icupearls.org Archive

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

Saturday, October 31, 2020

Failed pleurodesis

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Q:   Failed pleurodesis can be predicted by pleural manometry if pleural elastance is? (select one) A) ≥5 cm H2O per liter of fluid B) ≥1...
Friday, October 30, 2020

crossreactivity of contrasts

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 Q: 58 years old male is admitted to ICU due to Atrial Fibrillation associated Rapid Ventricular Rate (AF-RVR). Patient developed acute abdo...
Thursday, October 29, 2020

MG in pregnancy

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Q; 32 years old female in the first trimester of pregnancy is admitted to ICU with exacerbation of her Myasthenia Gravis (MG). The patient i...
Wednesday, October 28, 2020

Echodensity of mitral valve mass

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 Q: A low density of mechanical mitral valve mass on echocardiogram favors? (select one) A) Thrombus B) Pannus Answer: A Echodensity can be...
Tuesday, October 27, 2020

Barbiturate coma - side effects

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 Q: Which of the following is NOT a side-effect of pentobarbital induced coma?   A) delay in brain death determination   B) need of vasopre...
Monday, October 26, 2020

Vitamins in SIBO

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Q: Which of the following may be normal or elevated in a patient with Small Intestinal Bacterial Overgrowth (SIBO) syndrome?  A) Vitamin A  ...
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Sunday, October 25, 2020

Ketamine

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 Q; In dissociative sedation, a patient retains the spontaneous respirations but not the airway protective reflexes? (select one) A) True B)...
Saturday, October 24, 2020

tuberculin test and sarcoid

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 Q: 34 years old female with a past medical history of sarcoidosis and recently immigrated from an epidemiological area with a high pulmona...
Friday, October 23, 2020

Commotio cordis

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Q: What is Commotio Cordis?   Answer:   Commotio Cordis is sudden cardiac death due to chest wall impact, usually over the cardiac region.  ...
Thursday, October 22, 2020

Tuberculous peritonitis

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 Q: 44 year old male with previous histories of AIDS, cirrhosis, diabetes, underlying Kaposi sarcoma, and renal failure (on continuous ambu...
Wednesday, October 21, 2020

Index card test

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 Q: Q: What is 'card test' for extubation? Answer: Cough strength is considered to be one of the most reliable indicators of succe...
Tuesday, October 20, 2020

Factors in UGI bleed

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 Q: Which of the following is likely to be present in upper gastrointestinal (UGI) bleed? (select one) A) blood urea nitrogen to serum crea...
Monday, October 19, 2020

Ppl on vent

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 Q: The plateau pressure (Pplat or Ppl) on a ventilator is a reflection of static compliance of? (select one)  A) lung parenchyma   B) ches...
Sunday, October 18, 2020

clonidine

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 Q: Describe at least five uses of clonidine besides its use in the treatment of hypertension (HTN)? Answer: Although Clonidine's main...
Saturday, October 17, 2020

TOF

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 Q: 72 years old male with previous history of HTN, DM, CAD, previous CABG, alcoholism, and stroke (with some residual hemiplegia on the lef...
Friday, October 16, 2020

Eye exam on trauma

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 Case: 24 year old female is brought to the trauma Emergency room (ER) after a motor vehicle accident (MVA). She mostly received facial inju...
Thursday, October 15, 2020

electrolytes in SJS/TEN

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 Q: Which two electrolytes are considered a good marker of disease severity in Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis...
Wednesday, October 14, 2020

optimum platelet count for procedures

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Q: Optimum threshold of platelet count for epidural anesthesia is? (select one)  A) 20,000/microL  B) 50,000/microL  C) 80,000/microL Answer...
Tuesday, October 13, 2020

TCD and brain death

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Q:    Change of pattern in blood flow  on Transcranial Doppler (TCD) precedes hours before clinical determination of brain death ? A)...
Monday, October 12, 2020

osborn wave

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Q:   Which electrolyte imbalance may cause Osborn wave on EKG? (select one) A) Hypokalemia B) Hyperkalemia C) Hypocalcemia D) Hypercalcemi...
Sunday, October 11, 2020

pneumothorax ex vacuo

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 Q: What is Pneumothorax ex vacuo? Answer: Pneumothorax ex vacuo can be called a misnomer. It is formed when after thoracentesis the lung st...
Saturday, October 10, 2020

Arterial and venous blood culture

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 Q:  Venous blood cultures tend to get more contaminated than arterial blood cultures? A) True B) False Answer: False We were able to find ...
Friday, October 9, 2020

PV and pregnancy

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 Q: 32 year old female with a past medical history of Polycythemia Vera (PV) is admitted to ICU after a complication in her first pregnancy ...
Thursday, October 8, 2020

"Basedow paraplegia"

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 Q: What is "Basedow paraplegia"?   Answer: "Basedow paraplegia" is an unusual acute neurological presentation of thyr...
Wednesday, October 7, 2020

Getting Sputum culture

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 Q: Asking a patient to rinse the mouth prior to obtaining sputum culture increases the optimal yield of the collected material? (select one...
Tuesday, October 6, 2020

psychosis in PD

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 Q: 72 year old male with past medical history of Parkinson's Disease (PD) is admitted to ICU with severe psychosis and tendency of hur...
Monday, October 5, 2020

effects of IABP

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  Q: Intra Aortic Balloon Pump (IABP) tends to _____________ the systolic blood pressure? (select one) A) increase B) decrease Answer: B I...
Sunday, October 4, 2020

Prior use of inhaled glucocorticoids in COPD or asthma patients and parapneumonic effusions

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  Q: Prior use of inhaled glucocorticoids in COPD or asthma patients ___________ the chance of parapneumonic effusions? (select one)  A) de...
Saturday, October 3, 2020

Destruction of RBC

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 Q: What percentage of total circulating Red Blood Cells (RBCs) get destruct per day? Answer: 1% The basic knowledge of RBC production, de...
Friday, October 2, 2020

Contrast use in ICU

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Q: 65 year old male is recovering in ICU after community-acquired pneumonia. During a physical therapy session, patient injured his shoulde...
Thursday, October 1, 2020

blood oxygenation during VV ECMO

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 Q; What is the good determinant of adequate blood oxygenation in a patient on Veno-venous (VV) Extra Corporeal Membrane Oxygenation (ECMO)...
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...
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