icupearls.org Archive

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

Wednesday, August 31, 2016

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Q: Which cutaneous malignancy is common after solid organ transplant? - Select one A) Basal Cell Carcinoma B) Squamous Cell Carcinoma ...
Tuesday, August 30, 2016

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Q: What is the targeting lower INR before doing emergent endoscopy in patients with life-threatening upper gastro-intestinal bleed (UGIB)? ...
Monday, August 29, 2016

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Q: how much Iron get transfused with one unit pRBC bag (300 cc)?  Answer:   200 mg  Life-threatening anemia requires pRBC. Each bag of ...
Sunday, August 28, 2016

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Q: Which one trick may increase the sensitivity of spontaneous bacterial empyema (SBEM) in patients with hydrothorax? Answer:   The sen...
Saturday, August 27, 2016

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Q: By definition, what is the difference between Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN)? Answer:  Steve...
Friday, August 26, 2016

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Q: What is the most likely cause of primary graft dysfunction (PGD) in new lung transplant patients?  Answer:   Ischemia-reperfusion injur...
Thursday, August 25, 2016

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Q: Given if Decadron (Dexamethasone) is not available, what is the dose of Solumedrol (methylprednisolone) is appropriate to use in post-ext...
Wednesday, August 24, 2016

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Q : What is Monod sign?     Answer:    Monod or Monad sign refers to air that surrounds an aspergilloma in a pre existing pulmonary cavit...
Tuesday, August 23, 2016

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Q: What is "Air-Cresent" sign? Answer:  An air crescent sign is a crescent of air usually seen in invasive aspergillosis or an...
Monday, August 22, 2016

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Q: Which organ failure is found to be associated with linezolid-induced thrombocytopenia? Answer:  Renal Not fully explained but linez...
Sunday, August 21, 2016

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Q: What is physiologic pulmonary Right-to-Left  shunt? Answer:    When perfusion occurs to non-ventilated alveoli like in atelectasis, pn...
Saturday, August 20, 2016

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Q: Which group of antibiotic has been reported to be associated with retinal detachment? Answer:  Fluoroquinolone Reports are out ther...
Friday, August 19, 2016

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Q: Closure of atrial septal defect (ASD) is indicated in all of the following except? A) Shunt causing right ventricular volume overload ...
Thursday, August 18, 2016

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Q: Does "edge-to-edge leaflet repair device" (trade name=MitraClip) implantation for Transcatheter mitral valve repair (TMVR) requ...
Wednesday, August 17, 2016

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Q: For patients with symptomatic Nonsustained Ventricular Tachycardia (NSVT), the first line of treatment is?   A) Beta Blocker (BB) B) C...
Tuesday, August 16, 2016

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Q : Which size of chest tube should be inserted in trauma patients when hemothorax is suspected? Answer : 36 F It takes about 300 cc of...
Sunday, August 14, 2016

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Q: 54 year old female is transferred to ICU from oncology floor with coma which requires intubation. Labs send 2 hours ago showed calcium ...
Saturday, August 13, 2016

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Q: During insertion of Central Venous Catheter (CVC), resistance is felt during guidewire  advancement. You decided to withdraw wire to chec...
Friday, August 12, 2016

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Q: In trauma patients, which side of diaphragm is more prone to injury? Left or Right? Answer: Left Left-sided diaphragmatic rupture oc...
Thursday, August 11, 2016

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Q: 52-year-old female is admitted to ICU with abdominal pain. CT scan reports described adrenal mass. All of the followings are in favour o...
Wednesday, August 10, 2016

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Q: What are the good indicators in Diabetic Ketoacidosis (DKA) to transit from IV insulin infusion to subcutaneous insulin injections?  ...
Tuesday, August 9, 2016

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Q: In Central Nervous System injury, the distinction between Cerebral Salt Wasting(CSW) and SIADH is critically important since both disord...
Monday, August 8, 2016

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Q: 45 year old male is admitted to ICU with exacerbation of Crohn's disease. Patient c/o aphthous ulcerations in mouth. What is the tre...
Saturday, August 6, 2016

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Q: What is the added advantage of endoscopic application of hemoclips in upper gastro-intestinal bleed? Answer:  They may serve as a rad...
Friday, August 5, 2016

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Q: 49 year old male with previous history of crohn's disease with colectomy is admitted to ICU from floor due to hypotension and severe ...
Thursday, August 4, 2016

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Q: 54 year old female with no past medical history is admitted to ICU due to shortness of breath requiring intubation. Over the course of ...
Wednesday, August 3, 2016

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Pearl on percutaneous Cholecystostomy  ICU patients are very prone to develop acalculous cholecystitis - and unfortunately most of them ar...
Tuesday, August 2, 2016

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Q: Out of the following, which electrolyte imbalance is the hallmark of MDMA (ecstasy) intoxication? A) Hyponatremia B) Hyperkalemia (d...
Monday, August 1, 2016

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Website Editors' pick Effect of Noninvasive Ventilation Delivered by Helmet vs Face Mask on the Rate of Endotracheal Intubation in Pa...
Sunday, July 31, 2016

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Q: 69 year male is admitted to ICU with COPD exacerbation. Patient developed Pseudomonas aeruginosa in his sputum. What is the clinical sign...
Saturday, July 30, 2016

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Q : All of the following is diagnostic of Preeclampsia with systolic blood pressure of more than or equal to 140 mmHg or diastolic blood pre...
Friday, July 29, 2016

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Q: 45 year old male is admitted to ICU with probable cardiogenic shock. Decision was made to insert Pulmonary Artery Catheter (PAC). Patien...
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