icupearls.org Archive

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

Thursday, June 30, 2022

Uhl's anomaly

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Q: What is Uhl's anomaly in the heart? Answer: Uhl's anomaly is also called parchment right ventricle. It was first described seven...
Wednesday, June 29, 2022

GCA - risks and protections

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Q: Q: Fever and elevations of the acute phase reactants are indicators for higher risk of vision loss in Giant Cell Arteritis (GCA)? A) True...
Tuesday, June 28, 2022

Hyponatremia in SAH

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Q: The first step of management in hyponatremia related to subarachnoid hemorrhage (SAH) is fluid restriction? A) True B) False Answer: B  ...
Sunday, June 26, 2022

Palliative care definition

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Q: What is the Center to Advance Palliative Care's definition of palliative care? Answer: For readers' benefit three important defi...
Saturday, June 25, 2022

LFT in acute HCV

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Q: Normalization of the serum aminotransferases signifies resolution of acute Hepatitis C infection? A) True B) False Answer: B Aminotransf...
Friday, June 24, 2022

Chloramphenicol in meningitis

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Q: Why Chloramphenicol is not first-line therapy in treatment of meningitis? Answer:  As it is not a bactericidal antibiotic and only has ba...
Thursday, June 23, 2022

Clostridium requires higher concentrations of the metronidazole for inhibition

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Q:   Which of the Clostridium requires higher concentrations of  metronidazole for its inhibition? Answer : Clostridium ramosum Metronidazol...
Wednesday, June 22, 2022

Risk-factors for AF in postop cardiac surgery patients

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Q : Which ethnicity has a higher risk of postoperative atrial fibrillation after cardiac surgery? (select one) A) Caucasian B) Afro-American...
Tuesday, June 21, 2022

Obesity and BNP

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Q : Obesity __________ natriuretic peptide levels? (select one) A) decreases B) increases Answer: A The objective of this question is to hi...
Monday, June 20, 2022

insulin and D-50 treatment for high K

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Q : In hyperkalemic emergency, a bolus of 10 units of regular insulin with 1 amp of D-50 glucose is expected to drop potassium by how much?...
Sunday, June 19, 2022

MM and phosphate

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Q: Multiple myeloma may lead to? (select one) A) hyperphosphatemia  B) hypophosphatemia  Answer: B In adult patients, multiple myeloma (MM)...
Saturday, June 18, 2022

AIT

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Q: There are how many types of  Amiodarone-Induced Thyrotoxicosis (AIT)? Answer:  Two There are two types of AIT. The distinction plays an ...
Friday, June 17, 2022

most nephrotoxic aminoglycoside

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Q ; Which of the following is considered the most nephrotoxic aminoglycoside? (select one) A) Gentamicin  B) Tobramycin C) Amikacin D) Netil...
Thursday, June 16, 2022

Mg in VT

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Q : In Polymorphic ventricular tachycardia, intravenous (IV) magnesium sulfate (MgSo4) is of benefit even in patients with normal serum magn...
Wednesday, June 15, 2022

DP

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Q: How Driving Pressure (DP) can easily be calculated on the ventilator? Answer:   DP is increasingly used as guiding target in patients wit...
Tuesday, June 14, 2022

Kikuchi-Fujimoto Disease

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Case : 24 years old female is admitted to ICU with fever, cervical lymphadenopathy and sepsis. Subsequent workup led to the diagnosis of Kik...
Monday, June 13, 2022

Veins of UE

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Q: Interosseous veins in the forearm are? (select one) A) superficial B) deep  Answer : B Knowing a vein is superficial or deep determines ...
Sunday, June 12, 2022

Theo-toxicity

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Q: Theophylline toxicity causes? (select one) A) hypercalcemia B) hypocalcemia  Answer: A Theophylline toxicity may cause hypercalcemia. Tr...
Saturday, June 11, 2022

urine albumin-to-creatinine ratio

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Q : At what urine albumin-to-creatinine ratio albuminuria may become significant? Answer : 30 It is recommended that at least 2 out of 3 spe...
Friday, June 10, 2022

cefepime side effects

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Q: Cefepime increases the risk of candida superinfection? A) True B) False Answer : A Cefepime is one of the most frequently used antibioti...
Thursday, June 9, 2022

Odor of urine

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Q:   Describe any three examples where urine odor can help in diagnosis. Answer: Urine odor can be a strong predictor of underlying disease:...
Wednesday, June 8, 2022

AAST 5 grades for SBO

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Q: AAST grading criteria for small bowel obstruction divide patients via following of the two criteria? (select one) A) Clinical & oper...
Tuesday, June 7, 2022

Doxy and TAA

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Q: Doxycycline may have a ________________ effect on Thoracic Aortic Aneurysm (TAA)? (select one) A) destructive B) protective Answer:   B ...
Monday, June 6, 2022

"down-then-up-maneuver"

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Q: What is "down-then-up-maneuver" in airway intubation? Answer: "Down-then-up-maneuver" is usually attempted when a f...
Sunday, June 5, 2022

VIR and opioids

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Q: Vancomycin Infusion Reaction (VIR), popularly known as Red Man Syndrome, can be inhibited by simultaneous administration of opioids?  A)...
Saturday, June 4, 2022

Orthostatic hypotension and transient loss of vision in only one eye

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Q : Orthostatic hypotension may cause transient loss of vision (TLV) in only one eye? A) True B) False Answer : A Hypotension from any reaso...
Friday, June 3, 2022

Battle sign

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Q: What is Battle Sign in trauma? Answer : It is called Battle sign not because it occurs in trauma but because it was first described by D...
Thursday, June 2, 2022

blast crisis in CML

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Q: Blast crisis of Chronic Myeloid Leukemia (CML) is? (select one) A) ≥20 percent blasts in peripheral blood or bone marrow B) ≥30 percent ...
Wednesday, June 1, 2022

Coffee and Liver

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Q ; High Coffee consumption increases the risk of cirrhosis? A) True B) False Answer: B Coffee consumption actually decreases the risk as we...
Tuesday, May 31, 2022

AAST-BCI

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Q: Heart Injury Scale from American Association for the Surgery of Trauma (AAST) is divided into how many grades? (select one) A) Two B) Thr...
Monday, May 30, 2022

Brugada and covid-19

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Q: 44 years old male with known history of Brugada syndrome is admitted to ICU with COVID-19. What should be the first priority? Answer: T...
Sunday, May 29, 2022

Sodium and GBS

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Q: Which of the following is a poor prognostic sign in Guillain-Barre Syndrome (GBS)? A) hyponatremia B) hypernatremia Answer: A There are ...
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