icupearls.org Archive

Q: Tromethamine (tris-hydroxymethyl aminomethane - THAM) buffers hydrogen ions and is an alternative for use in acidosis instead of 'bi...

Q: Chlordiazepoxide is a commonly used drug in ICUs for prevention and treatment of acute alcohol withdrawal. It has all the properties exc...

Q: All of the following can be parts of Ethylene Glycol toxicity except ? A) Intubation B) Gastric lavage C) Ethanol D) Hemodialysis  ...

Ocular manifestations - an often ignored part in Methanol toxicity "This 49-year-old male was sent to a municipal hospital becaus...

Q: What is the clinical significance of calculating Maddrey discriminant function (DF) in acute alcoholic hepatitis? Answer:  Patients ...

Q: 47 year old male with CKD 3 is admitted to ICU with severe sepsis. Patient post-24 hours admission labs are relatively stable with creati...

Q: Why it is important to administer calcium in symptomatic hyperkalemia while treating it with other modalities like insulin, glucose, bica...

Q: Why intravenous potassium replacement should be given in non-dextrose solution? Answer:  Non-dextrose solution like saline should be...

Q:  ACE inhibitors have documentation to cause hallucinations via central effect, particularly in elderly patients. Which drug may reverse ...

Q: In recent years, use of prepared fibrinogen concentrate ((RiaSTAP) has been on rise in ICU for active bleeding where hypofibrinogenemia i...

Q: 58 year old male with ESRD (End Stage Renal Disease) is status post cardiac bypass (CABG) surgery. Patient continue to have generalized ...

Q: 33 year old morbidly obese female presented to ER with shortness of breath. CT scan confirmed pulmonary embolism (PE). Echo confirmed se...

Q: All of the following can be used in monitoring of Diabetic Ketoacidosis (DKA) except ?  A) hourly glucose measurement  B) periodic ven...

Q: All of the following may cause false negative positron emission tomography (PET) except ? A) tumor with low metabolic activity, B) a ...

Diaphragmatic dysfunction commonly occurs postoperatively in patients post cardiac surgery. Phrenic nerve injury may occurs from cold cardio...

Q; What is Vanishing Lung Syndrome? Answer:  Vanishing Lung Syndrome or Shrinking Lung Syndrome is a complication of systemic lupus eryth...

Q: 54 year old male with severe COPD is admitted to ICU with A.fib. with RVR. You decided to avoid B-Blocker in view of his COPD. Patient a...

Q: You were called to evaluate a patient. On arrival at bedside you find a fairly obese patient in impending respiratory failure. As you sta...

Q: 52 year old female is in ICU after Carotid Endarterectomy (CEA). Nurse called you to bedside and reports that patient tongue is deviated...

Q: What length of dialysis catheter is appropriate for insertion via femoral vein? Answer: 20-24 cm Insertion of hemodialysis catheter...

Q : 48 year old male with ESRD is in ICU with recent Pulmonary Embolism. Patient is on IV heparin drip. Patient's central line is sluggi...

Q: All of the following are or can be parts of Acute Chest Syndrome (ACS) management except? A) empiric antibiotic therapy B) IVF C) D...

".............I know about stuff like septic shock because for more than 20 years I was a transplant surgeon, and some of our patients...

Q: What are the four major components of  Critical Illness Polyneuropathy (CIP)? Answer:  Critical Illness Polyneuropathy (CIP) is a di...

Q: What is Transcatheter Potts shunt (TPS)? Answer: It is probably more of academic interest or at least a weapon used in refractory an...

Q: What is the acceptable ischemic time between procurement and re-implantation of donor lung to recipient body? (select one) A) Less than...

Q: Ultrasound technician called you to bedside to show images while doing sonography of Right Upper Quadrant (RUQ). On screen you see ...

Q: 32 year old male is transferred from outside hospital for transplant evaluation for acute liver failure. Medical student on exam wro...

Q:  ICU resident had needle stick while performing a procedure in an HIV  positive  patient. Resident decided not to take post-expos...

Q:  52 year old female from Cambodia, who just migrated to United States is admitted to ICU with exacerbation of Asthma. It was notic...

Q: Which one of the following is the risk for Linezolid associated lactic acidosis? A) Diabetes B) Decrease GFR (golmerular filtration r...

Q: Out of following, which one has shown to decrease vasospasm after sub-arachnoid hemorrhage SAH)? A) Hydralazine B) Beta blocker C) ...