icupearls.org Archive

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

Saturday, June 30, 2018

McConnell’s Sign

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Q: What is McConnell’s Sign? Answer:  McConnell’s sign is a distinct echocardiographic finding in patients with acute pulmonary embolism...
Friday, June 29, 2018

Unmasking Brugada syndrome

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Q:   27 year old male is admitted to ICU after he suddenly collapsed at basketball practice. He was revived quickly. He regained consciousne...
Thursday, June 28, 2018

Massive hemoptysis

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Q: What is the correct sequence in the management of the massive hemoptysis? A) E stablish a patent airway, insure adequate gas exchange ...
Wednesday, June 27, 2018

Inverted U wave

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Q: 53 year old male is admitted to ICU after he developed chest pain and shortness of breath at cardiology's office during exercise st...
Tuesday, June 26, 2018

Troponin in non cardiac diseases

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Q: Elevated troponin can be seen beside acute myocardial infarction in all of the following conditions? A) Sepsis  B) Subarachnoid hemor...
Monday, June 25, 2018

Medical treatment of CHF due to amyloidosis

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Q: Which of the following drugs should be use with caution in cardiac Amyloidosis? A) Digoxin B) ACE inhibitors  C) Angiotensin II inhib...
Sunday, June 24, 2018

Anbx in Neutropenic Fever

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Q: Out of the following which one is the  least preferred in neutropenic patients (in USA) A) Cefepime B) Meropenem C) Imipenem-cilast...
Saturday, June 23, 2018

Lithium and Thyroid

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Scenario; 55 year old male with a recent history of thyroid cancer is admitted to ICU from ED with lithium toxicity. Patient has no psychia...
Friday, June 22, 2018

Definition of a true aneurysm

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Q: The Society of Vascular Surgery defines any true aneurysm as a focal, isolated dilation that includes all three layers of the arterial wa...
Thursday, June 21, 2018

BAI

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Q: 24 year old male is brought to ED after motor vehicle accident (MVA). Initial CXR showed following features: Left "apical cap...
Wednesday, June 20, 2018

TIA vs Stroke

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Q: Transient ischemic attack (TIA) is defined as a neurologic dysfunction caused by all of the following except ? A) Focal brain ischemia...
Tuesday, June 19, 2018

ASPECTS

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Q: What does ASPECTS stands for in stroke?  Answer:   ASPECTS  stands for "The Alberta Stroke Program Early CT score" This s...
Monday, June 18, 2018

Unsuccessful cardioversion in AF

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Q: Cardioversion from atrial fibrillation (AF) to normal sinus rhythm (NSR) has low likelihood in the presence of all of the following exc...
Sunday, June 17, 2018

Diabetic Osteomyelitis

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Q: 66 year old male with past medical history of diabetes mMellitus, sensory and autonomic neuropathy, diabetic nephropathy and peripheral...
Saturday, June 16, 2018

Copper deficiency

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Q: Copper is absorbed in? A) Stomach and proximal duodenum B) Small intestine C) Transverse colon D) Sigmoid colon  E) Rectum Ans...
Friday, June 15, 2018

Allen test for lower extremity

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Q: The Allen's test should be performed before inserting arterial line catheter in A) Radial artery  B) Dorsalis pedis artery  C) B...
Thursday, June 14, 2018

Acute headache

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Q: Which of the following is of the highest priority in an approach to the urgent evaluation of an acute headache? A) Carbon Monooxide (...
Wednesday, June 13, 2018

Synchronized Cardioversion

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Q: Synchronized electrical cardioversion is targeted to which part of the electrocardiogram (EKG) cycle?  A) P wave B) PR interval C) Q...
Tuesday, June 12, 2018

Cryptogenic stroke

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Q; Cryptogenic stroke (CS) requires the documentation of atrial fibrillation? A)True B) False Answer: False Cryptogenic stroke is a ...
Monday, June 11, 2018

Ferritin

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Q: Which of the following is an acute phase reactant (select one) A) Serum ferritin B) Transferrin  Answer: A Ferritin is mostly de...
Sunday, June 10, 2018

HSV-1 encephalitis

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Q: Why Herpes Simplex Virus (HSV)-1 encephalitis is not much common in immunocompromised patients despite high occurrence of mucocutaneous ...
Saturday, June 9, 2018

Caprini risk score

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Q: What is Caprini risk score? Answer: The Caprini risk score is a risk assessment tool for the occurrence of venous thromboembolism (VT...
Friday, June 8, 2018

steroid induced myopathy and liver transplant

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Q: Which organ transplant patients are relatively more prone to steroid induced myopathy? A) Kidney B) Heart C) liver D) Lung E) Pancr...
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Thursday, June 7, 2018

Anticoagulation in unprovoked proximal DVT

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Q; 44 years old male is admitted to ICU with shortness of breath and diagnosed having a pulmonary embolism. Patient has a healthy lifestyle...
Wednesday, June 6, 2018

QT Interval

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Q: Which leads have the longest QT interval? Answer:  Leads V2 and V3 QT intervals vary significantly among different EKG leads. Leads ...
Tuesday, June 5, 2018

Risk factors for recurrence of ICH

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Q:  Out of the following risk factors which one is the most important risk factor for recurrence of intracranial hemorrhage (ICH)? A) Uncon...
Monday, June 4, 2018

VTE prophylaxis in SCI

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Q: Prophylaxis to prevent deep venous thrombosis and pulmonary embolism - VTE - should be continued for at least how long after spinal cord ...
Sunday, June 3, 2018

Ischemic cholangiopathy after liver transplant

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Q: What could be the risk to the transplanted liver with the use of a non-heart beating donor graft? Answer:  Ischemic cholangiopathy B...
Saturday, June 2, 2018

Mycotic Aneurysm

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Q: Out of the following which organism is most likely to cause a mycotic aneurysm and diseased aorta is most vulnerable to it?  A) Salmon...
Friday, June 1, 2018

uremic bleeding

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Q: 58 year old male with End Stage Renal Disease (ESRD) is back from OR after coronary artery bypass (CABG). Patient had issue with severe ...
Thursday, May 31, 2018

Deep veins of lower extremity

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Q: All of the following are deep veins in lower extremity except ? A) Small saphenous vein  B) Common iliac vein  C) Deep femoral vein  ...
Wednesday, May 30, 2018

Modified Valsalva Maneuver

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Q : What is "modified Valsalva maneuver"?  Answer: In normal Valsalva maneuver the patient either in a supine or semirecumben...
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