icupearls.org Archive

Q: Risk of side effects with protamine increases in all of the following patients except?    A) allergy to fish  B) previous vasectomy  ...

Q: Patients with acute lower Gastro-intestinal (GI) bleeding with normal kidney function tends to have a normal blood urea nitrogen and cre...

Q: 33-year-old female is admitted to ICU with dysarthria and possible stroke. Neurology service made a diagnosis of crossed aura. What is c...

Q: Extremity with acute compartment syndrome (ACS) should be? (select one) A) Elevated to relieve pressure B) Put in a dependent positio...

Q: The complication of tracheoarterial fistula after tracheostomy occurs due to erosion from the tracheal tube into? (select one)  A) ant...

Q: Atropine is considered as a mainstay antidote in organophosphate poisoning. The best marker of its effectiveness and titration is? (sele...

Q: All of the following are the symptoms of acute bilateral adrenal injury except?  A) Circulatory shock  B) Abdominal pain  C) Fever  ...

Q: What amount of blood is enough to manifest melena? A) 5 mL B) 10 mL C) 50 mL D) 100 mL  E) 250 mL Answer:   C The objective of...

Q: In Thoracolumbar Injury Classification and Severity Score (TLICS), which of the spine injury morphology has the highest points?  A) Co...

Q: What is the most common cause of false-positive modified Allen test? Answer:   Over-extension of the wrist. Modified Allen test is ...

Q: Oral milrinone can be substituted for intravenous (IV) infusion if a long term central venous access cannot be obtained in a patient? (se...

Q: The 4 Ts score in the initial diagnosis of Heparin-Induced Thrombocytopenia (HIT) is found to be better than clinical judgment? (select o...

Q; What is the oral to the intravenous (IV) conversion of tacrolimus? Answer : One-third to one-fifth Whenever post-transplant patie...

Q: Which organism is most common in bacterial aortitis?    Answer : Salmonella  Salmonella counts for about one-third of all bacterial...

Q: Low cortisol level? (select one) A) May mask the fever B) May exaggerate the fever Answer: B Fever secondary to low cortisol can...

Q: Patient in prone position should be given higher than usual Positive End Expiratory Pressure (PEEP) to correct ventilation/perfusion (V/...

Q: Thymectomy should be performed even in non-thymomatous myasthenia gravis (MG)? ( select one) A) True B) False Answer: A The famo...

Q: What's the etiology behind lactic acidosis from intravenous epinephrine infusion? Answer: Out of all the intravenous vasopresso...

Case : 62-year-old male with a history of congestive heart failure (CHF) is admitted to ICU with syncope, arrhythmia, and  exacerbation of ...

Q: Which gender is more prone to develop postoperative nausea and vomiting (PONV)? (select one) A) Male B) Female Answer: B A meta...

Q: High white blood cell (WBC) count after trauma is a predictor of poor outcome? (select one) A) True B) False Answer : B WBC cou...

Q : What ratio of protamine/heparin is optimal for reversal of anticoagulation during post cardio-pulmonary bypass (CPB) phase? Answer: ...

Q: The best way to determine thiamine deficiency in Wernicke encephalopathy (WE) is via blood level? (select one) A) True B) False An...

Q: The excess urine can be refrigerated for future use, and can be examined later at 2 to 8 degrees? (select one) A) True B) False An...

Q: A supranuclear gaze palsy is more common after? (select one)   A) mitral valve replacement  B) aortic valve replacement Answer: B...

Q: Pleural effusion due to perforated esophagus would be? (selected one)  A) exudative B) transudative Answer : A Pleural effusion...

Q: Name a few conditions which may give false positive digoxin level despite no digoxin is ingested? Answer:   It is interesting that fe...

Q; 78 year old male with a past medical history of Parkinson disease is admitted to ICU with stroke. This patient is prone to have? (select...

Q:  74 year old male with past medical history of brittle diabetes who recently returned from Africa is admitted to ICU with hypovolemia,  c...

Q: Dark urine is consistent? (select one)   A) intravascular hemolysis  B) extravascular hemolysis Answer: A Dark urine is due to he...

Q: In patients with significant tricuspid regurgitation (TR), the pulsatility of the liver may correspond to which part of central venous p...

Q: 54 year old male is admitted to ICU with acute myopathy, rhabdomyolysis, and acute renal failure during his acute binge drinking phase. W...