icupearls.org Archive

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

Friday, November 30, 2018

Rescue therapies in Thyroid storm

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Q: All of the following has been used or suggested to have beneficial effects in the management of Thyroid storm except ? A)  Plasmaphere...
Thursday, November 29, 2018

Hypokalemia and hepatic encephalopathy

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Q: How diuresis can directly contribute to hepatic encephalopathy in liver cirrhosis patients? Answer: Diuresis lead to h ypokalemia and ...
Wednesday, November 28, 2018

'Massive' GI bleed

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Q: How the "massive" upper or lower gastrointestinal (UGI/LGI) bleed is defined?   Answer: Unlike hemoptysis, it is hard to qu...
Tuesday, November 27, 2018

Physical exam & stenosis of AV-Graft

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Q : Which part of the hand is best to examine the "thrill" of an Arterio-venous graft (AVG) in hemodialysis (HD) patient? Answe...
Monday, November 26, 2018

BNP in obese patients

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Q: B-type natriuretic peptide (BNP) in obese patients tend to be? (select one) A) Lower than non-obese patients  B) higher than non-obes...
Sunday, November 25, 2018

Dengue virus vaccination

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Q; 53 years old male is recovering in ICU from severe dengue virus infection after his trip to Columbia. He asked for possible vaccination ...
Saturday, November 24, 2018

On Plateau Pressure

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Q: The plateau pressure (Pplat) on the ventilator should be measured with a pause at? (select one)  A) end-inspiration  B) end-expiration...
Friday, November 23, 2018

eosinophilia in severe trichinellosis

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Q: Absence of eosinophilia in severe trichinellosis is a? (select one)  A) Good sign  B) Bad sign   Answer: B   Massive eosinophil...
Thursday, November 22, 2018

Colorimetric capnography in NGT placement

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Q: Colorimetric capnography is a reliable method to identify misplacement of nasogastric tube (NGT) position in mechanically ventilated pat...
Wednesday, November 21, 2018

Horner Syndrome

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Q: Horner Syndrome associated with Arm pain, hand weakness (typical of brachial plexus type lesions) suggest lesion at?   A) brainstem  ...
Tuesday, November 20, 2018

Definition of neutropenic fever

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Q : What is the definition of fever in neutropenic patients per the Infectious Diseases Society of America?   Answer:  The Infectious Dis...
Monday, November 19, 2018

Obstetrics Critical Illnesses

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Q: All of the following favors the diagnosis of preeclampsia except ? A) Severe elevation of LDH B) significant hypertension  C) severe ...
Sunday, November 18, 2018

2 other essentials of CVA

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Q: All of the following should be confirmed prior to administration of alteplase in acute stroke except?   A) The time window is met  B) ...
Saturday, November 17, 2018

"Dig effect on EKG"

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Q: Describe the effects of Digoxin on EKG?  Answer: Following could be the EKG effects secondary to Digoxin, popularly known as "Dig...
Friday, November 16, 2018

Murmur of Aortic Dissection

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Q:   Murmur of acute aortic dissection can be best heard at? (select one) A) right sternal border  B) left sternal border   Answer: A ...
Thursday, November 15, 2018

ACE inhibitors or ARBs as an adjuvant Rx for atrial fibrillation

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Q: ACE inhibitors or angiotensin receptor blockers (ARBs) have been used as an adjuvant treatment to prevent new onset and recurrent atrial...
Wednesday, November 14, 2018

target plateau airway pressure on ventilator with ECMO

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Q: What should be the target plateau airway pressure on ventilator settings once Extra-Corporeal Membrane Oxygenation (ECMO) is initiated in...
Tuesday, November 13, 2018

Heart in ARDS

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Q: During prone positioning of patients in Acute Respiratory Distress Syndrome (ARDS), the compression of heart on lungs? (select one) A)...
Monday, November 12, 2018

Hemodialysis and Priapism

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Case: 23 year old male is admitted to ICU after his hemodialysis session for extremely painful priapism. Answer; Priapism is a rare and a...
Sunday, November 11, 2018

Bouveret syndrome

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Q: 43 year old female is admitted to ICU via ED with severe epigastric pain associated with nausea and vomiting. On CT scan radiologist sus...
Saturday, November 10, 2018

"Crushed ping pong balls"

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Q: "Crushed ping pong balls" reminds you of which disease?  Answer : PCP (Pneumocystis pneumonia)  The diagnosis of PCP can...
Friday, November 9, 2018

Gastrografin in A-SBO

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Q: Diatrizoate meglumine-diatrizoate sodium, also known as Gastrografin (GGF) do all of the following in adhesive small bowel obstruction (...
Thursday, November 8, 2018

cerebral hyperperfusion syndrome

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Q: What is cerebral hyperperfusion syndrome?   Answer: After carotid artery stenting or carotid endarterectomy (CEA), patient may exper...
Wednesday, November 7, 2018

EPS in anti-psychotics

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Q: Among the second-generation antipsychotics (SGAs) (atypical antipsychotics), which of the following has the highest risk of Extrapyramid...
Tuesday, November 6, 2018

elevated troponin levels but a normal coronary angiogram

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Q; Which of the following is found to be the most common cause of elevated troponin levels but a normal coronary angiogram? A) Tachycardia...
Monday, November 5, 2018

The most common location of Boerhaave syndrome

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Q: What is the most common location of esophageal perforation in Boerhaave syndrome?   Answer: The left posterolateral aspect of the di...
Sunday, November 4, 2018

Water loss via stool

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Q: Water loss via stool in ICU should be documented as? (select one) A) Insensible loss B) Sensible loss  Answer: A There are four...
Saturday, November 3, 2018

SVC syndrome - immediate relief

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Q: The best initial corrective course of action for patients presenting with life-threatening superior vena caval (SVC) syndrome is (select...
Friday, November 2, 2018

HRCT in prone position

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Q : 68 year old male is admitted to ICU with SOB. Patient required intubation. Pulmonary service after reviewing history, exam and available...
Thursday, November 1, 2018

Cardiac devices and MRI safety

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Q: All of the following devices are "MRI safe" except? A) Coronary artery stents  B) Mechanical cardiac valves  C) Sternal wi...
Wednesday, October 31, 2018

Severe Ulcerative Colitis

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Q: All of the following should be discontinued in severe ulcerative colitis (UC) except? A) Anticholinergic drugs  B) Antidiarrheal agent...
Tuesday, October 30, 2018

6 components of SOFA score

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Q: Which component of coagulation profile is part of SOFA (Sequential Organ Failure Assessment) score?   A) PT   B) PTT   C) Platelets  ...
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