icupearls.org Archive

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

Saturday, April 30, 2022

"alarm findings" of preeclampsia

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Q: All of the following are considered "alarm findings" of preeclampsia EXCEPT ? (select one) A) severe headache B) blurred visio...
Friday, April 29, 2022

cephalosporins in renal insufficiency

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Q: W hich of the following cephalosporins does not require adjustment in renal insufficiency? (select one) A) Cefazolin B) Cefuroxime C)...
Thursday, April 28, 2022

6 Ps of acute limb ischemia

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Q; Which of the following is NOT among the classic six Ps of acute limb ischemia? (select one) A) pain B) pitting edema C) poikilothermia D...
Wednesday, April 27, 2022

IV steroid in toxic megacolon due to IBD

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Q: 54 years old male with known ulcerative colitis is admitted to ICU with megacolon. Intravenous (IV) steroid is started. This may increas...
Tuesday, April 26, 2022

sweating - a side-effect of drugs

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Q: Which of the following group of drugs are most likely to cause increase sweating/night sweats? (select one) A) Antidepressants  B) Choli...
Monday, April 25, 2022

Propofol and pupillary diameter

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Q: Propofol has a dose-dependent effect on pupillary diameter? A) True B) False Answer: A A less known clinical effect of propofol is its ...
Sunday, April 24, 2022

Bovis and colonic CA

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Q: Which of the streptococcus bovis (S.Bovis) biotype is associated with increased risk of colonic neoplasia and infective endocarditis (IE)...
Saturday, April 23, 2022

Small bowel vs colon as source of diarrhea

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Q: All of the following are sources of diarrhea from the colon except? (select one) A) Vibrio cholerae B) Shigella C) Clostridioides diff...
Friday, April 22, 2022

Provocative angiography

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Q: What is provocative Angiography? Answer : Provocative angiography is rarely applied in lower gastrointestinal bleed (GIB), in case the s...
Thursday, April 21, 2022

Linezolid induced LA

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Q; Lactic acidosis from Linezolid usually clears quickly once the drug is stopped. A) True B) False Answer:   B Lactic acidosis from linezol...
Wednesday, April 20, 2022

Median time intervals of different anaphylaxes

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Q : What is the median time interval between onset of symptoms and respiratory or cardiac arrest in iatrogenic anaphylaxis? (select one) A)...
Tuesday, April 19, 2022

Platypnea-orthodeoxia syndrome

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Q: What is platypnea-orthodeoxia syndrome? Answer: Platypnea-orthodeoxia syndrome is characterized by both dyspnea (platypnea) and desatura...
Monday, April 18, 2022

Timing of Type B AD

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Q: Hyperacute phase of acute type B aortic dissection is? (select one) A) <12 hours B) <24 hours Answer : B   Conventionally Type B a...
Sunday, April 17, 2022

Leriche syndrome

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Q: What is Leriche syndrome? Answer: Leriche syndrome is described seven decades ago as a part of bedside clinical exam of peripheral arter...
Saturday, April 16, 2022

TTBI

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Q: The incidence/risk of transfusion-transmitted bacterial infection (TTBI) is higher than the transfusion-transmitted viral infection (TTVI...
Friday, April 15, 2022

Spasticity and Rigidity

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Q: What is the difference between spasticity and rigidity?    Answer: Simple clinical exam at the bedside provides various clues to the un...
Thursday, April 14, 2022

Myxedema

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Q: Edema in myxedema is usually? (select one) A) pitting  B) non-pitting  Answer : B The objective of this question is to underline the imp...
Wednesday, April 13, 2022

PPH - predictor

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Q : Which of the following is a good predictor of postpartum hemorrhage (PPH)? (select one) A) low fibrinogen  B) hypotension C) tachycardia...
Tuesday, April 12, 2022

bag-mask ventilation in an edentulous patient

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Q : Describe few tricks to have proper mask seal in edentulous patients during bag-mask ventilation? Answer: Edentulous patients offer a c...
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Monday, April 11, 2022

Coffee Bean sign

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Q: What is "Bent Inner Tube" sign? Answer : pathognomonic sign of sigmoid volvulus   Sigmoid volvulus may presents as a U-shaped, ...
Sunday, April 10, 2022

MESA score

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Q: MESA risk score for cardiovascular disease includes? (select one) A) Ethnic background B) Estrogen use Answer : A The Multi-Ethnic Study ...
Friday, April 8, 2022

IV to PO morphine

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 Q: What is an estimated IV to PO conversion ratio of Morphine? Answer: 1:3 While converting intravenous (IV) to oral (PO) opioids two pri...
Thursday, April 7, 2022

CBC reading

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Q: 47 years old African-American male is admitted to ICU with acute bleeding due to esophageal varices. Serial CBC shows, a parallel decreas...
Wednesday, April 6, 2022

Dialysis in TLS

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Q : Which of the following is NOT an indication for early dialysis in patients with Tumor Lysis Syndrome (TLS)? (select one) A) hyperkalemia...
Tuesday, April 5, 2022

Osborn wave

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Q: 48 years old homeless male is brought to ED at Chicago downtown hospital with severe hypothermia. EKG was found to have a characteristic...
Monday, April 4, 2022

Causes of WE

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Q: Describe few causes of Wernicke encephalopathy (WE) besides chronic alcoholism? Answer: The objective of this question is to highlight t...
Sunday, April 3, 2022

Cholestyramine in thyroid storm

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Q: 24 years old female is admitted to ICU with thyroid storm. Endocrine service suggested adding cholestyramine. How does it help in thyroi...
Saturday, April 2, 2022

COVID, cancer and DVT

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 Q: Cancer patients who develop COVID-19 infection are more prone to develop thrombosis than non-cancer patients? (select one) A) True B) F...
Friday, April 1, 2022

ARB and enteropathy

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Q: 58 years old male with history of hypertension but stable on a single medicine for the last two years is admitted to ICU with worsening ...
Thursday, March 31, 2022

Sicca syndrome and sicca complex

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Q : What is the difference between sicca syndrome and sicca complex?  Answer:  Sicca syndrome is a synonym for Sjögren's syndrome (SS). ...
Thursday, March 24, 2022

Appendicitis in pregnancy

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Q: 28 years old female who is 32 weeks pregnant is admitted to ICU with acute appendicitis. Cesarean delivery should be carried out with ap...
Wednesday, March 16, 2022

lopressor-coreg conversion

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  Q: What's the conversion ratio of Metoprolol to Carvedilol? Answer : About 4:1 #cardiology #pharmacology Reference; Cohen-Solal A, Jac...
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