icupearls.org Archive

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

Tuesday, January 31, 2023

"steal" phenomenon of inhaled nitric oxide (iNO)

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"steal" phenomenon of inhaled nitric oxide (iNO) iNO is frequently used as a rescue therapy in patients with no underlying pulmona...
Monday, January 30, 2023

Esmolol duration of action

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Q : Esmolol duration of action can last up to? (select one) A)  9 minutes B) 30 minutes Answer: B This question aims to highlight the diffe...
Sunday, January 29, 2023

blood donation from COVID-19 patient

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Q; What's the US Food and Drug Administration (FDA) recommendation regarding blood donation from COVID-19 patient? Answer : FDA does not...
Saturday, January 28, 2023

Predictor of successful transplant in PAH

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Q: Which of the following lab can be used as a predictor of the success of organ transplant in pulmonary arterial hypertension (PAH) patien...
Friday, January 27, 2023

dark urine and rhabdomyolysis

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Q: The diagnosis of rhabdomyolysis requires dark-colored urine?  A) Yes B) No Answer : B Clinically rhabdomyolysis is a diagnosis consisting...
Thursday, January 26, 2023

Cardiac amyloidosis

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Q : Cardiac amyloidosis usually presents with? (select one) A) right-sided heart failure B) left-sided heart failure Answer: A Cardiac amyl...
Wednesday, January 25, 2023

North-South syndrome

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Q : What is North-south syndrome in peripheral Veno-arterial (VA) ECMO? Answer:   When patients are cannulated peripherally, i.e., the Femor...
Tuesday, January 24, 2023

mumps meningitis

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Q: Aseptic meningitis due to mumps is more common in males? A) True B) False Answer: A Aseptic meningitis is mumps' most common neurolo...
Monday, January 23, 2023

AG with K

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Q : If potassium is added/counted in Anion gap (AG) formula, the anion gap will? (select one) A) decrease B) increase Answer : B The objecti...
Sunday, January 22, 2023

abnormalities of taste and smell

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Q: 32 years old patient admitted to ICU with COVID infection complained of loss of taste and smell. What are the five abnormalities of tast...
Saturday, January 21, 2023

pentad of TTP

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Q: The classic "pentad" of Thrombotic thrombocytopenic purpura (TTP) is now considered obsolete? A) True B) False Answer:  A Clas...
Friday, January 20, 2023

Nitrofurantoin induced pulmonary edema

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Q: 23 years old female is admitted to ICU with acute pulmonary edema after 24 hours of initiating nitrofurantoin. Which two points speak ag...
Thursday, January 19, 2023

Obesity and cancer

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Q : Obesity is associated with __________ cancer outcomes? (select one) A) improved B) worse Answer : B Knowing it may be easy to predict po...
Wednesday, January 18, 2023

Severe Malaria

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Q: Which of the following is responsible for 90 percent of severe malaria cases? (select one) A) Plasmodium falciparum  B) Plasmodium vivax...
Tuesday, January 17, 2023

Runyon's criteria

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Q: Which of the following is not part of Runyon's criteria to diagnose secondary bacterial peritonitis? (select one) A) Total protein ...
Monday, January 16, 2023

Miosis in opioid toxicity

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Q : Normal pupillary exam excludes opioid toxicity, and the examiner should look for other causes of decreased mental status? A) True B) Fal...
Sunday, January 15, 2023

Lactate vs BD in trauma

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Q :  Which is a better predictor of mortality in normotensive elderly blunt trauma patients? (select one) A) Lactate  B) Base Deficit Answer...
Saturday, January 14, 2023

Ca 125

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Q : CA 125 is a specific biomarker for ovarian cancer? A) True B) False Answer: B Although CA 125 is well-known as a biomarker for ovarian c...
Thursday, January 12, 2023

PONV score

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Q : Which group of patients is more prone to have postoperative nausea and vomiting (PONV)? (select one) A) smokers B) nonsmokers Answer : B...
Wednesday, January 11, 2023

Plasma Exchange in Multiple Sclerosis

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Q : Give at least three indications of plasma exchange (PLEX) in acute exacerbation of multiple sclerosis (MS)? Answer: PLEX is not the firs...
Tuesday, January 10, 2023

A note on glucocorticoid and arrhythmias connection

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A note on glucocorticoid and arrhythmias connection  A less recognized risk in patients on chronic glucocorticoid is cardiac arrhythmias, pa...
Monday, January 9, 2023

Types of AF

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Q: What are the cutoff days to establish between paroxysmal and persistent Atrial fibrillation (AF)? (select one) A) 3 days B) 7 days C) 10...
Sunday, January 8, 2023

Rx for Salmonella intestinal infection above the age of 50

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Q: All males above the age of 50 should be treated with antibiotics for Salmonella intestinal infection regardless of the severity of the di...
Saturday, January 7, 2023

PH - Types and classes

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Q: 34 years old female with a known history of pulmonary Arterial Hypertension (PAH), group 1, is admitted to ICU with severe shortness of ...
Friday, January 6, 2023

drug-associated bullous pemphigoid

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Q: Medications implicated in drug-associated bullous pemphigoid are described under all of the following  EXCEPT ? A) Absolute association B...
Thursday, January 5, 2023

AUB-POCES

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Q: AUB-POCES index includes all of the following  EXCEPT ? A) history of heart disease B) age ≥75 years C) anemia with hemoglobin <8 mg/...
Wednesday, January 4, 2023

first-line therapy for status epilepticus

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Q: Which of the following is considered first-line therapy for status epilepticus? (select one) A) Clonazepam  B) Lorazepam C) Both clonazep...
Tuesday, January 3, 2023

Interactions between warfarin and fluoroquinolones

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Case: 34 years old female with history of recurrent DVT, now on chronic Coumadin therapy, presented with black tarry stool and probable GI ...
Monday, January 2, 2023

Hepatitis and HCC

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Q: Which type of hepatitis can directly cause hepatocellular carcinoma (HCC) - without causing cirrhosis first? (select one) A) Hepatitis A ...
Saturday, December 31, 2022

Acetylcysteine effect on kidney in acetaminophen toxicity

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Q: Acetylcysteine given during acetaminophen toxicity to protect the liver - also has a protective effect on the kidney? A) True B) False An...
Friday, December 30, 2022

Prone position complications

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Q : Name at least five major potential complications while patient gets treated in prone position. Answer: In last few years, particularly ...
Thursday, December 29, 2022

Liver injury and function - biomarkers

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Q: Which are the three biomarkers of liver injury, and three biomarkers of liver function? Answer: There are three biomarkers each for liv...
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