icupearls.org Archive

Q: 22 years old male is brought to ER with acute symptoms of ataxia, nausea, vomiting, severe sedation, and dizziness. Primidone is recentl...

Q : In patients with status epilepticus, pyridoxine level is expected to be? (select one)  A) high B) low Answer: B There is an inverse corr...

Q: Propranolol is a good choice to control ventricular rate in acute situations with atrial fibrillation (AF). A) Yes B) No Answer: A   In...

 Q : In case of patient's imminent death a 'slow code' is an appropriate choice? A) Yes B) No Answer: No It is common in ICU whe...

Q: 28 years old male never been under medical care is admitted with shortness of breath. Cardiologist wrote in ECHO report: "strong su...

Q: In the diagnosis of Heparin Induced Thrombocytopenia (HIT), Optical-Density (OD) corelates with the probability of Serotonin release ass...

 Q: Which one precaution at the bedside may help to avoid falsely elevated level of Tacrolimus?  Answer: Tacrolimus has a potential to le...

 Q : 37 years old male is admitted to ICU with  lower gastrointestinal (GI)  bleed. Workup led to diagnosis of ulcerative colitis (UC). Pati...

  Q: Which one simple maneuver at the end of paracentesis may help to finish the procedure smoothly with no/less pain to the patient? Answer...

 Q : It requires at least 50 mL of fluid to be present to appreciate knee effusion on an exam? A) True B) False Answer: B The objective of t...

Q : FOUR score is useful in assessing? (select one) A) Mental unresponsiveness  B) Ventilator extubation parameter Answer: A FOUR stands fo...

Q: How intravenous (IV) epinephrine generates lactic acidosis? Answer : IV epinephrine essentially leads to lactic acidosis by three mechan...

Q: Potassium-sparing diuretics ________ magnesium excretion? (select one) A) enhances B) reduces Answer: B It is true that loop and thiazi...

Q: 44 years old female with a known history of Systemic Lupus Erythematosus (SLE) is admitted with psychosis. Subsequent workup led to the ...

Q: 72 years old male is admitted to ICU with community-acquired pneumonia. Chart reveals the development of sarcopenia over the last few mo...

 Q : What is the mechanism of action for non-selective beta-blockers to reduce portal hypertension? Answer:  Beta-blockers do not work direc...

 Q:  The acetaminophen overdose in pregnancy should be approached with a higher dose of N-acetylcysteine?  A) True B) False Answer: B Aceta...

Q : 24 years old male with an established diagnosis of schizophrenia and previous suicidal ideations is admitted again with similar symptoms...

Q: Total parenteral nutrition (TPN) tends to cause? (select one) A) Conjugated hyperbilirubinemia B) Unconjugated hyperbilirubinemia     An...

 Q: In a neutropenic patient a single spike of temperature more than/equal to 38.3°C (101°F) qualifies as fever. A) True  B) False Answer: ...

 Q: 52 years old male admitted to ICU with acute malignant catatonia 2 days ago. Now he developed Neuroleptic Malignant Syndrome (NMS). Iro...

 Q:   What is SNOOP10? Answer:  SNOOP10 is a mnemonic which reminds a clinician of 'danger signs' that headache can be secondary to...

Hyponatremia-Hypoxemia connection A relatively less appreciated fact is the role of hypoxemia in acute hyponatremia. Acute hyponatremia may ...

 Q : 32 years old male is admitted to ICU with seizure due to bacterial meningitis. Seizure in meningitis is a poor prognostic sign. A) True...

 Q: 38 years old female with a known history of Felty syndrome (FS) is admitted to ICU with bacteremia. Physical examination followed by an ...

 Q :  Although less in use but digoxin is more effective than beta-blockers (BBs) and calcium channel blockers (CCBs) in terminating atrial ...

 Q: 54 year old male with End Stage Renal Disease (ESRD) and on scheduled hemodialysis (HD) is diagnosed with infective endocarditis (IE). P...

Q: All of the following are part of modified Charlson Comorbidity Index (CCI) EXCEPT?  A) Heart failure  B) Diabetes  C) Renal insufficie...

 Q : How the absolute neutrophil count (ANC) is calculated?  Answer: The definition of Neutropenia is an absolute neutrophil count (ANC) of...

 Q: What is the difference between livedo reticularis and livedo racemosa?   Answer: Livedo reticularis is a violaceous mottling or reticula...

 Q: What is the difference between MDR, XDR, and PDR bacteria susceptibility to antibiotics? Answer: Multi-drug resistant (MDR): refer to ...

 Q: Which of the following group of drugs has the best anti-proteinuria effect? (select one) A) calcium channel blockers  B) beta-blockers  ...