icupearls.org Archive

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

Tuesday, July 31, 2018

K-Centra

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Q: 4-Factors Prothrombin complex concentrate (Brand Name:Kcentra) contains all of the following except ?  A) Factors II B) Factor VIII C...
Monday, July 30, 2018

Decreasing "death rattle"

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Q: All of the following are good options to decrease "death rattle" at the end of the life care except ? A) Glycopyrrolate 0.1 m...
Sunday, July 29, 2018

electrical cardioversion for atrial fibrillation

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Q: The success rate of electrical cardioversion for atrial fibrillation (AF) is inversely proportional to? (select one) A) The size of th...
Saturday, July 28, 2018

Post-dural puncture headache

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Q: All of the following are associated with a post-lumbar puncture (LP) headache or more accurately a post-dural puncture headache (PDPH) e...
Friday, July 27, 2018

Thyroid storm and calcium metabolism

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Q: Thyroid storm is usually associated with? (select one) A) Hypocalcemia B) Hypercalcemia Answer: B Though not diagnostic but vari...
Thursday, July 26, 2018

Complications of CRRT

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Q: All of the following are the complications of Continuous Renal Replacement Therapy (CRRT) except ? A) E lectrolyte imbalance B) Acid-...
Wednesday, July 25, 2018

Acetaminophen as a prophylaxis against PONV

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Q: Acetaminophen (Tylenol/Paracetamol) can be used as a prophylaxis against post operative nausea vomiting (PONV)? A) True B) False A...
Tuesday, July 24, 2018

Phase 4 trial

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Q: What is Phase 4 trial of any given drug? Answer:  Relatively less publicised and less talked is the evaluation of a drug profile after ...
Monday, July 23, 2018

"Palm Method"

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Q: How the "palm method" can be quickly used in estimating a Body Surface Area (TBSA) in patients?   Answer:  The palm of th...
Sunday, July 22, 2018

Ambulation in DVT

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Q: Patients with the diagnosis of acute deep venous thrombosis (DVT) should not be mobilized for 48 hours to avoid pulmonary embolism (PE)? ...
Saturday, July 21, 2018

Cardioversion during pregnancy

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Q ; Cardioversion during pregnancy affects the rhythm of the fetus and fetus should be delivered prior to cardioversion? A) True  B) Fals...
Friday, July 20, 2018

vagal responses

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Q : Nasogastric tube placement (select one) A)  increases the vagal tone B) decreases the vagal tone Answer: A Various bedside maneu...
Thursday, July 19, 2018

On formula for the calculation of serum osmolality

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Q; Why serum sodium is multiplied by 2 in the formula for the calculation of serum osmolality (Sosm)?   Calculated Sosm = (2 x serum [Na]...
Wednesday, July 18, 2018

Diuretic dose in CHF exacerbation

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Q: 62 year old male with history of congestive heart failure (CHF) and previously stable on home medications  presented with acute exacerba...
Tuesday, July 17, 2018

transvalvular left ventricular assist device

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Q : Which of the following is percutaneous transvalvular left ventricular assist device? A) Percutaneous left atrial-to-femoral arterial ...
Monday, July 16, 2018

Ultrasound of lungs - review

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Q: What does "shred sign" signifies on lung ultrasound? Answer:   Many times consolidations in lung may get missed via regular ...
Sunday, July 15, 2018

Peritoneal Dialysis Catheter ESIs

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Q: 27 year old male on kidney transplant list and now on peritoneal dialysis is admitted for sepsis and hypotension after his weekend trip ...
Saturday, July 14, 2018

Fluorescence bronchoscopy

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Q: What is Fluorescence bronchoscopy? Answer:  Fluorescence bronchoscopy can detect pre-invasive lesions such as squamous cell carcinoma ...
Friday, July 13, 2018

pulmonary function score ratio (PFS ratio) in Guillain-Barré syndrome

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Q: How pulmonary function score ratio (PFS ratio) helps in patients with Guillain-Barré syndrome? Answer: Calculating pulmonary function ...
Thursday, July 12, 2018

ARDS and aerosol delivery

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Q: All of the following are the effects of prone positioning in Acute Respiratory Distress Syndrome (ARDS) except?  A)  Improved configura...
Wednesday, July 11, 2018

hypertriglyceridemia and pseudohyponatremia.

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Q: Severe hypertriglyceridemia may cause pseudohyponatremia. What is the usual correlation?  Answer: On average, an 886 mg/dL increase in ...
Tuesday, July 10, 2018

QT Interval measurement preferred lead

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Q:  Which leads in EKG are preferred to measure the QT interval? Answer: Leads II and V5  Lead II and lead V5 is preferred due to the fact...
Monday, July 9, 2018

Antimicrobial bladder irrigation

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Q: Urinary bladder irrigation is a common procedure used in ICUs. Antimicrobial irrigation has been proposed. Evidence based literature show...
Sunday, July 8, 2018

Bicarb and ECF volume

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Q: A 50 mL ampule of 50 mEq of sodium bicarbonate (popularly known as "1 amp of bicarb") expands the Extra Cellular Fluid (ECF) v...
Saturday, July 7, 2018

PEEP in venous air embolism

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Q: During the management of venous air embolism (VAE), with an intubated patient, positive end-expiratory pressure (PEEP) should be (select ...
Friday, July 6, 2018

response of benzodiazepine in convulsive status epilepticus

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Q: How long one should wait to see the response of  benzodiazepine in patients with convulsive status epilepticus before administrating the...
Thursday, July 5, 2018

Lund-Browder chart

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Q: Lund-Browder chart is the most accurate way of estimating Total Body Surface Area (TBSA) in: A) Burn B) Pressure ulcer C) Insensible ...
Tuesday, July 3, 2018

Motor Activity Assessment Score (MAAS)

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Q: Motor Activity Assessment Score (MAAS)  is a A) Post stroke score B) Sedation score C) ICU myopathy score D) Early mobilization scor...
Monday, July 2, 2018

jugular venous oxygen saturation (SjVO2)

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Q: Normal jugular venous oxygen saturation (SjVO2) in patients with Traumatic Brain Injury (TBI) is considered to be approximately at  A)...
Sunday, July 1, 2018

Spiked Helmet sign

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Q: 'Spiked Helmet' on EKG is due to A) Hypothermia B) Acute myocardial infarction (MI) C) Hypokalemia D) Repetitive contractio...
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...
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