icupearls.org Archive

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

Monday, May 31, 2021

Calcium in tyhroid storm

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 Q: Which is more common in thyroid storm? A) Hypercalcemia  B) Hypocalcemia Answer: A There is only one specific laboratory marker in thyr...
Sunday, May 30, 2021

simethicone add in the bowel preparation

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  Q:  58 years old male is admitted to ICU with lower gastrointestinal bleed (LGIB). Consulting service requests to add  simethicone to the ...
Saturday, May 29, 2021

Griffiths' point

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 Q : What is Griffiths' point?   Answer: The two most high-risk areas in intestinal ischemia are splenic flexure and rectosigmoid junct...
Friday, May 28, 2021

ETOH and acetaminophen toxicity

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Q: Ingestion of alcohol and acetaminophen together increases the risk of acute acetaminophen toxicity by many folds? A) True B) False Answer...
Thursday, May 27, 2021

components of delirium

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 Q: What are the five components to define delirium? Answer: Over the last two decades delirium has been identified as one of the most inf...
Wednesday, May 26, 2021

ESR for age

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 Q: What's the formula to correct Erythrocyte Sedimentation Rate (ESR) for age? Answer : Non-specific or benign elevation in ESR can occ...
Tuesday, May 25, 2021

Treatment in serotonin Syndrome

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  Q: All of the following should be avoided as a treatment in serotonin syndrome EXCEPT? (select one)  A) Chlorpromazine  B) Benzodiazepin...
Monday, May 24, 2021

Remdesivir in organ failures

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 Q: Remdesivir should be given to patients with caution in? (select one) A) Liver insufficiency B) Kidney insufficiency C) Both liver and k...
Sunday, May 23, 2021

culture-negative endocarditis and Bartonella

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 Q: Describe a few associated risk factors in culture-negative endocarditis where Bartonella should be covered with antibiotics? Answer:   B...
Saturday, May 22, 2021

Fondaparinux and HIT

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Q: Fondaparinux like other low molecular weight heparins (LMWH) may cause heparin-induced thrombocytopenia (HIT)?  A) True  B) False Answer ...
Friday, May 21, 2021

corticosteroids in CNS toxoplasmosis

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 Q : What is the caveat of using corticosteroids during the management of CNS toxoplasmosis? Answer:   It is not absolutely necessary ...
Thursday, May 20, 2021

lithium toxicity

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  Q:  EKG changes in lithium toxicity can be fatal?  A) True B) False Answer: B Despite EKG changes, cardiac events are rare in acute or chr...
Wednesday, May 19, 2021

Carbamazepine overdose

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 Q : Which of the following drug has no role in the management of Carbamazepine acute toxicity? A) sodium bicarbonate  B) diazepam  C) propo...
Tuesday, May 18, 2021

vasospasm SAH

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 Q: Which group of patients is more prone to have vasospasm after subarachnoid hemorrhage (SAH)? (select one) A) less than 50 years of age B...
Monday, May 17, 2021

Rx postpartum thyroiditis

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 Q: 32 years old female is admitted to ICU with urosepsis. She is also found to be in postpartum thyroiditis. Which should be the first line...
Sunday, May 16, 2021

Abdominal exam

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  Q: During abdominal exam which step is preferred to be performed first? (select one) A) Percussion   B) Palpation Answer: A Although the...
Saturday, May 15, 2021

polyarticular gout

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 Q:  42 years old male is admitted to ICU with possible polyarticular septic arthritis. Subsequent workup turned it out to be gout instead o...
Friday, May 14, 2021

vitamin k

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 Q: V itamin K absorption requires which organ to be properly functional? (select one) A)  Pancreas B) Kidney   Answer: A Once oral Vitamin...
Thursday, May 13, 2021

AA and cardiac temponade

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 Q: Why the perforation of proximal ascending aorta can cause cardiac tamponade?  Answer: This is due to the anatomic location of the ao...
Wednesday, May 12, 2021

PPI and magnesium

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 Q: Use of proton pump inhibitor (PPI) in ICU may cause? (select one)  A) hypomagnesemia  B) hypermagnesemia Answer: A There are many reas...
Tuesday, May 11, 2021

Glucagon adjuvant treatment

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  Q: 52 years old female admitted to ICU with an intentional overdose of metoprolol. IV glucagon has been planned as an antidote. Which one...
Monday, May 10, 2021

ASA and ACE-I angioedema

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 Q: Aspirin is a good adjuvant treatment for Angiotensin-Converting Enzyme Inhibitor (ACE-I) induced angioedema? A) True B) False Answer: B...
Sunday, May 9, 2021

Ascites and SBP

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 Q:   The removal of ascitic fluid helps in decreasing the odds of spontaneous bacterial peritonitis (SBP)?   A) True B) False Answer:  A Re...
Saturday, May 8, 2021

palmar erythema

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 Q: The palmar erythema in cirrhosis is more prominent on? (select one)  A) thenar eminence  B) hypothenar eminence Answer : B The object...
Friday, May 7, 2021

VITT

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 Q : Patients developing severe thrombosis after the COVID-19 vaccine should be treated with heparin? A) True B) False Answer: B Vaccine-in...
Thursday, May 6, 2021

Insulin resistance in COVID

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 Q: Insulin resistance in COVID-19 is found to correlate with inflammatory markers?  A) True  B) False   Answer: A  One of the relatively ...
Wednesday, May 5, 2021

Tramadol

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 Q: Tramadol is frequently used in ICUs. It can cause respiratory depression? A) Yes B) No Answer : A Tramadol is a part of various post-op...
Tuesday, May 4, 2021

sch in pregnancy

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 Q: Succinylcholine should be given to a pregnant patient depending on total body weight?  A) True  B) False  Answer: A  Dose of succinylch...
Monday, May 3, 2021

Yersinia enterocolitica and blood disorder

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 Q; 19 years old adolescent male with some kind of blood disorder (not known to his roommate) is brought to ICU from a college dorm with se...
Sunday, May 2, 2021

Doxy

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  Q: Doxycycline being a tetracycline needs to be adjusted in renal dysfunction?  A) True  B) False Answer : B This is true for most of the ...
Saturday, May 1, 2021

Sinus brady

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Q; Which EKG findings confirm the sinus node origin of bradycardia (sinus bradycardia)? Answer:  A quick glance at the following 2 findings...
Friday, April 30, 2021

Pentoxifylline and kidney

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Q: Pentoxifylline if used in patients with diabetic nephropathy tends to? (select one)  A) help the kidney  B) hurt the kidney  Answer: A  P...
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