icupearls.org Archive

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

Sunday, October 31, 2021

acquired pendular nystagmus

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 Q: Out of the following which of the following which one is the most common cause of acquired pendular nystagmus   A) multiple sclerosis B...
Saturday, October 30, 2021

Posm and MS change

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 Q: Severe n eurologic deterioration in Diabetic Ketoacidosis (DKA) starts to occur once effective plasma osmolality (Posm) starts rising a...
Friday, October 29, 2021

IE and Anbx

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 Q:  In patients with Infective Endocarditis (IE) without symptoms , antibiotics can be withheld till the results of blood cultures are avai...
Thursday, October 28, 2021

Steroid in Code blue

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From JAMA Abstract - Trial Registration ClinicalTrials.gov Identifier: NCT03640949   Importance: Previous trials have suggested that vas...
Wednesday, October 27, 2021

SDH and cranial pressure

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 Q: Which of the following is more likely to cause subdural hematoma (SDH)? (select one) A) Intracranial hypotension  B) Intracranial hypert...
Tuesday, October 26, 2021

Obese patients and labetalol

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 Q: Obese patients may require a ______ dose of intravenous labetalol bolus. (select one) A) higher B) lower Answer: A Beta-blockers are l...
Monday, October 25, 2021

cuff leak

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 Q: What is the appropriate way to qualitatively assess the cuff leak in an intubated patient? Answer : A plethora of literature is availab...
Sunday, October 24, 2021

HELLP

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 Q: To establish the diagnosis of HELLP syndrome, the cut-off point for platelet count is? (select one) A)  Less than 10,000 cells/microL  ...
Saturday, October 23, 2021

Switching of DOAC

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 Q: Switching from one Direct Oral Anticoagulant (DOAC) to another should be done with a space of 48-72 hours? A) True B) False Answer: B C...
Friday, October 22, 2021

HBS

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 Q: 54 years old male with End-Stage Renal Disease (ESRD) is postoperative parathyroidectomy. The patient is transferred from the floor to ...
Thursday, October 21, 2021

CS in HbS

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 Q: What is the caveat of using Cell Saver (CS) in patients with sickle cell disease and sickle cell trait (HbS)?   Answer:    Cell saver us...
Wednesday, October 20, 2021

lytes and ASA poisoning

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 Q: Which of the following electrolyte should be treated aggressively in salicylate poisoning? (select one) A) Sodium B) Potassium C)  Chlo...
Tuesday, October 19, 2021

Albumin and anion gap

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  Q: Albumin has a significant (select one)   A) net negative charge  B) net positive charge Answer: A The objective of this question...
Monday, October 18, 2021

encephalomyelitis due to Melioidosis

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 Q ; 44 years old male who recently returned from a trip visiting northern Australia is now admitted with sepsis. Subsequent workup led to t...
Sunday, October 17, 2021

Dig and weight

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 Q; Digoxin should be given based on (select one) A) adjusted body weight B) actual body weight C) ideal body weight Answer: C There are f...
Saturday, October 16, 2021

Ascites in hepatorenal syndrome

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Q:   Resistant ascites is a feature of (select one)  A) Type 1 hepatorenal syndrome  B) Type 2 hepatorenal syndrome Answer: B Hepatorenal s...
Friday, October 15, 2021

TMP-SMX and PCP

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 Q: If Trimethoprim-sulfamethoxazole (TMP-SMX) is used for the treatment of Pneumocystis pneumonia in AIDS patients, which of the follo...
Thursday, October 14, 2021

Negative APR

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 Q: Which of the following is the 'negative' acute phase reactant (APR)?  A) Interleukin (IL)-6  B) IL-1 beta  C) Tumor necrosis fa...
Wednesday, October 13, 2021

Pleural effusion characterization

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  Q: All of the following almost always cause transductive pleural effusion EXCEPT ?  A) Heart failure B) Hepatic hydrothorax C) Nephroti...
Tuesday, October 12, 2021

TdP

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 Q: 47 years old male who is in ICU for severe psychosis went into Torsades De Pointes (TdP) with hemodynamic instability. Which of the fol...
Monday, October 11, 2021

dialysate solution

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 Q: Which of the following electrolyte is NOT part of dialysate solution?    A) sodium  B) potassium  C) calcium  D) phosphate E) chloride A...
Sunday, October 10, 2021

Linezolid side-effects

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 Q: Thrombocytopenia due to Linezolid is more common in? (select one)  A) Liver Insufficiency  B) Renal insufficiency   Answer: B   Linezol...
Saturday, October 9, 2021

Antibiotics in Tetanus

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 Q: 47 Years old diabetic male who was involved in a motor vehicle accident (MVA) a week ago presented with generalized tonic contractions ...
Friday, October 8, 2021

Triple-H therapy

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 Q: "Triple-H Therapy" continues to be a mainstay of treatment to prevent cerebral ischemia (vasospasm) after subarachnoid hemorrh...
Thursday, October 7, 2021

DVTs in PICCs

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Q: Which of the following group has a higher risk of Peripherally Inserted Central Catheter (PICC) related Deep Venous Thrombosis (DVT)? (s...
Wednesday, October 6, 2021

Post-partum psychosis

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  Q : 28 years old female with post-partum severe unipolar depression is admitted to ICU with severe psychosis requiring restraints to preve...
Tuesday, October 5, 2021

Pharmacotherapics in ECMO patients

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 Q: What is the caveat of using Echinocandins in a patient who is on extracorporeal membrane oxygenation (ECMO)?   Answer: subtherapeutic p...
Monday, October 4, 2021

Free Magnesium

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 Q : What is the 'rule of thumb' for conversion between plasma and free magnesium? Answer: Multiply by 0.7 Only 70 percent of the M...
Sunday, October 3, 2021

Air embolism in surgeries

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 Q : Why neurosurgical and ENT procedures are at higher risk for air embolism?   Answer: Because b rain and head lies superior to the heart ...
Saturday, October 2, 2021

Infectious thyroiditis

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Q:  Pain in acute infectious thyroiditis is usually? (select one)  A) localized in neck  B) generalized over neck Answer : A Infectious thyr...
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Friday, October 1, 2021

TM

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 Q: Transverse myelitis (TM) usually affects? (select one) A) thoracic cord  B) lumbar cord   Answer: A Transverse myelitis is a segmental...
Thursday, September 30, 2021

difference between trapped and entrapped lungs

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 Q: What's the difference between a trapped and an entrapped lung? Answer:  Both trapped and entrapped lungs refer to the condition whe...
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