icupearls.org Archive

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

Thursday, December 31, 2020

Negative pressure rooms

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 Q: How frequently air should be changed in negative pressure rooms in ICU? Answer:   6 to 12 air changes per hour  Infected particles from ...
Wednesday, December 30, 2020

Highe PAOP

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 Q: All of the following will have an elevated Pulmonary Artery Occlusion Pressure (PAOP) EXCEPT ? A) Left ventricular systolic heart failur...
Tuesday, December 29, 2020

Diuretics and hyponatremia

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  Q:  W hich of the diuretic is more prone to cause hyponatremia? (select one) A) Thiazide B) Loop Answer: A In thiazide diuretics, there i...
Monday, December 28, 2020

Sleep and vent weaning

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 Q: Poor sleep quality in ICU leads to prolong weaning from mechanical ventilator? (select) A) True B) False Answer: A Sleep deprivation ha...
Sunday, December 27, 2020

Treatment failure in variceal bleed

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 Q: 'Treatment Failure' in variceal bleed is defined by all of the following EXCEPT ? (select one) A) More than 100 mL of fresh blo...
Saturday, December 26, 2020

severe hyperthermia in SS

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 Q: In severe hyperthermia associated with serotonin syndrome which is more effective? (select one)  A) acetaminophen  B) neuromuscular bloc...
Thursday, December 24, 2020

electrolyte in hepatic encephelopathy

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 Q : Which electrolyte abnormality plays a role in the exacerbation of hepatic encephalopathy? (select one) A) Hypokalemia B) Hyponatremia A...
Wednesday, December 23, 2020

purpura fulminans

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 Q: Fresh Frozen Plasma (FFP) is a reliable source of treatment in purpura fulminans (PF) due to meningococcemia? A) True B) False Answer :...
Tuesday, December 22, 2020

Causes of death in ADPKD

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Case:  58 years old male with a history of End-Stage Renal Disease (ESRD) due to Autosomal Dominant Polycystic Kidney Disease (ADPKD) was i...
Monday, December 21, 2020

Lateral decub position and lungs reserve

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 Q: What is the effect of lateral decubitus position on pulmonary ventilation perfusion? (select one)   A) perfusion increases in the depend...
Sunday, December 20, 2020

risk factor for mucormycosis

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 Q; Pick one of the following as risk factor(s) for mucormycosis?   A) Iron overload   B) Deferoxamine   C) Iron and deferoxamine   D) Al...
Saturday, December 19, 2020

prevention of polymorphic VT with normal QT

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 Q: Which of the following may prevent recurrent episodes in polymorphic Ventricular Tachycardia (VT) with a normal baseline QT interval?   ...
Friday, December 18, 2020

Sepsis and glucose

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Q: Severe sepsis results in? (select one) A) hypoglycemia B) hyperglycemia Answer: A Hypoglycemia is common in ICU. Factors commonly assoc...
Thursday, December 17, 2020

infectious rhombencephalitis

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 Q: What is the most common cause of infectious rhombencephalitis? Answer:  Listeria meningitis  Rhombencephalitis is also called brainste...
Wednesday, December 16, 2020

Treatments to avoid in rabies

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 Q: 38 years old male is admitted to ICU with a history of exposure to bats and clinical symptoms pertinent to rabies. The patient required...
Tuesday, December 15, 2020

ICP - earliest management

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 Q: All of the following are the earliest bedside interventions in elevated Intracranial Pressure (ICP) secondary to intracranial hemorrhag...
Monday, December 14, 2020

Hx in alcohol poisionings

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 Q: What are the earliest classic symptoms of patients on presentation that may help to differentiate between methanol and ethylene glycol ...
Sunday, December 13, 2020

On Dig. toxicity

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 Q: All of the following make chances of digoxin toxicity higher except ? A) hypokalemia  B) hypomagnesemia  C) hypercalcemia  D) hypoxemia...
Saturday, December 12, 2020

normal Fibrinogen in sepsis

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 Q: 77 years old female is admitted to ICU with severe urosepsis shock. Disseminated intravascular coagulation (DIC) panel was sent by an o...
Friday, December 11, 2020

SREC : HUS

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 Q: Which of the following is the greater risk of clinical deterioration at the time of presentation in Shiga toxin-producing Escherichia c...
Thursday, December 10, 2020

uremic bleed

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 Q: Which of the following is not recommended in a patient who is bleeding due to uremic dysfunction of platelets? A) Transfusion of fresh ...
Wednesday, December 9, 2020

criteria for serotonin syndrome

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 Q : Which of the following is more reliable for Serotonin Syndrome? (select one) A) Hunter Criteria B) Sternbach Criteria Answer: A Hunter...
Tuesday, December 8, 2020

Achalasia subtypes

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 Q: According to Chicago Classification version 3.0 (CC-3), there are how many subtypes of achalasia? A) One B) Two C) Three D) Four E) Five...
Monday, December 7, 2020

HFNC and gas exchange

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 Q:  Higher the flow on High Flow Nasal Cannula (HFNC) higher the removal of PCO2?  A) True B) False Answer: B It is true that HFNC has co...
Sunday, December 6, 2020

Bx of spleen

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 Q: Biopsy of spleen can be safely performed at the bedside due to its easy access from Left Upper Quadrant (LUQ)  of abdomen? A) True B) Fa...
Saturday, December 5, 2020

effusion in ESLD

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  Q: 58 years old male with a history of cirrhosis is admitted to ICU with severe shortness of breath. Chest x-ray showed massive right side...
Friday, December 4, 2020

Wound Vac

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  Q : In the initial phase of Negative Pressure Wound Therapy (NPWT) - Wound Vac - the perfusion is increased?  A) True B) False Answer: B ...
Thursday, December 3, 2020

Asthma with eosinophilia

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 Q: 48 years old female is admitted to ICU with severe exacerbation of asthma. Patient's blood workup showed significant eosinophilia w...
Wednesday, December 2, 2020

Vanco induced AKI

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 Q: 58 years old female is admitted to ICU with vancomycin associated Acute Kidney Injury (AKI). Vancomycin associated AKI is likely to be r...
Tuesday, December 1, 2020

Age and SUDEP

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Q: Older patients have a higher risk for Sudden unexpected death in epilepsy (SUDEP)? A) True B) False Answer : B Sudden unexpected deat...
Monday, November 30, 2020

CXR in ADHF

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 Q: Presence of unilateral pulmonary edema on chest X-ray (CXR) points toward which valvular heart disease? A) mitral regurgitation  B) mi...
Sunday, November 29, 2020

TCH and SAH

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 Q: One of the most common cause of Thunderclap Headache (TCH) is subarachnoid hemorrhage (SAH)? A) True B) False Answer: A The two most...
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