icupearls.org Archive

Q: In  acute decompensated pulmonary embolism (PE), how long does it take to see improvement of right ventricular (RV) function after receiv...

Q: The overall incidence of Pulmonary Embolism (PE) is higher in (choose one) A) Male or  B) Female Answer: Male Contrary to popular...

Q: Which valve abnormality is common after insertion of continuous Left Ventricular Assist Device (LVAD)?  Answer:   Aortic regurgitation...

Q: Which one of the following should be avoided in patients who are at high risk of cardiogenic shock (pre-shock state) secondary to acute ...

Q: 58 year old male with end stage renal disease (ESRD) developed  acute gout. All of the following can be used except A) Glucocorticoids...

Q: All of the following are risk factors for surgical site infections (SSIs) after colorectal surgery  except ? A) Perioperative blood tra...

Q: 72 year old female who is admitted for GI bleed found to have depressed mental status in the morning. Patient received a dose of 2mg lora...

Q: What is the clinical significance of measuring serial serum (Lactate dehydrogenase) LDH level in Pneumocystis pneumonia (PCP) in HIV pat...

Q: 88 year old female is admitted to ICU after fall and peritrochanteric fracture as a 'soft admission'! Patient has history of coro...

Q ; 47 year old male with history of cirrhosis is admitted to ICU with exacerbation of hepatic encephalopathy. Attempts to insert naso-gast...

Q : How "principle of justice" and "principle of utility" justifies liver transplantation in alcohol induced liver failu...

Q: Permissive hypercapnia is relatively contra-indicated in all of the following except ? A) Acute myocardial infarction B) Severe COPD ...

Pearls of recruitment maneuver Usually used 'rule of thumb' of  recruitment maneuver is "40-40" - application of a high ...

Q: What is the usual liver function test (LFT) pattern indicative of liver failure secondary to Wilson's Disease? Answer:    A ratio...

Q : 84 year old male is admitted to ICU with community acquired pneumonia and on Non-invasive Positive Pressure Ventilation (NIPPV). Chest X...

Q: All of the following are indications of Intra-Aortic Balloon Pump (IABP) except ? A)  Acute ischemic cardiogenic shock B) Acute mitral...

Q: Patient has been made "comfort care" due to terminal illness and neurologic coma . Family is very distressed due to persistentl...

Q: You decided to put arterial line in dorsalis pedis artery. You get reminded by nursing student at bedside that all arterial lines should ...

Q: What are the 5 requirements of measuring bladder pressure for Intra-Abdominal Hypertension?   Answer: As per World Society of Abdomin...

Q: How severity of pericardial effusion can be roughly quantified on the basis of Echocardiography? Answer: Small effusions - up to ...

Keep PaO2 more than 60 mmHg   Keep systolic BP at least at 90 mmHg   Head of bed elevation if increased intracranial pressure (ICP)   ...

Q: Which common error occurs while writing orders for "Dexmedetomidine"? Answer: Most intravenous infusions in ICU are  mcg/kg...

Q: What is Paratonia? Answer:  Paratonia, also known as gegenhalten is defined as increased resistance that becomes less prominent when t...

Q: 44 year old male with HIV is transferred from floor with respiratory failure on fourth day of hospitalization. Patient CT scan of chest...

Q: All of the following are true of Primary Spontaneous Pneumothorax (PSP) except ? A) Age between 20 and 40 B) History of smoking C) F...

Q: 77 year old male is admitted to ICU as a pre-op for Aortic Valve Replacement. Patient previously had two times CABG (cardiac bypass)  32 ...

Q: Why left subclavian should be avoided for insertion of  temporary transvenous pacemaker? Answer: Left subclavian vein should be spared...

Q: At what level of hyperkalemia in Dig. toxicity, treatment with digoxin Fab fragments should be considered? Answer:  Potassium level...

Q: Pulmonary edema may occur after synchronized cardioversion in atrial fibrillation. What is the mechanism behind it? Answer: With card...

Q: What is the cut off time limit between acute and chronic hypernatremia? Answer: 48 hours Acute hypernatremia can be treated in no...

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...