icupearls.org Archive

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

Sunday, September 30, 2018

LFT as a marker for appendiceal perforation

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Q: Which of the following liver function test is described as a marker of appendiceal perforation? A) Alanine transaminase (ALT)  B) Aspa...
Saturday, September 29, 2018

Liver Injury in vasopressin receptor antagonists

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Q: Which of the following Vasopressin receptor antagonists should be used with extreme caution in patients with liver pathology?    A) to...
Friday, September 28, 2018

7 classic signs of Typhoid fever

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Q: What are  the   7 classic signs of Typhoid fever? Answer:  1) Relative bradycardia  2) Positive Widal test 3) High fever aro...
Thursday, September 27, 2018

Nail polish affect on pulse-ox

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Q: Which of the following nail polish is found to least affect the pulse oximeter readings? A) black B) green C) blue  D) red  E) bro...
Wednesday, September 26, 2018

Cytokines adsorption in CRRT

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Q : The hemofilter in Continuous Renal Replacement Therapy (CRRT) is? (select one)  A) Positively charged B) Negatively charged  Answe...
Tuesday, September 25, 2018

Over the counter drugs, Serotonin syndrome and failure of antiretroviral therapy

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Q: 48 year old male is admitted to ICU with serotonin syndrome 3 weeks after he was started on Citalopram on an outpatient basis. Patient a...
Monday, September 24, 2018

Rockall, Blatchford, and AIMS65 scoring systems

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Q: Rockall, Blatchford, and AIMS65 - are the scoring system to assess the severity of A) Pneumonia B) ARDS C) Upper gastro-intestinal  (...
Sunday, September 23, 2018

Delayed emesis in chemotherapy

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Q: Out of the following, which chemotherapy agent is more prone to cause delayed emesis? A) cisplatin  B) cyclophosphamide  C) doxorub...
Saturday, September 22, 2018

EKG in uremic pericarditis

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Q : Chronic uremic pericarditis presents on EKG as more intense diffuse ST- and T-wave elevations than other forms of pericarditis?  A) Tr...
Friday, September 21, 2018

Smoking and Warfarin

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Q: Smoking tends to  ______________  the dose requirement of warfarin? (select one) A) Increase B) Decrease Answer: A Smoking tends ...
Thursday, September 20, 2018

Alexia

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Q: What is Alexia?   Answer: Alexia is the inability to recognize or comprehend written language. In other words, "Alexia" ref...
Wednesday, September 19, 2018

Cardiac device and Archimedes screw

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Q: Which of the cardiac device works on the principle of ancient Archimedes screw?  A) Impella  B) Tandem Heart C) Intra Aortic Balloon ...
Tuesday, September 18, 2018

Sugammadex in ICU

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Q: Sugammadex reverses the neuromuscular blockade (NMBAs) of all of the following except ?   A) rocuronium  B) vecuronium  C) pancuroniu...
Monday, September 17, 2018

piperacillin-tazobactam + vancomycin = AKI

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Q: Combined use of which two very commonly used antibiotics in ICU is known to have higher risk of acute kidney injury (AKI)? Answer: C...
Sunday, September 16, 2018

Thiamine before glucose in acute alcohol ingestion - True?

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Q: 44 year old male with known history of alcohol abuse - a frequent flyer to ED - presented again with acute alcohol ingestion. Blood gluco...
Saturday, September 15, 2018

Blurring of vision on forward bending of the head

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Q: Blurring of vision on forward bending of the head is a sign of?  A) a migraine headache  B) pituitary mass C) optic neuritis  D) rai...
Friday, September 14, 2018

Sildenafil and Cyanopsia

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Q: Sildenafil causes Cyanopsia because? A) Trade brand Viagra is colored blue B) It only occurs with Sildenafil C) It sensitizes the ret...
Thursday, September 13, 2018

"My Five Moments for Hand Hygiene"

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Q : What are the "My Five Moments for Hand Hygiene"?  Answer:   "My Five Moments for Hand Hygiene" is a major global...
Wednesday, September 12, 2018

Platelet increment after its transfusion

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Q : How long does it take to peak platelet count after its transfusion?  Answer : About 10 minutes to an hour  It takes about 10 to 60 m...
Tuesday, September 11, 2018

Vasodilators in severe AS

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Q: What is the peril of using vasodilators in the presence of a severe fixed aortic stenosis? Answer:  Use of vasodilators in the presen...
Monday, September 10, 2018

Anisocoria

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Q:  Anisocoria -unequal pupils - can occur in which of the following A) Horner syndrome due to carotid dissection B) Third nerve palsy due...
Sunday, September 9, 2018

Minimizing Barotrauma

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Q: All of the following can decrease the chances of barotrauma and bronchopleural fistula in ventilated patients except ? A)  Use of smal...
Saturday, September 8, 2018

Hypokalemic TPP

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Q: 24 year old male from Thailand is brought from college volleyball field with full body muscle weakness worsening very quickly. Diagnosis...
Friday, September 7, 2018

IVF as an analgesia

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Q : Intravenous fluid (IVF) resuscitation can act as an adjuvant analgesia? (select one) A) True B) False Answer: True In many co...
Wednesday, September 5, 2018

Managing Cold Aglutinin in Surgical Patients

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Q: 54 year old male with known coronary artery disease (CAD) is admitted to ICU with severe ischemic cardiogenic shock. After hemodynamic st...
Tuesday, September 4, 2018

Drugs causing lymphadenopathy

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Q: 58 year old female with a past medical history of hypertension, seizure, and chronic diabetic foot, on chronic antibiotics, is admitted ...
Monday, September 3, 2018

CHF exacerbation

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Q: All of the following are the clinical signs of acute decompensated congestive heart failure (CHF) - popularly known as exacerbation of C...
Sunday, September 2, 2018

postoperative ileus

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Q: All of the following may lead to prolonged postoperative ileus except ? A) Hyperkalemia  B) Hypomagnesemia C) Uremia  D) Gallbladde...
Saturday, September 1, 2018

HTN and shift of CPP auto-regulatory curve

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Q: Patients with chronic hypertension, may tolerate higher cerebral perfusion pressure (CPP) as their autoregulatory curve may have been sh...
Friday, August 31, 2018

supplement with phenytoin

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Q: Which of the following supplement should be prescribed with phenytoin? A) Vtamin C B) Vitamin B6 C) Vitamin B9 D) Vitamin B12 E) Vi...
Thursday, August 30, 2018

“rapid atrial swirl sign“ (RASS)

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Q: What is  “rapid atrial swirl sign“ (RASS)? Answer: RASS is a quick bedside echocardiographic sign, which can be obtained using the sa...
Wednesday, August 29, 2018

intrinsic Nitric Oxide and vital organs

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Q;  iNO (intrinsic Nitric Oxide) increases the risk of which organ dysfunction? A) Heart B) Lung C) Kidney D) Spleen E) Liver Answe...
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