icupearls.org Archive

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

Monday, August 31, 2020

hypothyroidism and statin-induced myopathy

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 Q; Why patients with a history of hypothyroidism are more susceptible to have statin-induced myopathy? Answer:    There are two suggested m...
Sunday, August 30, 2020

TLS ansd diuretics

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 Q: Which Diuretic is preferred in patients with Tumor Lysis Syndrome if required? (select one) A: bumetanide  B) furosemide    Answer: B  ...
Saturday, August 29, 2020

fluorescence bronchoscopy

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 Q; What purpose fluorescence bronchoscopy serves?    Answer: Biologically abnormal tissue such as precancerous lesions, particularly squa...
Friday, August 28, 2020

MG and drugs

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 Q: Which of the following class of cardiac drugs be used with caution in Myasthenia Gravis (MG)? (select one) A) Beta Blockers (BB) B) Cal...
Thursday, August 27, 2020

acute abdominal pain with forceful evacuation of bowel.

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 Q: 65 year old male presented to ED with abdominal pain. Patient described his pain as acute around the periumbilical region, associated wi...
Wednesday, August 26, 2020

HIV prompt treatment

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Q: 44-year-old male is admitted to ICU with sepsis. Patient gets diagnosed with HIV. Prompt treatment of HIV applies to the start of antire...
Tuesday, August 25, 2020

Hyperglycemia in ICU

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Q: Hyperglycemic response to dextrose containing fluid infusion in ICU patients is usually exaggerated. What are the reasons behind it? An...
Monday, August 24, 2020

zones of the retroperitoneum

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Q: There are how many zones of the retroperitoneum? Answer: Three The retroperitoneum is divided into three zones which are used to des...
Sunday, August 23, 2020

treatment of achalasia

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Q: Out of the following which is considered a relatively effective treatment of achalasia?  A) isosorbide dinitrate  B) sildenafil  C) ...
Saturday, August 22, 2020

Meperidine

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Q: Meperidine can have which effect? (select one)  A) Dysphoria  B) Euphoria Answer: Physicians may get into the cognitive bias that ...
Friday, August 21, 2020

Gabapentin overdose

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Q: 52 year old male with Chronic Kidney Disease stage 4 is transferred from medical floor to ICU due to obtundation. There is a suspicion o...
Thursday, August 20, 2020

MM clinical spectrum

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Q: 66 year old male with multiple myeloma (MM) is admitted to ICU with mental status change. Which of the following is more common in patie...
Wednesday, August 19, 2020

wandering spleen

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Q : 34 year old soccer player is admitted with acute right-sided abdominal pain. CT scan report described wandering spleen. What is wanderin...
Tuesday, August 18, 2020

BB in VT storm

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Q: In patients with electrical storm or incessant Ventricular Tachycardia, along with amiodarone which beta-blocker is preferred?  A) Met...
Monday, August 17, 2020

MTX induced neurotoxicity

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Q:  32 year old female is admitted to ICU with seizures after Methotrexate (MTX) treatment. Can MTX can be prescribed to her again in the fu...
Sunday, August 16, 2020

CT vs bronch

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Q: 58 year old male with a history of HIV is admitted to ICU with hemoptysis. There is a concern for Kaposi sarcoma. Which study would be a...
Saturday, August 15, 2020

EAH

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Q: Exercise-associated hyponatremia (EAH) counts for hyponatremia up to what period after exercise?  A) 24 hours  B) 48 hours   Answe...
Friday, August 14, 2020

LEMS advantage

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Q: What makes Lambert-Eaton myasthenic syndrome (LEMS) a disease of advantage? Answer:  Anytime a patient presents with Lambert-Eaton ...
Thursday, August 13, 2020

Static and Dynamic parameters of fluid responsiveness

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Q: What are the static and dynamic parameters of hemodynamic? Answer:   The monitoring of hemodynamic can have two parameters, either sta...
Wednesday, August 12, 2020

barotrauma and Pplat

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Q : At what level of plateau pressure (Pplat)the chances of barotrauma goes exponentially high while on mechanical ventilator? (select one) ...
Tuesday, August 11, 2020

“thoracic endometriosis syndrome”

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Q: Hemoptysis can be a part of “thoracic endometriosis syndrome”? (select one) A) Yes B) No Answer: A Thoracic endometriosis is cons...
Monday, August 10, 2020

PD-L1

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Q: 48 years old male with a history of laryngeal cancer is admitted to ICU for airway monitoring due to stridor and hemoptysis. Oncology ser...
Sunday, August 9, 2020

Risks for TRALI

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Q: Which organ transplant surgery is found to be a risk factor for Transfusion Related Acute Lung Injury (TRALI)? A) Liver B) Lung C) Ki...
Saturday, August 8, 2020

DKA and PH

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Q: During the management of Diabetes Ketoacidosis (DKA), monitoring of which PH is recommended? A) Arterial B) Venous Answer: B   I...
Friday, August 7, 2020

Baux score

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Q: What purpose the Baux score serves? Answer:  Baux score helps to determine the mortality rate in burn patients. In case of a high ...
Thursday, August 6, 2020

provoked and unprovoked DVT

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Q : Deep venous thrombosis (DVT) after hospitalization is considered? (select one) A) provoked DVT B) unprovoked DVT Answer: A To s...
Wednesday, August 5, 2020

Bent at ETI

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Q: What is the purpose of the bent at the tip of the endotracheal tube introducer (ETI)? Answer:    The endotracheal tube introducer (ETI...
Tuesday, August 4, 2020

Organism in septic arthritis

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Q : Septic arthritis is usually? (select one) A) Monomicrobial B) Polymicrobial Answer: A In non-immunocompromised and with no his...
Monday, August 3, 2020

A-a gradient

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Q: With higher FiO2, the A-a gradient will? (select one) A) increase B) decrease Answer: A The Alveolar–arterial gradient, popularl...
Sunday, August 2, 2020

spinal schwannomatosis

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Q: 42 year old female is admitted to ICU with progressive weakness of both upper extremities with motor function deficits. Weakness is assoc...
Saturday, August 1, 2020

A note on LAST

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A note on Local anesthetic systemic toxicity (LAST)  Topical lidocaine is frequently used in ICU for various procedures. The risk of toxici...
Friday, July 31, 2020

Glucose in TH

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Q: Hyperglycemia during Therapeutic Hypothermia (TH) is due to? (select one)  A) insulin resistance  B) increase body metabolism Answ...
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