icupearls.org Archive

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

Monday, October 31, 2016

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Q: Which clinical sign can be graded according to the severity of hypocalcemia?   (Select one) A) Chvostek sign B) Trousseau sign Answ...
Sunday, October 30, 2016

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Q: What is 'absorptive atelectasis'? Answer:  Absorptive atelectasis is one of the "not very much desired" consequence ...
Saturday, October 29, 2016

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Q; 48 year old male is recovering in your ICU from acute pancreatitis. He asked you his risk of developing any long-term disease from his e...
Friday, October 28, 2016

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Q: How long does it take for hepatic encephalopathy to manifest after Transjugular intrahepatic portosystemic shunt (TIPS)? Answer: Co...
Thursday, October 27, 2016

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Q : Folic acid is recommended as an adjuvant therapy in Ethylene Glycol or Methanol poisoning if a patient receives Famipzol as a treatment....
Wednesday, October 26, 2016

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Q: Which one technique during whole lung lavage for pulmonary alveolar proteinosis increases the chance of recovery of the lipoproteinaceou...
Tuesday, October 25, 2016

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Q: 28 year old male student from Brazil, who visited his family during the months of summer is brought to ER with seizures. CT Head showed ...
Monday, October 24, 2016

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Q; 52 year old male is admitted to ICU with lower GI bleed and have 2 episodes in last 24 hours. GI service wants to do "hydroflush co...
Sunday, October 23, 2016

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Q; 24 years old female with 31 weeks pregnancy came to ER with mental status change and diligently diagnosed with acquired thrombotic thromb...
Saturday, October 22, 2016

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Q: 28 year old diabetic female is transferred from OB/Gyn floor with mental status change. 48 hours before, patient had a prolonged labor c...
Friday, October 21, 2016

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Q; What is the "6 days rule" for enteral nutrition in very sick critically ill patients? Answer:   In very sick critically ill ...
Thursday, October 20, 2016

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Q: Mineralocorticoid administration is mandatory in 'Adrenal crisis' along with Hydrocortisone/Dexamethasone? (Select one) A) Yes ...
Wednesday, October 19, 2016

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Q: 64 year old male with CHF presented to ER with c/o dizziness. Patient on w/u found to have digoxin toxicity. After due consideration, car...
Tuesday, October 18, 2016

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Q: Osler's nodes can be a clinical finding in (select one) A) Infective endocarditis B) Systemic lupus erythematosus  C) Disseminate...
Monday, October 17, 2016

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Q : Which most commonly unpredicted drug interaction of warfarin may go unnoticed and may even without a glance of physicians in ICU, inpati...
Sunday, October 16, 2016

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Q; Aspiration of the amebic liver abscess is usually not recommended but may require under few conditions like danger of the rupture or if d...
Saturday, October 15, 2016

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Q: CXR finding of tuberculous pleural effusions is mostly? A) Bilateral and small to moderate B) Tend to be unilateral on left and large...
Friday, October 14, 2016

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Q: 32 year  old male from South Africa and with history of tuberculosis in his teen who migrated to USA 5 years back presented with  chest ...
Thursday, October 13, 2016

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Q: What is the implication of using D-5 instead of D-20 as a purge solution in cardiac device Impella?  Answer:  Impella is a percutane...
Wednesday, October 12, 2016

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Q: What is vasodilator-stimulated phosphoprotein (VASP) Index?   Answer: Vasodilator-stimulated phosphoprotein (VASP) Index, accurately...
Tuesday, October 11, 2016

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Q: The third most common aneurysm within the abdomen after aortic and iliac arteries is of?  A) Renal artery  B) Splenic artery  C) Sup...
Monday, October 10, 2016

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Q: Why Ampicillin remains the first line of treatment for listeriosis?  Answer: Listeria is universally resistant to cephalosporins. Lis...
Sunday, October 9, 2016

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Q: 47-year-old male is admitted to ICU with hypertensive crisis. On examination, patient appears to be of tall stature. ENT exam showed a ro...
Saturday, October 8, 2016

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Q: What does FFP/RBC ratio mean in massive transfusion? Answer:   Trauma literature  regarding  Massive Transfusion Protocol (MTP) lean t...
Friday, October 7, 2016

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Q: 34-year-old male with a known history of Ulcerative Colitis (UC) is admitted to ICU with severe abdominal pain and hypovolemic shock. F...
Thursday, October 6, 2016

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Q: Why it is important to quickly reverse metabolic acidosis in methanol poisoning? Answer:  Ingested methanol is metabolized first to fo...
Wednesday, October 5, 2016

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Q: In factitious hypoglycemia caused by sulfonylureas or meglitinides ingestion  A) Plasma Insulin will be high B) Plasma insulin will b...
Tuesday, October 4, 2016

Picture Diagnosis

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Q: Following picture with 2 hints  1) solid nodule lying in the periphery of the lung and  2) linked to a bronchus (bronchus positive sig...
Monday, October 3, 2016

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Q: 54-year-old male is transferred from oncology floor to ICU due to high suspicion of Tumor Lysis Syndrome (TLS). Patient has been started ...
Saturday, October 1, 2016

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Q: What is Sneddon syndrome? Answer:    When patient develop CVA and found to have widespread livedo reticularis on physical exam, it is ...
Friday, September 30, 2016

A Note on Parkinsonism–Hyperpyrexia Syndrome (PHS)

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Parkinsonism–hyperpyrexia syndrome (PHS) is potentially one preventable entity in hospitals including ICUs. It mostly occurs when patient...
Thursday, September 29, 2016

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Q: What constitutes the fifth generation Cephalosporin? Answer: It covers Methicillin-Resistant Staphylococcus aureus (MRSA) Medicine ...
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