icupearls.org Archive

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

Thursday, February 28, 2019

Splenic injury grading

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Q: The American Association for the Surgery of Trauma (AAST) has a spleen injury grading scale based upon all of the following except ?  A...
Wednesday, February 27, 2019

I-FABP

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Q: What is I-FABP in intestinal ischemia? Answer: I-FABP is an intestinal fatty acid-binding protein and is a good marker of intestinal i...
Tuesday, February 26, 2019

PPCM

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Q: Which endocrine drug is reported to have benefit in peripartum cardiomyopathy (PPCM)? Answer:  Bromocriptine Although data is small...
Monday, February 25, 2019

cyanide poisoning

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Q: All of the following blood tests are vital on a patient during first few hours of presentation in suspected cyanide poisoning except ? ...
Sunday, February 24, 2019

SS

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Q; All of the following could be the parts of Serotonin syndrome (SS) management except ? A) B enzodiazepines B) Inravenous cyproheptadin...
Saturday, February 23, 2019

"new-onset diabetes after transplantation" (NODAT)

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Q: All of the following are true regarding "posttransplant diabetes" (PTDM) in kidney patients except ?   A) new kidney metaboli...
Friday, February 22, 2019

pitfall of PET for evaluation of a mediastinal mass

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Q: What is the pitfall of using Positron emission tomography (PET) for evaluation of a mediastinal mass?  Answer: PET scan is frequentl...
Thursday, February 21, 2019

RSBI

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Q:  If rapid shallow breathing index (RSBI) is measured on T-piece instead of keeping a patient attached to ventilator, it will be? (select ...
Wednesday, February 20, 2019

Acute lower abdominal pain in a female

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Q: Which of the following diseases is associated with the feature of sudden onset severe unilateral (mostly right side) lower abdominal pain...
Tuesday, February 19, 2019

Reducing the risk of post LP headahe

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Q: Which one small trick can prevent the risk of post Lumbar Puncture (LP) headache? Answer:   Replacing the stylet before the spinal n...
Monday, February 18, 2019

Sleep agents in ICU

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Q: Trazadone is now used with increasing frequency in ICU as a sleep aid. Trazadone is a   A) Melatonin receptor agonist  B) Serotonin mo...
Sunday, February 17, 2019

resorption atelectasis

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Q: What is resorption atelectasis?  Answer: When a patient breathes high concentration of oxygen, it replaces nitrogen (room air) in the ...
Saturday, February 16, 2019

Water balance, respiration and ventilator

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Q: Water via oxidation in the human body is? (select one) A) fluid gain B) fluid loss Answer: A Water generated via oxidation of car...
Friday, February 15, 2019

elemental formula

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Q: Predigested enteral nutrition (elemental) tube feed formula typically has all of the following characteristics except ?  A) short-chain...
Thursday, February 14, 2019

Halo Sign

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Q: What is the "Halo sign" in pulmonary? Answer: The halo sign is usually on the high resolution CT scan of chest. It is a gro...
Wednesday, February 13, 2019

Measuring Bladder pressure

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Q: Intra-abdominal pressure can be measured via all of the routes except ?   A) intragastric  B) intracolonic  C) urinary bladder  D) i...
Tuesday, February 12, 2019

Gas gangrene and NSTI

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Q: Gram stain with gram-positive rods is the hallmark of? (select one)   A) Clostridial myonecrosis (gas gangrene)  B) Necrotizing soft ...
Monday, February 11, 2019

HSV-1 encephalitis

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Q: All of the following are the features of Herpes simplex virus (HSV) type 1 encephalitis except ? A) Klüver-Bucy syndrome (KBS) B) lym...
Sunday, February 10, 2019

Quinolones route of metabolism

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Q: Which of the Quinolones does not require adjustment in renal failure? A) moxifloxacin  B) levofloxacin  C) ciprofloxacin   D) norflo...
Saturday, February 9, 2019

GBS

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Q: All of the following have a role in the management of Guillain-Barré syndrome (GBS) except?   A) plasma exchange (PE) (plasmapheresis)...
Friday, February 8, 2019

Hepatic enzymes in yellow fever

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Q: In life-threatening liver dysfunction due to yellow fever, which liver enzyme tends to have a higher value? A) alanine aminotransferase...
Thursday, February 7, 2019

neuropsychiatric symptoms of dementia

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Q: 72 years old male with a known history of dementia is admitted to ICU with sepsis. It was noted that patient developed severe and refrac...
Wednesday, February 6, 2019

Potassium in IVF

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Q: The addition of potassium to isotonic saline makes it? ((select one)   A) hypertonic   B) hypotonic Answer:  A The addition of p...
Tuesday, February 5, 2019

'monotherapy' in low-risk community-acquired intra-abdominal infections

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Q: 28 year old man is admitted to ICU with severe abdominal pain. CT scan is consistent with appendiceal abscess. Which of the following an...
Monday, February 4, 2019

Painless Aortic Dissection

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Q: Which category of the patients tends to have relatively painless aortic dissection? (select one) A) older with ascending aortic disse...
Sunday, February 3, 2019

obesity and intubation

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Q: Obesity directly increases the risk of laryngeal complications after intubation?  (select one) A) True B) False Answer: B Althou...
Saturday, February 2, 2019

PROSEVA trial in ARDS

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Q: PROSEVA is considered a landmark trial for? A) Small tidal volumes in ARDS B) High vs low PEEP in ARDS C) High vs low driving pressu...
Friday, February 1, 2019

Rigler triad

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Q; What is Rigler triad? Answer: Rigler triad is a classic radiological finding in ileus related to gallstones.  It consists of bowel...
Thursday, January 31, 2019

Body heat regulation

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Q: All of the following body organs are involved in heat regulation of the body except ?  A) heart  B) liver C) skin  D) lungs E) ki...
Wednesday, January 30, 2019

Pitfall of Amylase in Acute Pancreatitis

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Q: Markedly elevated triglyceride level in acute pancreatitis can falsely (select one)  A) Increase the amylase level in laboratory  B) ...
Tuesday, January 29, 2019

gunshot wound to the flank and back

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Q: Patients with a gunshot wound (GSW) to the flank and back should get? A) Diagnostic peritoneal lavage (DPL) B) Bedside ultrasound (US...
Monday, January 28, 2019

Drug-Eluting Stents and Coronary Artery Aneurysm

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Q: The mean time period between the deployment of Drug-Eluting Stents (DES) and development of Coronary Artery Aneurysm (CAA) is A) one we...
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