icupearls.org Archive

 Q; 24 years old male with a history of Cystic Fibrosis (CF) is admitted to ICU with severe dehydration after a long day outdoors in the su...

 Q: 67 years old school principal is transferred from a rural community hospital with the diagnosis of poststreptococcal glomerular nephriti...

 Q: Angina pectoris tends to get worse with lying down? A) True B) False Answer: A There is conventional teaching that angina is constant pa...

Q: Hypertensive emergency is one of the classic symptoms of patients with HIV-associated nephropathy (HIVAN)?   A) True  B) False  Answer: B...

 Q: Tramadol is an opiod? A) True B) False Answer: A Tramadol is increasingly becoming a part of multi-model analgesia protocols, particul...

 Q:  54 years old male with a history of cirrhosis is admitted to ICU with massive ascites, hypotension, and advanced hepato-renal syndrome....

 Q: Which of the following is NOT a part of the triad in Ramsay Hunt syndrome?  A) ipsilateral facial paralysis  B) ear pain  C) vesicles i...

 Q : Which of the following is more predictive of adverse neurological events in patients with preeclampsia/eclampsia? (select one) A) S...

Q: Trauma-induced coagulopathy (TIC) is due to  A) acidosis  B) hypothermia  C) hemodilution  D) none of the above Answer : D There are m...

 Q:   Desmopressin (DDAVP) tends to cause? (select one) A) hyponatremia B) hypernatremia Answer: A Desmopressin is actually a 1-deamino-8-D-...

 Q: Amiodarone ____________ the efficacy of sildenafil? (select one)  A) increases  B) decreases Answer: A Sildenafil has been increasing...

  Q: Tranexamic acid can be used as an adjuvant treatment in patients with severe upper Gastrointestinal bleed (GIB)? A) Yes B) No Answer: ...

 Q:  62 years old male is recovering in ICU with pneumonia. A physical therapist is worried about patient having underlying Parkinson's ...

 Q: What are the few options to decrease the side effects of Neostigmine when used to relieve acute colonic pseudo-obstruction, popularly kn...

  Q : Patients with hyperkalemia should be given saline as intravenous fluid (IVF)? (select one) A) with D-5  B) without D-5 Answer : A Usua...

Q: 74 years old patient with recent CVA is status post percutaneous endoscopic gastrostomy (PEG) tube placement one week ago. Patient becam...

 Q; Prolonged storage of packed red blood cell may cause all of the following EXCEPT ? (select one)  A) increased pH  B) chelation of calciu...

 Q : Mucolytics should be used in all acute respiratory failure patients requiring ventilator? A) True B) False Answer: B A recent metanaly...

 Q : If a dobhoff feeding tube is already in place, it can be used to decompress the stomach? A) Yes B) No Answer :   B Feeding tubes are de...

 Q: 45 years old male status post Jejunoileal bypass (JIB) 13 years ago for obesity is now admitted for a possible liver transplant. Revers...

 Q: Why Topiramate, an antiseizure drug is considered one of the drugs of choice for the treatment of Idiopathic intracranial hypertension (...

  Q : 22 years old Afro-American male with a known history of sickle cell disease (SCD) - recently discharged from the hospital - is admitte...

Objective of the question: To introduce carbimazole and its equivalency to methimazole in the treatment of severe symptomatic Grave's di...

 Q: The goal of hemodialysis in metformin overdose is to remove the drug from the body?   A) True  B) False   Answer: B The goal of hemodia...

 Q : 42 year old female who was started on methotrexate few months ago admitted to ICU with shortness of breath and hypoxemia. She required ...

 Q: What is the usual lag time of recovery in acute uremic encephalopathy?  Answer: About 24-48 hours after dialysis Acute uremic encephalo...

 Q : Which of the following test predicts poor outcomes in patients undergoing heart-lung transplantation for idiopathic pulmonary hypertens...

 Q: Haptoglobin is an acute phase reactant? A) True B) False Answer: A Haptoglobin is an acute phase reactant and may be elevated in an...

 Q:  Patients who continue to have 'Fever of Unknown Origin' (FUO) despite extensive workup should be followed closely as they tend ...

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

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

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