icupearls.org Archive

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

Wednesday, September 30, 2020

Nephrotic syndrome and ACS

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 Q: Nephrotic syndrome may cause acute compartment syndrome (ACS) of the extremities? (select one) A) True B) False Answer: A Nephrotic syn...
Tuesday, September 29, 2020

Fenoldopam and GFR

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 Q: Fenoldopam ____________  glomerular filtration rate (GFR)? (select one) A) increases B) decreases Answer: A Fenoldopam is an anti-hyper...
Monday, September 28, 2020

Define ACS clinically

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  Q:  Clinically, Abdominal Compartment Syndrome (ACS) can be defined as Intra Abdominal Hypertension (IAH) induced new organ dysfunction wi...
Sunday, September 27, 2020

Pregnancy and PRCA

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Q : Pregnancy related Pure Red Cell Aplasia (PRCA) usually resolves with delivery? (select one) A) True B) False Answer: A PRCA asso...
Saturday, September 26, 2020

HCQ interactions

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 Q : Hydroxychloroquine (HCQ) ________ the digoxin level? (select one) A) increases  B) decreases Answer: A Since HCQ is again popular, the...
Friday, September 25, 2020

ART and lipoatrophy

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 Q: Which class of antiretroviral therapy (ART) in HIV patients is more associated with lipoatrophy? Answer: N ucleoside reverse transcripta...
Thursday, September 24, 2020

Muscle symptoms in Rhabdomyolysis

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 Q: Muscle symptoms are usually prominent in patients with rhabdomyolysis? (select one) A) True B) False Answer: B Although the classic ...
Wednesday, September 23, 2020

Obesity and AF

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 Q: Obesity can be protective in atrial fibrillation (AF)? (select one) A) Yes B) No Answer:   A According to the ARIC (Atherosclerosis Ris...
Tuesday, September 22, 2020

Apheresis in acute pancreatitis due to severe Hyper-TG

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 Q: 57 year old male is admitted to ICU with severe abdominal pain and hypotension. Patient is diagnosed with acute pancreatitis secondary t...
Monday, September 21, 2020

Splenic artery aneurysm on x-ray

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 Q: Why Splenic Artery Aneurysms (SAAs) can sometimes be diagnosed on plain X-ray? Answer:   Although SAAs are not common still it is the t...
Sunday, September 20, 2020

Paraplegia in young healthy after beach vacation

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 Q; 32 year old otherwise healthy male admitted to ICU with paraplegia. Patient reports acute back pain during his recent vacation to Miami...
Saturday, September 19, 2020

sarcoidosis and electrolyte abnormality

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 Q : 38 year old female with a history of sarcoidosis is admitted to ICU with mental status change after a week of hike in mountains. Which ...
Friday, September 18, 2020

Palliative care in surgical ICU patients

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 Q: P atients who are admitted to Surgical ICU (SICU) for more than a month qualify for palliative care consults? (select one) A) True B) Fa...
Thursday, September 17, 2020

Ultrasound in ESLD

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  Q: 57 year old female is admitted to ICU with sepsis. Patient also found to have severe jaundice and stigmata of liver cirrhosis and End-...
Wednesday, September 16, 2020

A-phosphatase in females

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 Q: Alkaline phosphatase (AP) levels is physiologically higher in? (select one)  A) elderly females  B) younger females Answer: A Alkaline...
Tuesday, September 15, 2020

myoclonus treatment

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 Q: Which of the following is preferred treatment for myoclonus? (select one) A) Levetiracetam   B) Phenytoin Answer: A Although historicall...
Monday, September 14, 2020

Devic Disease

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 Q:   35 year old male with no past medical history is admitted to ICU with an acute attack of bilateral vision loss associated with lower l...
Sunday, September 13, 2020

Prescription of Lasix

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 Q: Loop diuretics should always be given as rapid push? (select one) A) True B) False Answer: B Unfortunately, though loop diuretics are t...
Saturday, September 12, 2020

bubble contrast technique during pericadiocentesis

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 Q: How the bubble contrast technique can be applied during pericadiocentesis? Answer : Bubble contrast study helps in confirming proper n...
Friday, September 11, 2020

postobstructive pulmonary edema

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 Q: What are the two types of postobstructive pulmonary edema?   Answer: Type I and Type II  Type I is due to the forceful inspiratory effo...
Thursday, September 10, 2020

Damping of A lines

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 Q: Air bubbles in the arterial line tubing will cause? (select one)   A) Under damping of waveforms  B) Over damping of waveforms Answer; ...
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Wednesday, September 9, 2020

off label uses of Pregabalin

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 Q: Name at least five off label uses of Pregabalin?  Answer: Pregabalin has been used in inpatient as well as outpatient settings for var...
Tuesday, September 8, 2020

Treatments of HTGP

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 Q: Heparin can be used as a treatment in acute pancreatitis secondary to  severe hypertriglyceridemia ? A) True B) False Answer: A Althoug...
Monday, September 7, 2020

Salmonella and GI enviroment

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Q: H2 blockers are protective against salmonella? A) True B) False Answer : B The human body has two protective layers against oral...
Sunday, September 6, 2020

Mesentric ischemia vessels

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  Q: Mesenteric ischemia is more common in which bed of the vessels? (select one)  A) arterial  B) venous Answer: A Abdominal angina...
Saturday, September 5, 2020

abdominal pain in dka

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 Q: Abdominal pain in Diabetic keto-acidosis (DKA) is associated with the severity of the metabolic acidosis? (select one) A) True B) False ...
Friday, September 4, 2020

Colectomy for constipation

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Q: 82 year old male is admitted to ICU after colectomy as a last resort for debilitating constipation. These patients usually have unbearab...
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Thursday, September 3, 2020

gender predisposition in acute acalculous cholecystitis

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 Q: Which gender has more predisposition to have acute acalculous cholecystitis (ACC)? (select one) A) male B) female Answer: A In contras...
Wednesday, September 2, 2020

QT interval

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 Q: The QT interval on EKG is measured from? (select one) A) start of the QRS complex   B) end of the QRS complex  Answer : A There are two...
Tuesday, September 1, 2020

RSBI on vent

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 Q: If Rapid Shallow Breathing Index (RSBI) is measured while the patient is breathing through a T-piece on ventilator, it would be erroneou...
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  ...
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