icupearls.org Archive

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

Wednesday, June 30, 2021

Parvovirus B19

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 Q: 32 years old female is admitted to ICU with aplastic crisis with a recent history of intrauterine fetal demise. Subsequent workup leads ...
Tuesday, June 29, 2021

Lidocaine use in NGT insertion

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 Q: Which of the following facilitates the nasogastric tube (NGT) insertion? (select one) A) topical lidocaine  B) nebulized lidocaine Answe...
Monday, June 28, 2021

IVF in electricity burn

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  Q: In patients with high voltage electrical injuries, a urine output target should be? (select one)  A) decreased B) increased Answer:   ...
Sunday, June 27, 2021

CINV

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 Q: 32 years old female on active chemotherapy is recovering in ICU. Oncology service wants to restart her chemotherapy cycle with Cisplati...
Saturday, June 26, 2021

WBC evaluation

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 Q: Neutrophilia associated with corticosteroids is usually accompanied by? (select one)   A) Monocytosis B) Eosinophilia Answer: A Many t...
Friday, June 25, 2021

Carotid endarterectomy hyperperfusion syndrome

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Q: What is carotid endarterectomy hyperperfusion syndrome?   Answer: Immediately after repair of carotid stenosis, a patient may experienc...
Thursday, June 24, 2021

A System Biology Journey to DAMPen Acute Lung Inflammation

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  A System Biology Journey to DAMPen Acute Lung Inflammation - Sr. Skip Garcia Link :  https://watch.houstonmethodist.org/media/Critical+Car...
Wednesday, June 23, 2021

Gallstone ileus

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 Q: Gallstone ileus is due to? (select one)  A) mechanical bowel obstruction  B) non-mechanical bowel obstruction Answer: A Gallstones can...
Tuesday, June 22, 2021

ophthalmologic emergency after radioiodine treatment for Grave's disease

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 Q: 34 years old female is admitted to ICU from ED as an ophthalmologic emergency. Patient recently started on radioiodine treatment for he...
Monday, June 21, 2021

HIV meds

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 Q: What are the six steps of life cycle of human immunodeficiency virus (HIV), and what is its clinical significance?  Answer: These are ...
Sunday, June 20, 2021

CAPS

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Q: All of the following are required for the criteria of "catastrophic antiphospholipid syndrome" (CAPS) EXCEPT? (select one)  A)...
Saturday, June 19, 2021

IABP hemodynamic effects

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 Q: All of the following are the hemodynamic effects of Intra-Aortic-Balloon Pump (IABP) EXCEPT ? A) decrease in systolic pressure  B) inc...
Friday, June 18, 2021

Lemierre Syndrome

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 Q:  Healthy people are at higher risk of developing Lemierre syndrome? A) True B) False Answer:   A Septic thrombophlebitis of the internal...
Thursday, June 17, 2021

NPE in SAH

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 Q: What are the few predictors to expect neurogenic pulmonary edema (NPE) in patients admitted with subarachnoid hemorrhage (SAH)? Answer :...
Wednesday, June 16, 2021

Thrombocytosis

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 Q: How a simple blood smear can help to make a differential diagnosis in thrombocytosis? Answer: The size/shape of the platelets on the si...
Tuesday, June 15, 2021

Direct and indirect bilirubinemia

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 Q: Which of the following cause conjugated hyperbilirubinemia? (select one)  A) Hemolysis  B) Sepsis  C) Impaired hepatic bilirubin uptake...
Monday, June 14, 2021

Potassium and EKG changes

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 Q: The progression of EKG changes correlate well with the serum potassium concentration? A) Yes B) No Answer: B There are several EKG cha...
Sunday, June 13, 2021

Acyclovir side effect

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  Q: 44 years old male with End-Stage Renal Failure (ESRD) on chronic peritoneal dialysis is admitted to ICU with Herpes pneumonia and star...
Saturday, June 12, 2021

GAP in IPF

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 Q: 64 years old male who has never had access to any healthcare, admitted to ICU with severe hypoxemia. Subsequent workup led to diagnosis...
Friday, June 11, 2021

panniculitis

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  Q: In acute pancreatitis - panniculitis are most commonly found at? (select one)  A) Chest area  B) Flank area  C) Upper extremities  D) ...
Thursday, June 10, 2021

bell and the diaphragm of the stethoscope

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Q:   The diaphragm of the stethoscope detects best? (select one)  A) high-frequency sounds  B) low-frequency sounds Answer: A The stethoscop...
Wednesday, June 9, 2021

SBO grading

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 Q: There are how many grades of Small Bowel Obstruction (SBO)? (select one) A) Minimum, Moderate and Severe B) 1, 11, and 111 C) 1, 11, 111...
Tuesday, June 8, 2021

strategies to decrease steroids side effects

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 Q: Locally acting glucocorticoids have a lesser risk of superimposed infections than systemic glucocorticoids?   A) True  B) False  Answer...
Monday, June 7, 2021

NCT

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 Q: Number connection test (NCT), also known as Reitan Test is used to evaluate which pathology?   Answer: Hepatic encephalopathy NCT (Rei...
Sunday, June 6, 2021

Lugol's solution - routes of administration

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  Q: 22 years old female is admitted to ICU with thyroid storm. Iodine solution is planned to be administered. Patient is having severe nau...
Saturday, June 5, 2021

HBO in CO

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 Q: What are the indications for hyperbaric oxygen in carbon mono-oxide (CO) poisoning? Answer: There are two major interventions required...
Friday, June 4, 2021

Dapto in MRSA CNS infections

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 Q: Daptomycin is a good alternative to vancomycin if required to use in MRSA meningitis? A) True B) False Answer: B Daptomycin has no rol...
Thursday, June 3, 2021

HH

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 Case:  33 years old male with no past medical history is admitted to ICU with Diabetes Ketoacidosis (DKA). On examination, he is found to h...
Wednesday, June 2, 2021

Erythromycin site of action as a motility agent

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 Q: Erythromycin is frequently used in ICU as a motility agent. Which part of the stomach it works upon? (select one) A) cardia B) fundus C...
Tuesday, June 1, 2021

Quinolones side effects

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 Q: Name at least five side effects of fluoroquinolone that should be kept in mind for ICU/hospitalized patients?   Answer: 1. prolong QTc ...
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 ...
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