icupearls.org Archive

Q: 58 year old male with Left Ventricular Assist Device (LVAD) is admitted to ICU with syncope and shortness of breath (SOB). Cardiology te...

Q : The gold standard for assessment of pain in a patient with acute exacerbation of vaso-occlusive crisis in sickle cell disease (SCD) is?...

Q: 34 year old male recent immigrant from China is admitted via ED to ICU where he presented with massive epistaxis without any provocatio...

Q : Administration of supplemental Oxygen has an anxiolytic effect? (select one)  A) True B) False Answer: A The administration of ...

Q: 28 years old female with 12 weeks of pregnancy is admitted to ICU with hypotension and severe hypovolemia secondary to hyperemesis gravi...

Q: Permissive hypercapnia tends to induce? (select one)  A) Vasoconstriction  B) vasodilation Answer:   B Despite augmentation of s...

Q: Septic Arthritis most commonly occurs via? (select one)   A) hematogenous seeding   B) direct inoculation   C) extension of infectio...

Q: By default, athletes are supposed to have some degree of? (select one)   A) anemia   B) polycythemia Answer: A Contrary to pop...

Q : 28 year old female with 20 weeks pregnancy is admitted to ICU with pulmonary embolism. Patient developed Heparin Induced Thrombocytopeni...

Q:  Convulsive status epilepticus is defined as a condition resulting either from the failure of the mechanisms responsible for seizure term...

Q : 43 year old male with a recent history of hematopoietic cell transplant is getting transferred out of ICU. He was treated with oral riba...

Q: The major reason for lactic acidosis in ethylene glycol poisoning is? (select one)  A) laboratory error  B) Impaired mitochondrial fun...

Q: 53 year old male was admitted to ICU with hypertensive crisis. Patient is now improved and transitioning to oral anti-hypertensive. Pati...

Q: All of the following have been described as medical treatments of Achalasia except ? A)  nitrates B)  sildenafil C) terbutaline D) ...

Q : Use of rapid-acting insulin analog instead of regular insulin improves outcome in Diabetic Ketoacidosis (DKA)? (select one) A) True B...

Q: What is Solvent/detergent-treated plasma (SD-plasma)? Answer:    Solvent/detergent-treated plasma (SD-plasma) is a  processed plasma...

Q: The cutoff point to hold copper and manganese in total parenteral nutrition (TPN) in ICU patients with cholestasis is?   A) total bili...

Q: A pneumothorax (PTX) can be best identified on which position of chest X-ray? (select one)  A) upright  B) supine  C) lateral decubi...

Q: How succussion splash (SS) can be demonstrated during the physical exam of a patient?  Answer: Succussion splash can be elicited by...

Q: Critical Illness Myopathy (CIM) affects more? (select one)  A) proximal muscles  B) distal muscles Answer: A CIM is very commo...

Q: What is the Protected percutaneous coronary intervention (PCI) procedure? Answer:  Protected PCI is a PCI performed under the cover o...

Q: In post-intensive care syndrome (PICS), which one is the higher predictor of post ICU cognitive dysfunction? (select one) A) degree and...

Q: 54 year old diabetic male is admitted to ICU with mucormycosis. Patient becomes stable after few days of intravenous antifungal therapy,...

Q: The large bore (16 F ) nasogastric tube (NGT), popularly known as Salem Sump tube has two lumens at the outside. The larger lumen is usu...

Q: What is the best way to anticipate Right Heart Failure (RHF) in post heart transplant patients? Answer: If a p atient has  eleva...

Q : Which group of patients have a lower rate of atrial fibrillation post coronary artery bypass grafting (CABG) surgery? A) Off-pump CABG...

Q; In case of extravasation of intravenous pressor in ICU, all of the following can be used as an antidote except ? A) Phentolamine (inje...

Q: What is the theoretical basis of using Vitamin C and Folate in vasodilatation?  Answer:    In experimental models, Vitamin C and folat...

Q: Administration of activated charcoal (AC) should be administrated if a patient presents early with any type of alcohol poisoning? (selec...

Q: Metronidazole and vancomycin, which are the mainstay of treatment of C. difficile infection (CDI) can itself cause the C. difficile infe...

Q: Treatment of native and prosthetic valve candida endocarditis requires both (combine) antifungal medical therapy and surgical valve repl...

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