icupearls.org Archive

Q: What is the reason behind an apical-radial pulse deficit in atrial fibrillation (AF)? Answer: Palpating the apical and radial pulse rate...

Case: 24 years old male is admitted 5 days after his visit to a water park with seizure, fever, severe headache, and altered mental status....

Q: Why sodium has been made part of MELD-Na score? Answer : In January 2016 MELD (Model For End-Stage Liver Disease) score was updated to i...

  Reference:   Jose M. Castellano et. al Polypill Strategy in Secondary Cardiovascular Prevention. DOI: 10.1056/NEJMoa2208275

Q: What does "negative symptoms" means in psychosis stands for? Answer: Negative symptoms refer to decreased emotional expression...

Case : 28 years old female with renal insufficiency is admitted to ICU with severe preeclampsia. Patient can receive the usual loading dose ...

Q: Patient with perforation in sigmoid volvulus requires immediate? (select one) A) resection B) volvulus detorsed Answer : B The objective...

Q : What is "Wellens pattern" on EKG? Answer : The "Wellens pattern" is also known as LAD-T-wave inversion pattern. As t...

Q : Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) usually do not have ocular involvement? A) True B) False Answer: B M...

Q: Serum sodium concentration represents? (select one) A) volume balance B) water balance Answer: B This question's objective is to hi...

"Rebound" COVID-19 after nirmatrelvir-ritonavir treatment  A course of Nirmatrelvir-Ritonavir (Paxlovid) has become a standard of ...

Case : 24 years old male is admitted to ICU with seizures requiring benzodiazepine drip. Phenytoin is ordered. Which one precaution should b...

Q: Which of the following is the earlier sign of hyperkalemia? (select one) A) disappearance of P wave  B) tall peaked T waves Answer: B T...

Q : One of the indications of Thoracic Aortic Aneurysm (TAA) is? (select one) A) End-diastolic aortic diameter >5.5 cm B) End-systolic a...

Q: Smoking may _______________ the risk of Kaposi Sarcoma (KS)? (select one) A) increases B) decreases Answer: B Interestingly, tobacco ab...

Q: What is Potassium adaptation? Answer: Higher intake of potassium is rarely a cause of hyperkalemia in a normal individual. This is due ...

Q: Which of the following second-degree heart block is more common with digoxin toxicity? (select one) A) Mobitz type I (Wenckebach)  B) Mob...

Q : One of the clinical symptoms of  cardiomyopathy associated with  Chagas Disease (CD) is? (select one) A) bradycardia out of proportion ...

Q : What is "downhill" esophageal varices? Answer:  Patients on permanent hemodialysis (HD) and upper-extremity access often deve...

Case : 62 years old female recently diagnosed with open-angle glaucoma,  otherwise healthy,  is admitted to ICU with severe airway obstructi...

Q: The Palliative Performance Scale (PPS) of zero is equivalent to? (select one) A) Full functional status B) Death Answer : B Studies have...

Q : Mannitol induced Acute Kidney Injury (AKI) can be made rapidly reversible by hemodialysis (HD)? A) True B) False Answer: A Patients who...

Q: What is the mechanism of Right Ventricular Failure (RVF) in Pulmonary Embolism (PE)? Answer: The objective of this question is to underli...

Case : 42 years old male is brought to ED with suspected cyanide poisoning after ingesting a large amount of apricot. While putting Central ...

Q : Blockade of sodium channel leads to prolongation of QT interval on EKG? A) True B) False Answer: B The rule of thumb is Sodium channel ...

Q: What is Riedel's lobe of liver? Answer : Riedel's lobe is an anatomic variation. It can easily deceive a clinician as hepatomega...

Q: The use of angiotensin converting enzyme (ACE) inhibitor is absolutely contraindicated in patients with serum creatinine concentrations ...

Q : Clubbing in Interstitial Lung disease (ILD) is __________  manifestation? (select one) A) early B) late Answer : B Clinical history and ...

Q: Patients transferred from ICU to long-term acute care (LTAC) facilities may require to keep a length of stay (LOS) for at least how many ...

Q: All of the following favor the diagnosis of primary hyperparathyroidism EXCEPT? A) asymptomatic patient  B) chronic hypercalcemia C) post...

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

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