icupearls.org Archive

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

Sunday, July 31, 2022

Wolff-Chaikoff effect

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Q : What is Wolff-Chaikoff effect? Answer:  Normal human continues to have a wide variation in dietary iodine intake and is normally autoreg...
Saturday, July 30, 2022

PD-5 I and LUTS

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Q: Male patients using Phosphodiesterase 5 (PDE-5) inhibitors may experience increased urinary frequency and urgency. A) True B) False Answ...
Friday, July 29, 2022

Ramelteon

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Q: Melatonin is a chronobiotic? A) True B) false Answer: A Melatonin receptor agonists such as Ramelteon are increasingly used in ICUs. Rame...
Wednesday, July 27, 2022

Echo and IE

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Q : For infective endocarditis (IE)Transthoracic echocardiography (TTE) has higher? (select one) A) sensitivity B) specificity Answer : B As...
Tuesday, July 26, 2022

Tranexamic acid in hyperacute primary intraCerebral Hemorrhage.

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Q: Tranexamic acid is another very useful drug to improve long-term functional outcomes if given early in hyperacute primary Intra Cerebral ...
Monday, July 25, 2022

ACS and pulse-ox

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Q :  A good pulse-oximetry waveform indicates that the  patient does not have acute compartment syndrome (ACS)? A) Yes B) No Answer: B Desp...
Sunday, July 24, 2022

daptomycin and myopathy

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Q: When should daptomycin be considered discontinued in regards to myopathy? Answer: The three major side effects which need to be watched d...
Saturday, July 23, 2022

Cancer and COVID

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Q : Cancer survivors who do not have active cancer have a higher risk for severe COVID-19?  A) True B) False Answer: A Although data is not ...
Friday, July 22, 2022

tinnitus in acute salicylates toxicity

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Q: 44 years old female is admitted to ICU with acute salicylates toxicity. The patient is complaining of severe tinnitus. Emergent Ear-Nose...
Thursday, July 21, 2022

Methamphetamine-induced toxicity: hyperthermia

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Q: Acetaminophen is the first line of drugs in hyperthermia from acute methamphetamine intoxication. A) True B) False Answer: B Acetaminoph...
Wednesday, July 20, 2022

IABP effects

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Q: Which of the following doesn't occur during Inflation and deflation of the intra-aortic balloon pump (IABP)? A) Blood is displaced ...
Tuesday, July 19, 2022

DVT after ortho surgery

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Q : The highest risk of Deep Vein Thrombosis (DVT) after orthopedic surgery is? (select one) A) 1 - 6 days B) 7- 14 days C) 14 - 30 days An...
Monday, July 18, 2022

Renal US

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 Q: Increased echogenicity and length <10 cm of kidney almost always indicates untreatable disease? A) True B) False Answer : A Ultrasou...
Sunday, July 17, 2022

DD of purpura

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Q: How the purpura of thrombocytopenia and purpura of vasculitis can be differentiated on physical exam? Answer: Physical exam plays an int...
Saturday, July 16, 2022

Albumin-Ca connection

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Q: In hyperalbuminemia ____________ is expected? (select one) A) hypocalcemia B) hypercalcemia Answer: B In hyperalbuminemia total serum c...
Thursday, July 14, 2022

VRA and liver

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Q: Which of the following vasopressin receptor antagonists should not be used in patients with liver cirrhosis? A) tolvaptan B) mozavaptan ...
Wednesday, July 13, 2022

acetazolamide in severe exacerbation of COPD requiring invasive vent

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Q: Acetazolamide is an effective way to counteract metabolic alkalosis in patients with acute exacerbation of COPD who requires intubation? ...
Tuesday, July 12, 2022

postprandial angina

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Q: Postprandial angina is usually associated with severe coronary vessel disease?  A) True B) False Answer : A Postprandial chest pain is i...
Monday, July 11, 2022

ibutilide

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Q: Which one intervention may decrease the risk of torsades de pointes with ibutilide?  Answer: Pretreatment with intravenous (IV) magnesi...
Sunday, July 10, 2022

magnesium and morphine

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Q: Intravenous Magnesium (IV Mg) potentiates the opioid effect?  A) True B) False Answer : A IV Mg is considered a usual adjuvant with opio...
Saturday, July 9, 2022

BP from legs

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Q ; Lower extremity blood pressure measurement is usually _________ than upper extremity blood pressure?  A) higher B) lower Answer: A It i...
Friday, July 8, 2022

cholesterol emboli

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Q: Skin findings in cholesterol crystal emboli are more pronounced at? (select one) A) arterial area B) venous area Answer: A The classic c...
Thursday, July 7, 2022

Delirium per DSM-5

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Q) Hypo or hyperactivity is required to have a diagnosis of delirium? A) True B) False Answer : B Conventionally, delirium has been divided ...
Wednesday, July 6, 2022

Acetaminophen toxicity with tobacco

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Q : Acetaminophen toxicity corelates in direct proportion with tobacco consumption (means higher the cigarettes per day higher the chances o...
Tuesday, July 5, 2022

Post thoracentesis CXR

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Q: A follow-up CXR despite an uncomplicated ultrasound (US) guided thoracentesis in an unventilated patient should be performed as occult pn...
Friday, July 1, 2022

Wheeze and stridor

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Q : Stridor is usually predominantly? (select one) A) expiratory B) inspiratory Answer: B The objective of this question is to appreciate t...
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...
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