icupearls.org Archive

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

Wednesday, March 31, 2021

vision loss in GCA

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 Q: 74 years old male is admitted to ICU with a presumed diagnosis of Giant Cell Arteritis (GCA) with vision loss. Pulse steroid is started...
Tuesday, March 30, 2021

typhoid encephalopathy

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 Q: Which one intervention may make a difference of life and death in "typhoid encephalopathy"?   Answer: Administering IV dexame...
Monday, March 29, 2021

independent risk factor for infection with resistant Acinetobacter

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Q: Bedridden status is itself an independent risk factor for infection with resistant Acinetobacter?  A) True  B) False   Answer: A   The...
Sunday, March 28, 2021

lobar nephronia

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 Q : 66 years old female is admitted to ICU with urosepsis. CT scan report reads "lobar nephronia". What is lobar nephronia?    An...
Saturday, March 27, 2021

Doripenem in VAP

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 Q: Doripenem is highly effective among all carbapenems in ventilator-associated pneumonia (VAP)?  A) Yes  B) No Answer: B Doripenem...
Friday, March 26, 2021

Primary upper extremity DVT

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 Q: Primary upper extremity deep vein thrombosis (DVT) is more common in? (select one)  A) Younger people  B) Older people    Answer: A  P...
Thursday, March 25, 2021

Methadone effects

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 Q: What are the few beneficial clinical effects of Methadone in hospitalized patients? Answer:  Methadone's use has seen an increased...
Wednesday, March 24, 2021

Which features distinguish strongyloidiasis from ulcerative colitis

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 Q: 44 years old male, a recently migrant from southeast Asia is admitted to ICU with gastrointestinal (GI) symptoms including pain and lowe...
Tuesday, March 23, 2021

Oculomasticatory Myorhythmia

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Q: What is Oculomasticatory Myorhythmia and signifies which disease?  Answer : It is a continuous rhythmic movement of eye convergence with...
Monday, March 22, 2021

CNS and extracerebral toxoplasmosis

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 Q: Central nervous system (CNS) toxoplasmosis is more common than extracerebral toxoplasmosis? A) True  B) False   Answer: A Immuno-compro...
Sunday, March 21, 2021

Labs in NMS

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Q: A low serum iron in Neuroleptic Malignant Syndrome (NMS) is (select one)  A) sensitive marker  B) specific marker    Answer: A  NMS is a ...
Saturday, March 20, 2021

Post-transplant diabetes

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 Q: The newly transplanted kidney excretes insulin more efficiently than previously failed native kidneys?  A) True  B) False   Answer: A Th...
Friday, March 19, 2021

Procal in COVID-19

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Q:  Elevated procalcitonin can be used reliably to add antibiotics in hospitalized COVID-19 patients?  A) True  B) False    Answer: B  In a...
Thursday, March 18, 2021

Peptic ulcer Mx

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Q: 38 years old male is admitted to ICU with an upper GI bleed. Upper endoscopy showed active peptic ulcer disease. Proton pump inhibitor (...
Wednesday, March 17, 2021

MALA first line of Mx

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 Q: 64 years old male is admitted to ICU after accidental ingestion of metformin. Patient is found to be in severe metabolic acidosis with a...
Tuesday, March 16, 2021

immunosuppressants drug action

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 Q: All of the following drugs may increase the serum concentrations of immunosuppressants EXCEPT?  A) Amiodarone  B) Fluconazole C) Phenyto...
Monday, March 15, 2021

post bypass vasoplegia

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 Q: All of the following are risk factors for post-cardiac bypass surgery vasoplegia  Except ? A) pre-operative use of angiotensin-convertin...
Sunday, March 14, 2021

treatment in myoclonus

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Q: All of the following are found to be helpful in myoclonus EXCEPT ?  A) Levetiracetam  B) Phenytoin  C) Clonazepam  D) Valproic acid  ...
Saturday, March 13, 2021

Effects of pentoxifylline

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Q : Pentoxifylline has a beneficial effect on all of the following diseases except ?  A) claudication  B) alcoholic hepatitis  C)  septic sh...
Friday, March 12, 2021

Rocking tenderness over liver

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 Q: Which of the following may have a rocking tenderness on the physical exam? (select one)   A) Pyogenic liver abscess   B) Acute cholecy...
Thursday, March 11, 2021

precipitants for hepatic encephalopathy

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 Q: Which of the following is more of a risk for increased ammonia production, its absorption, or its entry into the brain to exacerbate he...
Wednesday, March 10, 2021

ACE in sarcoidosis

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Q : Serum angiotensin converting enzyme (ACE) has a very high sensitivity and specificity to diagnose sarcoidosis? A) True B) False Answer: ...
Tuesday, March 9, 2021

Mayo score for ulcerative colitis

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 Q: All of the following are the components of Mayo scoring to determine the severity of disease in ulcerative colitis  - EXCEPT ? A) Stool ...
Monday, March 8, 2021

Lavage in upper GI bleed

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Q: Nasogastric Lavage in upper gastrointestinal (GI) bleed is associated with? (select one)  A) shorter time to endoscopy B) reduced mortali...
Sunday, March 7, 2021

Post DBS complications

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Q: 74 years old male is admitted to ICU after insertion of subthalamic nucleus Deep Brain Stimulator (STN-DBS) for Parkinson's Disease ...
Saturday, March 6, 2021

FES - non-trauma

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 Q: Name few non-orthopedic trauma causes of Fat Embolism Syndrome (FES)?   Answer : Although FES is usually associated with either acciden...
Friday, March 5, 2021

Pseudo CS

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  Q: All of the following may have some clinical features of Cushing's Syndrome (CS) EXCEPT ? A) Prolong ICU stay   B) S evere major dep...
Thursday, March 4, 2021

Percutaneous vs operative tracheostomy

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 Q: Which of the following has a higher risk of posterior tracheal wall perforation? (select one)  A) Percutaneous tracheostomy   B) Operati...
Wednesday, March 3, 2021

GS in septic arthritis

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 Q: The sensitivity of gram stain in septic arthritis is? (select one) A) reliable B) not very reliable Answer: B The gram stain in septic a...
Tuesday, March 2, 2021

JVP In Kussmaul's sign

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 Q: In Kussmaul's sign - the Jugular Venous Pressure (JVP) _____________ during inspiration? (select one)    A) decreases   B) increase...
Monday, March 1, 2021

emphysematous UTI

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 Q: 82 years old diabetic female is admitted to ICU with urosepsis. The plain abdominal film showed emphysematous Urinary Tract Infection...
Sunday, February 28, 2021

periodontitis in CAD

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 Q: Radiographic bone loss in chronic periodontitis can be used as a risk factor for coronary artery disease (CAD) in? (select one)  A) Youn...
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