icupearls.org Archive

Q: 28 year old male presented to ED with chest pain after inhalation of crack cocaine. CXR showed pneumomediastinum which was confirmed by ...

Q: Chest-Xray immediately after pneumonectomy shows postpneumonectomy space filled with air. At what rate fluid accumulates in  the empty  p...

Q: On agitated saline contrast echocardiography, appearance of bubbles in the left heart within how many beats after contrast opacification...

Q: Majority of cardiac tumors are myxomas. From which chamber they tend to arise most? A) Left Atrium B) Right Atrium C) Left Ventricle...

Case: 22 year old male student from Taiwan is admitted to ICU with severe left flank pain and hematuria. According to patient he has episode...

Q: What is the best place for feeding tube to be at during management of acute pancreatitis? Answer:   Jejunum In pancreatitis, jejunal...

Q: How the "sniff" test works for unilateral hemidiaphragm paralysis? Answer: "Sniff" test, now known for almost 50 ...

Q: In Myasthenia Gravis (MG), to assess the muscle strength - Vital Capacity can be measured both in sitting and supine position. Diaphragm...

Q: In patients undergoing hip surgery and are at increased risk for bleeding, and in whom both mechanical and pharmacologic prophylaxis are...

Q: Hypoxia is an early sign of pulmonary contusion. True or False? Answer:  False  In the early presentation of pulmonary contusion, h...

Q: What are the major characteristics of Short QT Syndrome (SQTS)? Answer: QT interval, usually less than 360 msec (range of 220 to 36...

Q: During intubation of a morbidly obese patient via Rapid Sequence Intubation (RSI), neuromuscular blockade (NMB) should be used by calcu...

Q: There are how many grades of liver injury? Answer:  6 According to American Association for the Surgery of Trauma (AAST) classific...

Q; Which of the following  anticonvulsants is effective in uremic pruritus patients on hemodialysis? A) Gabapentin B) Phenytoin C) leve...

Q: Flecainide toxicity can be seen on EKG as (select one) A) QRS prolongation B) QTc interval prolongation C) inversion of T wave D) U ...

Q: Which of the following is found to resolve the acute episode of sweet syndrome  (acute febrile neutrophilic dermatosis)? A) Methotrexa...

Q; 32 year old female is admitted for observation in ICU with severe headache associated with nausea and vomiting. workup in ED and consult ...

Q:   All of the following can be used in Neuroleptic Malignant Syndrome (NMS) except A) Dantrolene, B) Bromocriptine, C) Lorazepam D) H...

Q: 48-year-old Chinese female is admitted to ICU with hypertensive crisis. The patient appears with classic signs of Cushing syndrome like ...

Q: For hemothorax, minimally what size of chest tube should be inserted? Answer:  36 F If hemothorax is suspected, for efficient draina...

Q: Which provides a better measurement of coagulopathy in hepatic patients before an invasive procedure? A) INR B) PTT C) TEG D) Plate...

Q:  Risk of herpes bronchopneumonia goes high in ventilated patients after how many days? Answer: Five It has been shown that 20% of I...

Role of Amantadine after severe Traumatic Brain Injury (TBI) Amantadine with the dose of 100 mg two times a day, has been studied in pa...

"Effect of positive pressure ventilation on lymphatic drainage" The lymphatics subserve at least two functions, drainage and d...

Q: 24-year-old male is admitted to ICU from ED. The Patient had scorpion bite 3 hours ago and required intubation in ED for the protection ...

Q: What is the pathophysiology behind acalculous cholecystitis in ICU patients? Answer:  3 major factors behind highly life threatenin...

Q:  26 year old female is admitted to ICU with shortness of breath, and on exam found to have bilateral pleural effusion, swelling of both l...

Q: Patient returned from OR after repair of thoracic aneurysm repair. On weaning of sedation lower extremities weakness is noted. MAP is pro...

Q: What is the modus operandi of hyponatremia during loop diuresis?   Answer:   There is a common misconception that hyponatremia during...

Q: 58-year-old male with End Stage Renal Disease (ESRD) is admitted to ICU with septic shock. The patient is well known to service as a ...

Q: How propofol directly affects cardiac muscles? Answer:  Propofol effect on myocardium gets pronounced during Propofol Infusion Syndr...

Q: What caution should be taken if l ipids emulsion is added in total parenteral nutrition (TPN)? Answer:  Check for egg allergy Lipid...