icupearls.org Archive

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

Tuesday, June 30, 2020

tendon reflex exam

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Q: Brachioradialis tendon reflex should be tested? (select one)  A) 5 cm above the wrist  B) 10 cm above the wrist Answer: B Ten...
Monday, June 29, 2020

Predicted normal body

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Q: In LOW TIDAL VOLUME VENTILATION (LTVV) for patients with ARDS, tidal volume (TV) should be adjusted according to? (select one) A) Idea...
Sunday, June 28, 2020

Acute DIC and organ damage

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Q: Which of the following organ is most vulnerable during an episode of acute Disseminated intravascular coagulation (DIC)? A) Kidney B)...
Saturday, June 27, 2020

Thrombocytosis

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Q: By definition, thrombocytosis is platelet count more than? (select one) A) >350,000/microL B) >450,000/microL Answer: B B...
Friday, June 26, 2020

pulse-ox probe and MRI

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Q: Why pulse-oximetry probes should be temporarily removed while patient is in an MRI? Answer:   P ulse oximeter cables, which act as an ...
Thursday, June 25, 2020

Amylase Lipase in pancreatic trauma

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Q : During trauma, pancreatic injury should quickly be ruled out by elevated amylase/lipase? (select one)  A) True  B) False Answer: B ...
Wednesday, June 24, 2020

urgent start PD

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Q: Urgent-start peritoneal dialysis is associated with worse outcomes than urgent-start hemodialysis? A) True B) False Answer: B The...
Tuesday, June 23, 2020

hypokalemic paralysis

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Q: Muscle weakness in hypokalemia usually starts developing from? (select one) A) upper body B) lower body  Answer:  B Muscle wea...
Monday, June 22, 2020

Remdesivir and liver

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Q: Remdesivir should be discontinued if Liver Funtion Test (LFT) is?  A) >2 times of normal  B) >5 times of normal   Answer: ...
Sunday, June 21, 2020

total pain

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Q: What are the frameworks of 'total pain'  and 'pathological grieving'  at the end of life care? Answer:  Dame Cicely...
Saturday, June 20, 2020

Physical restraints

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Q: Physical restraints in delirious patients decrease overall mortality by decreasing self-harm? (select one) A) True B) False Answer...
1 comment:
Friday, June 19, 2020

sodium phosphate enema

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Q: Constipation and ileus is a frequent issue in ICU. What are the dangers of using sodium phosphate enemas in elderly patients? Answer:...
Thursday, June 18, 2020

Anbx in sepsis

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Q: In patients with septic shock antibiotics should be started at? (select one) A) full "high-end" loading dose  B) full ...
Tuesday, June 16, 2020

Epistaxis in hereditary hemorrhagic telangiectasia

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Case: 22 year old female with a past medical history of hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease) is in ICU with uro...
Monday, June 15, 2020

cytoabsorb

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Q: Which of the following major inflammatory molecule does not get removed via hemadsorption?  A) interleukin-6  B) interleukin-10 A...
Sunday, June 14, 2020

PCF

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Q:  What is platelet contractile force (PCF)? Answer:   Platelet contractile force (PCF) is an interesting parameter to measure global p...
Saturday, June 13, 2020

electrolyte abnormality after thyroidectomy

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Q: Which electrolyte abnormality is common after thyroidectomy? Answer: Calcium Most of the patients develop hypocalcemia after thyroid...
Friday, June 12, 2020

ASV mode

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Q: Ventilator determines which of the following parameter to calculate the respiratory rate in Adaptive Support Ventilation (ASV) mode? (sel...
Thursday, June 11, 2020

On Dig

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Q: Can digoxin be called an inotrope by definition? (select one) A) Yes B) No Answer : A There are four classes of inotrope and digit...

Cough from ACE-I

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Q: Although withdrawal of treatment is the choice of treatment for angiotensin converting enzyme inhibitors (ACE-Is) induced cough, which d...
Wednesday, June 10, 2020

Burn and DVT

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Q: In patients with severe burn  DVT prophylaxis should be on hold for the first 72 hours of the management?   A) True  B) False  Ans...
Tuesday, June 9, 2020

NGT placement

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Q: While placing nasogastric tube (NGT) in a patient, it may help to tilt the head? (select one) A) towards the chest B) away from the ch...
Monday, June 8, 2020

UGIB and history

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Case: 52 year old male is admitted to ICU with an episode of upper gastrointestinal bleed (GIB). Patient mentioned having a similar episode...
Sunday, June 7, 2020

RCA and CRRT

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Q: Describe few conditions where Regional Citrate Anticoagulation (RCA) should be used with high caution during Continuous Renal Replacemen...
Saturday, June 6, 2020

transdermal patches and MRI

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Q: Why transdermal patches should be removed prior to MRI? Answer:   Many transdermal patches contain aluminum or other metal in the...
Thursday, June 4, 2020

Lido with epi in SQ anesthesia

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Q: What is the advantage of using epinephrine with lidocaine during subcutaneous (SQ) local anesthesia? Answer: When epinephrine is add...
1 comment:
Wednesday, June 3, 2020

Exhaled nitric oxide analysis

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Case:   2 3 year female with a long history of asthma is admitted to ICU with exacerbation of her symptoms. Despite standard therapies, she...
Tuesday, June 2, 2020

Dig and Amyloidosis

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Q : Why digoxin should be avoided in cardiac amyloidosis? Answer:  Patients with cardiac amyloidosis are at a high risk of "dig to...
Monday, June 1, 2020

Electrical alternans

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Q: Electrical alternans with sinus tachycardia has? (select one) A) high specificity for pericardial effusion B) high sensitivity fo...
Sunday, May 31, 2020

Tourniquet test in Dengue hemorrhagic fever

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Q : How a tourniquet test is performed in Dengue hemorrhagic fever (DHF)? Answer:  According to WHO 1997 classification, Dengue fe...
Saturday, May 30, 2020

Hyperoxia and coronary vessels

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Q: Hyperoxia causes? (select one) A) Coronary vasoconctriction B) Coronary vasosilatation Answer : A Although it is true t...
Friday, May 29, 2020

Sundowning

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Q: "Sundowning" can be related to nurses'  shift changes in ICU? (select one) A) True  B) False Answer: A Su...
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