icupearls.org Archive

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

Thursday, April 30, 2020

Decrease resp acidosis during Trachesostomy

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Q: Describe one technique during percutaneous tracheostomy to decrease the incidence of respiratory acidosis due to a delay in mechanical v...
Wednesday, April 29, 2020

Diuresis in acute cardiogenic pulmonary edema

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Q: A response to diuresis is one way to confirm the diagnosis of acute cardiogenic pulmonary edema? A) True B) False Answer: A Ph...
Tuesday, April 28, 2020

HEART score

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Q: What is the Heart score? Answer:   HEART score is a clinical decision tool along with clinical judgment to identify risk of Acute Co...
Monday, April 27, 2020

Prone in ARDS

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Q: According to famous PROSEVA (Prone Positioning in Severe Acute Respiratory Distress Syndrome) trial, early proning is recommended. What ...
Sunday, April 26, 2020

Dexmedetomidine Clonidine

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Q: Infusion of dexmedetomidine in ICU patients can be transitioned to which oral medicine?  Answer: Clonidine Although not routinely ...
Saturday, April 25, 2020

cuff leak test in COVID-19

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Q: Routine cuff leak should be performed in all COVID-19 patients on extubation? A) True B) False Answer: B Cuff leak test may ha...
Friday, April 24, 2020

COVID-19 and C-section

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Q: 28-year-old female at 36 weeks of pregnancy is admitted to ICU with respiratory failure due to COVID-19. Obstetric service decided to p...
Thursday, April 23, 2020

Melatonin for procedure

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Q : What is the role of Melatonin in reducing procedural anxiety? Answer:  Benzodiazepines are the first line of pre-medications fo...
Wednesday, April 22, 2020

ivermectin

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Q: 32-year-old male who recently traveled from Africa after his global health fellowship is admitted to ICU with pulmonary symptoms. Patient...
Tuesday, April 21, 2020

hemoptysis - physical exam

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Q: In  a patient with hemoptysis, auscultation of chest should be performed as it may easily determine the side of bleeding lung?  A) Tr...
Monday, April 20, 2020

3 test rule

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Q: Three-test rule is used to diagnose which disease? Answer: Pleural effusion Although Light's criteria is considered a standard...
Sunday, April 19, 2020

Chlorhexidine and VAP

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Q: Oral decontamination with Chlorhexidine should be done on all intubated patients in as there is strong evidence that it decreases the i...
Saturday, April 18, 2020

antibiotics and myasthenia crisis

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Q: Which of the following antibiotics can make myasthenia crisis worse? A) fluoroquinolones  B) cephalosporins Answer: A ICU phy...
Friday, April 17, 2020

IVIG in GBS

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Q : What is the multi-facets mechanism of action of intravenous immunoglobulin (IVIG) in Guillain-BarrĂ© syndrome(GBS)?   Answer:   The pre...
Thursday, April 16, 2020

First trimester COVID

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Q: How simple use of acetaminophen (Tylenol) can help in COVID-19 patients in first trimester of pregnancy? Answer: The biggest risk durin...
Wednesday, April 15, 2020

Remdisivir and renal function

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Q : Remdesivir has shown some promise in COVID-19. How its role is limited by renal impairment? Answer:   Remdesivir is one of the few d...
Tuesday, April 14, 2020

Acute exacerbation of bronchiectasis

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Q: Acute exacerbation of bronchiectasis is usually accompanied by all of the following except? A) increased, darker and viscous sputum  B...
Monday, April 13, 2020

Statins and COVID

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Q: How statins can have some indirect benefit in COVID-19 patients? Answer: Statins can have a beneficial effect in COVID-19 patients via...
Sunday, April 12, 2020

Neutropenic fever

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Q: What is the official definition of neutropenic fever? Answer:   Per Infectious Diseases Society of America (IDSA) fever in neutropen...
Saturday, April 11, 2020

Phenotypes in COVID

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Phenotypes in COVID-19 determines the ventilator management #pulmonary
Friday, April 10, 2020

Liquid plasma

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Q: What is Liquid Plasma?   Answer:  Liquid Plasma is plasma that has never been frozen.  Liquid Plasma is separated and infused no late...
Thursday, April 9, 2020

NEWS

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Q : What are the six components of National Early Warning Score (NEWS)?  Answer:  NEWS is the European version of quick Sequential (Sep...
Wednesday, April 8, 2020

Ultrasound in CIM/CIP

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Q: Muscle ultrasound in Critical Illness Myopathy (CIM) and Critical Illness Polyneuropathy (CIP) will show? (select one)   A) increased e...
Tuesday, April 7, 2020

Optic neuritis outcome

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Q: 23-year-old female with past medical history of Multiple Sclerosis (MS) is admitted to ICU with severe optic neuritis. Which one test ma...
Monday, April 6, 2020

How to Ventilate COVID Patients

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Sunday, April 5, 2020

Opioid metabolites

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Q: Most opioids are metabolized to their active metabolites via? (select one)   A) Liver  B) Kidney Answer: A The objective of thi...
Saturday, April 4, 2020

Bivalirudin and hemodialysis

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Q ; Bivalirudin (Angiomax) is removed by hemodialysis? A) True B) False Answer: A Bivalirudin is a parenteral direct thrombin inhibi...
Friday, April 3, 2020

Propofol and bronchodilation

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Q : Propofol has a bronchodilation property? A) True B) False Answer: A    Propofol is highly lipophilic phenol derivative, and it c...
Thursday, April 2, 2020

ORT

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Q: Palliative care service recommended to administer  Opioid Risk To ol (ORT) to a patient getting transferred to long term care from ICU af...
Wednesday, April 1, 2020

Amiodarone and Liver

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Q: What is the cut-off limit to consider discontinuation of Amiodarone in patients with liver insufficiency? Answer:  Two folds There ...
Tuesday, March 31, 2020

withdrawal of clonidine and BB

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Q: Withdrawal of clonidine and beta-blockers may cause rebound symptoms. How they differ in manifestations? Answer:  Withdrawal of cloni...
Monday, March 30, 2020

L SC vein CVC advantage

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Q: Access of which side of the subclavian (SC) vein is preferred when cardiac access is desired? A) right B) Left Answer : B Left s...
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