icupearls.org Archive

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

Saturday, August 31, 2019

single regimen antibiotics in acute acalculous cholecystitis

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Q: Which of the following antibiotics can be used as an empiric single regimen in suspected acute acalculous cholecystitis? A) Piperac...
Friday, August 30, 2019

KS Rx

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Q: 42 year old male with HIV is admitted to ICU with pneumonia. ID service in the list of their regimen also prescribed an anti-hypertensive...
Thursday, August 29, 2019

dose of succinylcholine in patients with myasthenia gravis

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Q:  The dose of succinylcholine in patients with myasthenia gravis (MG) should be? (select one)  A) Increased  B) Decreased Answer: A...
Wednesday, August 28, 2019

FIND ME

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Q: "FIND ME" is a useful mnemonic for which patients? Answer : FIND ME is a good mnemonic in the evaluation of an acutely agita...
Tuesday, August 27, 2019

LFT in ETOH liver

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Q: Deficiency of which vitamin causes the high AST to ALT ratio in alcoholic hepatitis?  A) Vitamin A B) Vitamin B-6 C) Vitamin B-12 ...
Monday, August 26, 2019

PPV

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Q: Pulse Pressure Variation (PPV) - an indicator of intravascular volume responsiveness is an unreliable indicator in patients with intra-...
Sunday, August 25, 2019

Class 4 hemorrhage

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Q: In severe hemorrhage due to trauma, aggressive intravenous (IV) resuscitation should be initiated as soon as possible? (select one) A)...
Saturday, August 24, 2019

Hematuria in alcohol poisoning

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Q: Hematuria is more common in? (select one)  A) methanol poisoning  B) ethylene glycol poisoning Answer: B Ethylene glycol toxicit...
Friday, August 23, 2019

LV thrombus

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Q: After myocardial infarction which modality of transthoracic  echo (TTE)   is preferred to detect left ventricular thrombus? A) contrast...
Thursday, August 22, 2019

bicarb and lactate

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Q: All of the following occurs with rapid intravenous bolus of sodium bicarbonate except ?  A) increase PCO2  B) decrease production of ...
Wednesday, August 21, 2019

CVC complication

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Q: Ventricular dysrhythmias and bundle branch block can be avoided during central line (CVC) placement by keeping guide wire not going dee...
Tuesday, August 20, 2019

florinef

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Q: Fludrocortisone works via? A) increase in blood volume B) enhanced sensitivity of blood vessels to circulating catecholamines  C) en...
Monday, August 19, 2019

NSAID induced peptic ulcer

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Q: 32 year old athletic male is admitted to ICU with bleeding peptic ulcer due to overuse of Non-Steroidal-Anti-Inflammatory-Drugs (NSAIDs)...
Sunday, August 18, 2019

SSRI effect of succinylcholine

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Q: Selective serotonin reuptake inhibitors (SSRIs) tends to? (select one) A) prolong the effect of succinylcholine B) reduce the effect ...
Friday, August 16, 2019

Fournier gangrene

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Q: Fournier gangrene is more common in? (select one)  A) male  B) female Answer : A Necrotizing fasciitis of the perineum, popularly ...
Thursday, August 15, 2019

UAG

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Q: Which one is the right formula for Urine An-ion Gap (UAG)? A) Urine (Na + K - Cl) B) Urine (Na + HCO3 - Cl) C) Urine (Na - K + Cl) ...
Wednesday, August 14, 2019

MALA

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Q: Mortality from Metformin associated lactic acidosis (MALA), if occurs, is about? Answer: 50% Lactic acidosis from metformin, known...
Tuesday, August 13, 2019

TB test in HIV

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Q: Below which CD4 count tuberculin skin test stays negative in HIV patients? Answer: 300 cells/microL Tuberculin skin test is still ...
Monday, August 12, 2019

Nimbex & hypothermia

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Q: Hypothermia? (select one) A) prolongs the effect of cisatracurium B) shortens the effect of cisatracurium Answer:  A Hypothermia...
Sunday, August 11, 2019

Dose of Succinylcholine during intubation

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Q: Dose of Succinylcholine during intubation should be based on? (select one)  A) Ideal body weight  B) Total body weight   Answer: ...
Saturday, August 10, 2019

HES

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Q: How you define Hypereosinophilic syndromes (HES)?     Answer: Absolute Eosinophilic Count ≥1500/microL on two occasions ≥1 month apart...
Friday, August 9, 2019

ketamine

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Q: All of the following are possible effects of Ketamine except? A)  'Out of body' experience B) Amnesia  C) Dilatation of pupi...
Thursday, August 8, 2019

acyclovir

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Q: Which drug is more prone to cause acute kidney dysfunction? (select one)   A) IV Acyclovir   B) IV Ganciclovir  Answer: A   Acy...
Wednesday, August 7, 2019

pain of biliary colic and acute cholecystitis

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Q: How a pain of biliary colic and acute cholecystitis can be differentiated? Answer:   Pain in b iliary colic is described as dull dis...
Tuesday, August 6, 2019

Auto PEEP

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Q: Which one is correct for Auto-PEEP? (select one) A) Auto-PEEP = end-expiratory alveolar pressure - applied PEEP B) Auto-PEEP = end...
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Monday, August 5, 2019

meningitis & encephalitis

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Q: How the difference between encephalitis and meningitis can be established? Answer: In patients with meningitis cerebral function remai...
Sunday, August 4, 2019

HbA1C in surgery

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Q:  What level of Hb A1C is considered acceptable before surgery? Answer:   HbA1C < 8.5-9% Elevated A1C levels and perioperative hig...
Saturday, August 3, 2019

Stridor

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Q: Stridor due to laryngeal obstruction typically occurs with? (select one)  A) inspiration B) expiration Answer: A Stridor is due ...
Friday, August 2, 2019

Ibutalide and TdeP

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Q: All of the following are the risk factors for torsade de pointes (TdeP) after ibutilide administration except?   A) Congestive heart f...
Thursday, August 1, 2019

amylase/lipase in ETOH pancreatitis

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Q: Which test is more reliable in acute alcoholic pancreatitis? (select one) A) Amylase B) Lipase Answer:   B In non-alcoholic acute ...
Wednesday, July 31, 2019

Protamine

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Q: Risk of side effects with protamine increases in all of the following patients except?    A) allergy to fish  B) previous vasectomy  ...
Tuesday, July 30, 2019

BUN;Cr ratio in GI bleed

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