icupearls.org Archive

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

Friday, September 30, 2022

Route of administration for calcitonin in hypercalcemia

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Q: To treat severe symptomatic hypercalcemia, calcitonin should be given intranasally to have immediate effect. A) True B) False Answer : B ...
Thursday, September 29, 2022

Arsenic toxicity

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Q: What is the chelating agent to treat arsenic poisoning? Answer: Dimercaprol Dimercaprol sequesters the arsenic away from blood pro...
Wednesday, September 28, 2022

Acute vs chronic GVHD

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Q: Acute graft-versus-host disease (GVHD) uses a cutoff point if occurs within? (select one) A) 48 hours B) one week C) 30 days D) 100 days...
Tuesday, September 27, 2022

bicarbonate in ASA poisoning

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Q : Arterial pH of 7.55 is contraindicated for sodium bicarbonate in salicylate poisoning? A) True B) False Answer : B Urine alkalization is...
Monday, September 26, 2022

Zoonotic disease with night sweats with a strong, peculiar, moldy odor

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Q : Which Zoonotic disease may cause night sweats with a strong, peculiar, moldy odor? Answer: Brucellosis Brucellosis is the most common z...
Sunday, September 25, 2022

Sister Mary Joseph nodule

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Q: An umbilical nodule associated with ascites is a warning sign for which underlying pathology? Answer: carcinoma The underlying patholog...
Saturday, September 24, 2022

TPP

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Q : What is the recommended end-expiratory transpulmonary pressure (TPP)? (select one) A) -5 and zero B) Zero and 5 C) Zero and 10 D) > 1...
Friday, September 23, 2022

Midodrine in chylothorax

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Q: Midodrine can be used as an adjuvant treatment in chylothorax? A) True B) False Answer: A Although limited to case reports, there is we...
Thursday, September 22, 2022

desalination

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Q : What is "desalination"? Answer: Desalination is a phenomenon when a volume expansion occurs due to a large infusion of isoton...
Wednesday, September 21, 2022

Desmopressin oral to IV

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Q: What's the ratio of Desmopressin for oral to intravenous (IV) form? Answer: 400:1 Desmopressin has a wide variety of dose bioavailab...
Tuesday, September 20, 2022

risk factors for higher mortality in emphysematous pyelonephritis

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Q ;  All of the following are risk factors for higher mortality in emphysematous pyelonephritis EXCEPT ? A) thrombocytopenia B) acute kidney...
Monday, September 19, 2022

Modernized Classification of Cardiac Antiarrhythmic Drugs 2018

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Q: Under Vaughan Williams classification of antiarrhythmic drugs (Revised 2018), statins have been classified under which class? A) Class I...
Sunday, September 18, 2022

AF, DAPT and oral anticoagulation

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Q : For patients with Atrial fibrillation (AF) dual antiplatelet treatment (DAPT) should be stopped once oral anticoagulation is started? A)...
Friday, September 16, 2022

Facial trauma and hair

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Q: In severe facial trauma eyebrows should be shaved? A) True B) False Answer : B Ideally, eyebrows should not be shaved or clipped in facia...
Thursday, September 15, 2022

NSAIDs and warfarin

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Q: Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) _______________ the effect of warfarin? (select one) A) attenuates B) enhances Answer: B...
Wednesday, September 14, 2022

neurologic symptoms in SS

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Q : Neurologic symptoms precede the diagnosis of Sjögren's syndrome (SS)? A) True B) False Answer : A It is imperative that neurologic s...
Tuesday, September 13, 2022

Drugs causing DKA

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Q: Name at least five drugs that can cause Diabetic Keto-Acidosis (DKA)? Answer: DKA can be induced for various reasons, particularly in Ty...
Monday, September 12, 2022

pre-procedural anxiety

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Q: Alprazolam is not a good choice for pre-procedural anxiety because of its slower onset of action. A) True B) False Answer : A It is freq...
Sunday, September 11, 2022

ANCA in CV-EGPA

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Q : patients with cardiovascular (CV) involvement in eosinophilic granulomatosis with polyangiitis (EGPA)(Churg-Strauss) are prone to have? ...
Saturday, September 10, 2022

HE

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Q: Hypereosinophilia is defined as? (select one) A) an absolute eosinophil count (AEC) >1.5 x 109/L separated by at least one week B) an...
Friday, September 9, 2022

CDAI

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Q:   Crohn's Disease Activity Index (CDAI) in adults takes into account all of the following EXCEPT ? (select one) A) Gender B) General ...
Thursday, September 8, 2022

Post CVA hiccups

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Q : 72 years old male with recent stroke developed intractable hiccups lasting more than 48 hours. What is the drug of choice for post-CVA h...
Wednesday, September 7, 2022

ARISCAT

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Q; What is ARISCAT Risk Index? Answer: ARISCAT Risk Index predicts incidence of postoperative pulmonary complications.It is a validated an...
Tuesday, September 6, 2022

Lidocaine toxicity

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Q : How can lidocaine-induced cardiovascular (CVS) toxicity be minimized? Answer: By reducing the rate of administration This question aims...
Monday, September 5, 2022

A-line analysis

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Q: All of the following may give under-damping of an arterial line EXCEPT? A) excessive tubing length B) tachycardia C) high cardiac output ...
Sunday, September 4, 2022

postpartum preeclampsia

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Q:   Postpartum preeclampsia usually occurs within? (select one) A) 24 hours B) 48 hours  C) 72 hours D) one week Answer: B About one in 20 ...
Saturday, September 3, 2022

OMG

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Q: Which of the following is the most prominent symptom of Ocular Myasthenia Gravis (OMG)? A) diplopia B) lagophthalmus C) "curtaining...
Friday, September 2, 2022

Acute Apathy Syndrome

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Q: What is "acute apathy syndrome"? Answer: Despite increased awareness and development of various tools/scores, delirium contin...
Thursday, September 1, 2022

Anemia in an HCV and ESRD patient

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Case: 54 years old male with a past medical history of end-stage renal disease (ESRD) and on regular hemodialysis is admitted to ICU with s...
Wednesday, August 31, 2022

apical-radial pulse deficit in atrial fibrillation

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Q: What is the reason behind an apical-radial pulse deficit in atrial fibrillation (AF)? Answer: Palpating the apical and radial pulse rate...
Tuesday, August 30, 2022

Naegleria fowleri

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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....
Monday, August 29, 2022

sodium in MELD score

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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...
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