icupearls.org Archive

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

Tuesday, April 30, 2019

WE

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Q: Wernicke Encephalopathy (WE) is more common in? (select one) A) Male B) Female Answer: B The paradox of Wernicke encephalopathy (...
Monday, April 29, 2019

thiamine def

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Q: Hemodialysis or peritoneal dialysis causes the loss of? (select one) A) Water soluble vitamins B) Fat soluble vitamins Answer: A ...
Sunday, April 28, 2019

Gallavardin phenomenon

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Q : What is Gallavardin phenomenon? Answer:  95 years ago Dr. Gallavardin reported that murmur of aortic valve stenosis may change its qua...
Saturday, April 27, 2019

FFP in ACE-I induced angio-edema

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Q: Fresh Frozen Plasma (FFP) is used to treat Angiotensin-converting enzyme (ACE) inhibitors induced angioedema because it contains? (Selec...
Friday, April 26, 2019

RCA in ALF

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Q: Regional citrate anticoagulation (RCA) for continuous renal replacement therapy (CRRT) should be used with caution at least in which on...
Thursday, April 25, 2019

hypertensive autonomic storm in deceased organ donor

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Q: During the management of the deceased organ donor, a hypertensive autonomic storm may become a hurdle due to massive sympathetic dischar...
Wednesday, April 24, 2019

Methyldopa

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Q: Anti-hypertensive drug methyldopa is prone to cause? (select one) A) Sinus Tachycardia B) Sinus Bradycardia Answer: B Being symp...
Tuesday, April 23, 2019

neostigmine in colonic pseudo-obstruction

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Q: 67 year old male is admitted to ICU with acute colonic pseudo-obstruction and cecal diameter >11 cm. There was no resolution of sympt...
Monday, April 22, 2019

End of life eye care

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Q: What is the reason for the inability to close the eyes of terminally ill patients who are chronically sick? Answer:  Cachexia   T...
Sunday, April 21, 2019

Eclampsia

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Q: All of the followings are the antecedent signs & symptoms of Eclampsia except ? A) Hypertension  B) Headache  C) Visual disturban...
Saturday, April 20, 2019

Delta P on ECMO

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Q: What does Delta P on ECMO's every day monitoring signifies? Answer:  The difference between the pressures on pre and post membrane...
Friday, April 19, 2019

HBV in pregnancy

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Q : Acute Hepatitis B Virus (HBV) has the highest rate of transmission? (select one) A) early in the pregnancy B) near the time of deliv...
Thursday, April 18, 2019

PG toxicity

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Q:  Continuous intravenous (IV) lorazepam is frequently used in ICU. Propylene glycol (PG) is the carrier to administer IV lorazepam drip. P...
Wednesday, April 17, 2019

AP in pregnancy

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Q: 24 year female at 34 weeks of pregnancy is admitted to ICU with exacerbation of asthma which is getting better. Routine labs showed thre...
Tuesday, April 16, 2019

Secondary PPH

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Q: Secondary postpartum hemorrhage (PPH) is defined as any significant uterine bleeding occurring after? A) 24 hours postpartum B) 48 ho...
Monday, April 15, 2019

Left Main Equivalent Disease

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Q : What is Left main equivalent disease?   Answer:    Although left main coronary artery disease (LMCAD) is a well-known disease, and a...
Sunday, April 14, 2019

IVF in acute pancreatitis

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Q: Which of the following intravenous fluid (IVF) preferred in acute pancreatitis? A) Normal Saline (NS) B) Lactate Ringer's (LR) ...
Saturday, April 13, 2019

IV contrast in sickle cell

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Q: Intravenous iodinated contrast can induce sickle crisis in patients with sickle cell disease? (select one) A) True B) False Answer:...
Friday, April 12, 2019

HBO any myopia

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Q: Myopia from hyperbaric oxygen (HBO) is? (select one)   A) Reversible  B) Irreversible Answer : A Modality of hyperbaric oxygen i...
Thursday, April 11, 2019

citrate

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Q : During continuous renal replacement therapy (CRRT) what's the best way to assesses that the excessive citrate is given and regional ...
Wednesday, April 10, 2019

vasoreactive test in PH

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Q: All of the following can be used for vasoreactivity test in pulmonary hypertension except?   A) inhaled nitric oxide  B) epoprostenol ...
Tuesday, April 9, 2019

Procalcitonin in VAP

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Q: Procalcitonin has it's utility in Ventilator-Associated Pneumonia (VAP) for?  (select one) A) Initiation of antibiotics  B) Discon...
Monday, April 8, 2019

tPA and clot location

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Q: During reperfusion therapy for acute ischemic stroke (CVA) which clots are more resistant to thrombolysis? (select one)   A)  proximal...
Sunday, April 7, 2019

pleural N-terminal pro-BNP in CHF

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Q; What is the utility of measuring pleural N-terminal pro-BNP? Answer: Excessive diuresis in congestive heart failure (CHF) may make ple...
Saturday, April 6, 2019

ABCDE of trauma

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Q: Describe the "ABCDE" bundle in the primary survey of a trauma patient? Answer: For the ease of the care of trauma patients...
Friday, April 5, 2019

Glucose level in malaria

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Q: Which of the following is the sign of poor prognosis in severe malaria? (select one) A) Hyperglycemia B) Hypoglycemia Answer: B ...
Thursday, April 4, 2019

NMB in ARDS

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Q : Which of the following has shown favorable outcome towards mortality in Acute Respiratory Distress Syndrome (ARDS)? A) cisatracurium ...
Wednesday, April 3, 2019

TCA overdose

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Q: Tricyclic antidepressant (TCAs) toxicity can cause? (select one)  A) cholinergic effects  B) anticholinergic effects   Answer: B ...
Tuesday, April 2, 2019

Nutrition in ICU

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Q: Which of the following is the preferred source of energy in critically ill patients?  A) carbohydrates   B) fat (lipid)  C) protein ...
Monday, April 1, 2019

ETT bending

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Q: During intubation, an endotracheal tube (ETT) should be bent no more than? A) 20 degrees B) 35 degrees C) 45 degrees D) 60 degrees ...
Sunday, March 31, 2019

Heart transplant in PPCM

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Q: Patients who develop Peri-Partum Cardiomyopathy (PPCM) and receive heart transplant, have? (select one) A) Better outcome B) Worse ou...
Saturday, March 30, 2019

ETOH ketoacidosis

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Q : All of the following are the features of acute alcohol (ETOH) ketoacidosis except?  A) history of chronic alcohol abuse B) malnutriti...
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