAP mask. ...
Saturday, April 25, 2015

Understanding Dialysis Disequilibrium Syndrome (DDS) - "Reverse Urea Effect"

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Urea usually has a lag of inherent delay of entry into the brain, means that urea can function as a temporary effective osmole, which couple...
Friday, April 24, 2015

A note on Sodium (Na) correction in severe hyperglycemia

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To correct Sodium (Na) in hyperglycemia above 200 mg/dL the most commonly used correction factor is a 1.6 mEq per L increase in serum sodium...
Thursday, April 23, 2015

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  Q:  53 year old male is in ICU recovering from DKA. Patient informed you that he has been prescribed an ant...
Wednesday, April 22, 2015

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Q:  What is the recommended target of MAP (Mean Arterial Pressure) in therapeutic hypothermia protocol? A...
Tuesday, April 21, 2015

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Q:  Pyridostigmine (Mastinon) which is well known for its use in Myasthenia Gravis can also be use in which other common condition? ...
Monday, April 20, 2015

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Q:  Which of the following may be used in treatment of massive "Fire Ants" exposure on human body?   ...
Sunday, April 19, 2015

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Q: "Banana Bag" cab be used in which condition as an adjuvant treatment beside its use in alcoholism and nutritionally deficien...
Saturday, April 18, 2015

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Q:  Why in Delirium Tremens (DT) patients, IV Thiamine is preferred over PO Thiamine?    Answer...
Friday, April 17, 2015

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Q:  57 year old male with 100 PPY of smoking history is admitted to ICU with COPD exacerbation. Patient developed mild delirium & ps...
Thursday, April 16, 2015

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Q:  42 year old male is admitted to ICU with community acquired pneumonia. CXR showed significant unilatera...
Wednesday, April 15, 2015

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Q: Why in comparison to others in same group Cefepime is considered 4th generation Cephelosporin?  Answer: Cefepime is an extended-spect...
Tuesday, April 14, 2015

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Q: After how many hours of Propofol infusion, hypertriglyceridemia may become an issue ? Answer:   Abou...
Monday, April 13, 2015

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Q:  All of the following drugs can be given as epidural Except ? A) Morphine,  B) Ketamine, C) Clonidine D) Lidocaine E) Pro...
Saturday, April 11, 2015

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Q: What is "Safe Triangle" to insert chest tube? Answer:  British Thoracic Society recommends the tube is inserted in a...
Friday, April 10, 2015

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Q: What is the risk of Re-Expansion Pulmonary Edema (REPE) after thoracentesis? Answer:  0.18% per 1 ml of fluid removed On...
Thursday, April 9, 2015

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A note on inhaled Milrinone (instead of systemic Milrinone) The major advantage of inhaled milrinone is its pulmonary selectivity,...
Wednesday, April 8, 2015

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Q: 58 year old male with CKD 3 (Chronic kidney Disease) is admitted to ICU with hypertensive crisis. Patient is...
Tuesday, April 7, 2015

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Q: Which group of drug may increase the chance of anaphylactoid reaction to intravenous contrast dye ?   ...
Monday, April 6, 2015

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Q: Which 2 group of drugs may increase the chances of Hypersensitive reactions (HSRs) to intravenous Iron infusi...
Sunday, April 5, 2015

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Q : Which artifacts may commonly lead to high mixed venous oxygen saturation ...
Saturday, April 4, 2015

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Q: 24 year old male has been brought to ICU from ER after he was stuck at his workplace in a kitchen and was e...
Friday, April 3, 2015

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Q: What are the 4 clinical stages of hepatic encephalopathy? ...
Thursday, April 2, 2015

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Q: Name at least 5 "non-infectious" complications of Peritoneal Dialysis? ...
Wednesday, April 1, 2015

A note on Vitamin C Resuscitation in "Burn Patient"

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The landmark "Tanaka study" showed that high dose Vitamin C (ascorbic acid) during the first 24 hours after burn  reduced resusc...
Tuesday, March 31, 2015

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Q: Succinylcholine should be use with caution for intubation in all of the  following patients with  except   A) Neuromuscular diseases...
Monday, March 30, 2015

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Q: What one trick may be used in patient during intubation to avoid rapid hypoxemia during paralytic phase due t...
Sunday, March 29, 2015

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Q: 57 year old male with ESRD is admitted to ICU with hyperkalemia in "7.5 range" causing EKG changes ...