icupearls.org Archive

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

Saturday, November 30, 2019

Maze

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Q: What are the three principal goals of surgical intervention in atrial fibrillation? Answer:  Creation of conduction block to disrupt...
Friday, November 29, 2019

Axillary A line

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Q: While inserting axillary arterial line, it should be ideally placed A) as high as possible within the axilla B) at low as possible w...
Thursday, November 28, 2019

pilot with SOB

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Q : 44 year old air-force pilot is brought to ED after his flight with chest pain, and dyspnea. Patient describes these symptoms progressive...
Wednesday, November 27, 2019

Diabetes and AAA

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Q : Diabetes ____________ the risk for Abdominal Aortic Aneurysms (AAA)? (select one) A) increases B) decreases Answer: B Although ...
Tuesday, November 26, 2019

etomidate

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Q : Etomidate also has partial analgesic effect.  A) True  B) False Answer: B Etomidate has absolutely no analgesic effect. The obje...
Monday, November 25, 2019

Friction rub in stomach

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Q: During auscultation of an acute abdomen, the sound of friction rub on the left side of the abdomen raises the possibility of which diseas...
Sunday, November 24, 2019

Contact isolation

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Q: Transmission via droplets occurs within how many feet of an infected patient, and requires droplet isolation?    Answer: 3-6 feet  ...
Saturday, November 23, 2019

Extubation

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Q: Is the following statement  true: "If patients were rested back on the ventilator for an hour before extubation after the complet...
Friday, November 22, 2019

BB and delirium

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Q: How  Beta-blockers directly contribute to delirium? Answer:  By decreasing Melatonin Although delirium is usually multi-factorial an...
Thursday, November 21, 2019

sleep aids in ICU

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Q: Why trazodone is preferred over quetiapine as a sleep aid in ICU? Answer: There is no objective verified data on the basis of biochemi...
Wednesday, November 20, 2019

hypothermia and hematocrit

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Q: What's the relationship between hypothermia and hematocrit? Answer:   Hypothermia can affect a wide range of laboratory finding ...
Tuesday, November 19, 2019

Air embolism and volume status

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Q: Which of the following increases the risk of air embolism during central venous catheter (CVC) insertion or removal? (select one) A) H...
Monday, November 18, 2019

stages of empyema

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Q: There are how many stages of pleural empyema?  Answer: 3 There are three stages of pleural (or any) empyema  stage 1 is an exudati...
Sunday, November 17, 2019

WE and temperature

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Q: Unreactive pupil in Wernicke's Encephalopathy (WE) is found to be associated with? (select one) A) Hypothermia B) Hyperthermia ...
Saturday, November 16, 2019

NGT

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Q: What is the ideal location for a nasogastric tube (NGT) to decompress the stomach? Answer:  gastric fundus NGT for the purpose of...
Friday, November 15, 2019

Corrosive esophagitis

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Q: Which one is more prone to cause immediate esophageal injury and esophageal perforation? (select one)   A) Acid-induced injury   B) Al...
Thursday, November 14, 2019

Asynchrony

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Q : One of the major reasons for 'asynchrony' between a patient and a mechanical ventilator is? (select one) A)  Increasing tidal...
Wednesday, November 13, 2019

coagulation profile blood draw

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Q: While drawing blood for the coagulation profile, what should be the ratio of citrate solution to whole blood in the tube to have an accur...
Tuesday, November 12, 2019

TRALI

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Q: Patients who develop transfusion-related acute lung injury (TRALI) with pre-existent acute respiratory distress syndrome (ARDS) have? (s...
Monday, November 11, 2019

Resp failure in GBS

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Q: All of the following are good indicators of respiratory failure in Guillain-Barre Syndrome (GBS) except ? A) Forced vital capacity (...
Saturday, November 9, 2019

Drugs which exacerbate the symptoms of anaphylaxis by nonimmunologic mast cell activation

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Q:  All of the following can exacerbate the symptoms of anaphylaxis by causing nonimmunologic mast cell activation except ? A) ethanol B)...
Friday, November 8, 2019

Risk of rejection in heart transplant

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Q: All of the following tends to increase the risk of acute rejection after heart transplant except ? A) Older recipient  B) Female recipi...
Thursday, November 7, 2019

Intubation in trauma

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Q: Patients from trauma scene should be intubated without the anterior portion of the cervical collar removed? (select one) A) True B) F...
Wednesday, November 6, 2019

pneumothorax and leucocytosis

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Q: In spontaneous pneumothorax (PTX), what is the characteristic of leucocytosis? Answer: There is less likelihood of left shift Alt...
Tuesday, November 5, 2019

Organ donation

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Q: Use of thyroid hormone therapy during the management of the deceased organ donor has shown association with increased procurement of all ...
Monday, November 4, 2019

Frisén Scale

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Q: Frisén Scale is used to grade which disease? Answer:     P apilledema Frisén Scale is used to grade the severity of papilledema with...
Sunday, November 3, 2019

ischemic colitis

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Q: Which areas of the colon are more prone to ischemia due to hypo-perfusion? Answer:   Splenic flexure and rectosigmoid junction The ...
Saturday, November 2, 2019

Mollaret's meningitis

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Q: What is Mollaret's meningitis?   Answer: Mollaret's meningitis is a form of recurrent benign lymphocytic meningitis (RBLM). I...
Friday, November 1, 2019

Vaccines in immunocompromised patients

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Q: Immunosuppressed patients should not receive which of the following vaccines while in the ICU or on discharge? A) Pneumococcus (PCV13 ...
Thursday, October 31, 2019

CBF and PaCO2

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Q: Cerebral blood flow (CBF) decreases by what percentage per drop of each mm Hg in the arterial partial pressure of carbon dioxide (PaCO2)?...
Wednesday, October 30, 2019

ETT exchange

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Q: Video laryngoscopy is recommended for the Endo-tracheal tube (ETT) exchange?  A) True B) False Answer: A Exchange of ETT is a serio...
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Tuesday, October 29, 2019

Fentanyl

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Q; Fentanyl is? (select one)  A) lipophilic  B) hydrophilic Answer: A The objective of the above question is to emphasize the fact ...
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