icupearls.org Archive

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

Monday, December 31, 2018

Potassium abnormality in PD

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Q: Which of the following electrolyte abnormality is more common in peritoneal dialysis (PD) patients? A) Hypokalemia B) Hyperkalemia ...
Sunday, December 30, 2018

headache attributed to intracranial neoplasm

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Q: According to proposed diagnostic criteria for a headache attributed to intracranial neoplasm by the International Headache Society, all...
Saturday, December 29, 2018

Failure of Metronidazole

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Q : The cause of metronidazole failure in the treatment of Clostridioides difficile infection (CDI) is the development of resistance due to ...
Friday, December 28, 2018

Metformin toxicity

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Q:   The primary goal of   hemodialysis (HD) in  Metformin toxicity is to clear the drug from circulation? (select one) A) True B) False ...
Thursday, December 27, 2018

Blood counts in Afro-American population

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Q: Hemoglobin level in African-American (AA) population is usually _______ than the hemoglobin values in comparable Caucasian populations? (...
Wednesday, December 26, 2018

Docusate - MOA

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Q: Docusate is a commonly used anti-diarrheal agent used in ICU. It is?  (select one) A) A  surfactant  B) An Osmotic agent  C) a stimu...
Monday, December 24, 2018

Quinolone in human bites

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Q: 22 year old male is admitted to ICU with early signs of sepsis after his hand gets infected due to human bite after fighting at a basketb...
Sunday, December 23, 2018

Criteria for Toxic Megacolon

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Q: All of the following are part of the diagnosis of Toxic Megacolon except ? A) Radiographic evidence of colonic distension  B) Fever ...
Saturday, December 22, 2018

Lung abscess, immunocompromised patient and steroids

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Q: Which of the following organism should be suspected and covered in lung abscess in an immunocompromised patient on prolonged glucocortic...
Friday, December 21, 2018

an abrupt and a very severe headache associated with unilateral pulsatile tinnitus

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Q: 74 year old man presented to the ED with a complaint of an abrupt and a very severe headache associated with unilateral pulsatile tinnit...
Thursday, December 20, 2018

EKG variation in Afro-American athletes

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Case:   28 year old Afro-American  athlete  is admitted to ICU directly from his physician office where EKG was done as part of a regular an...
Wednesday, December 19, 2018

ECMO cannulation tips

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Q: If a patient is cannulated for Veno-Veno (VV) extracorporeal membrane oxygenation (ECMO) via femoral and right internal jugular (R-IJ) ve...
Tuesday, December 18, 2018

Necrotizing Fascitis

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Q: In necrotizing fasciitis? (select one)  A) anesthesia precedes the skin necrosis  B) skin necrosis precedes the anesthesia  Answer:...
Monday, December 17, 2018

On Polyuria

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Q: All of the following are examples of "solute diuresis" except ? A) Glucosuria  B) Resolution from azotemia  C) Tissue catab...
Sunday, December 16, 2018

Antibiotic prophylaxis in COPD

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Q: Which of the following antibiotics can be used as a prophylaxis in the prevention of exacerbation of chronic obstructive pulmonary diseas...
Saturday, December 15, 2018

Enteroclysis

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Q: What is the procedure called Enteroclysis?   Answer: Enteroclysis is a procedure utilized in non-acute mechanical small bowel obstructi...
Friday, December 14, 2018

Neck bruit in stroke

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Q: Finding of neck bruit on physical examination in a stroke patient is a clue to which type of stroke before any radiological finding is a...
Thursday, December 13, 2018

Inhaled epoprostenol and ventilator circuit

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Q: What leads to a clogged ventilator circuit filter in an intubated patient due to the administration of continuous INHALED epoprostenol? ...
Wednesday, December 12, 2018

Chylothorax - Adjuvant Rx

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Q: Which of the following drugs is said to be helpful in the management of chylothorax? A) Corticosteroids B) Hydralazine C) Lopressor ...
Tuesday, December 11, 2018

Critical illness polyneuropathy and myopathy

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Q:  Critical illness myopathy (CIM) and critical illness polyneuropathy (CIP) include all of the following except ?  A) Symmetric limb we...
Monday, December 10, 2018

PHQ-9

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Q: Patient Health Questionnaire-nine (PHQ-9) is a scoring system to determine severity for? A) Depression  B) Anxiety  C) Pain D) Seda...
Sunday, December 9, 2018

MRI in acute and subacute SDH

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Q : what makes subacute Sub Dural Hematoma (SDH) appear brighter on the Magnetic Resonance Imaging (MRI) than acute SDH? Answer:   Acute...
Saturday, December 8, 2018

Risk factors - pyogenic liver abscesses

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Q: Which group of drugs are considered risk factors in the development of pyogenic liver abscesses?  Answer:   Proton-pump inhibitors (PP...
Friday, December 7, 2018

Predicting AKI in ICU

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Q: All of the following are part of predicting Acute Kidney Injury (AKI) within 48 hours of admission to ICU except ? A) History of chro...
Thursday, December 6, 2018

cholesterol emboli and renal failure

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Q: After cardiac catheterization, all of the following support the diagnosis of Atheroembolism, popularly known as 'cholesterol crystal ...
Tuesday, December 4, 2018

Code, PE and tPA route

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Q: In patients with Cardio-pulmonary arrest due to massive pulmonary embolism (PE) thrombolytic therapy is preferred via  A) Central  Ven...

Dig and OTC compounds

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Q: 53-year-old male with a history of ischemic cardiomyopathy presented to ED with dizziness. EKG was found to have a third degree AV bloc...
Monday, December 3, 2018

IV-Fluid in sickle cell crisis

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Q: In a euvolemic patient with sickle cell crisis normal saline is not a fluid of choice for intravenous maintenance. Why?   Answer:   I...
Sunday, December 2, 2018

tPA in pregnancy

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Q: Alteplase (tPA) in pregnancy is? (select one) A) Relative contraindication B) Absolute contraindication Answer: A Alteplase (tPA...
Saturday, December 1, 2018

Stool markers for Inflammatory Bowel Diseases

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Q : Which "stool marker" can differentiate between inflammatory bowel disease (IBD) and any functional bowel disease?   Answer:...
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 ...
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