icupearls.org Archive

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

Tuesday, February 28, 2023

chronic hemolysis and vitamin deficiency

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Q: Chronic hemolysis leads to the deficiency of which vitamin? Answer : B9 (Folate) Folate deficiency in chronic hemolysis is due to increas...
Monday, February 27, 2023

Regression of LVH and AF

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Q: Regression of Left Ventricular Hypertrophy (LVH)? (select one) A) decreases the frequency of paroxysmal atrial fibrillation B) increases ...
Sunday, February 26, 2023

SSRIs and cardiotoxicity

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Q: Which of the Selective Serotonin Reuptake Inhibitors (SSRIs) is the most cardiotoxic? (select one) A) citalopram B) escitalopram  C) fluo...
Saturday, February 25, 2023

Combintation Rx with ACE-I

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Q: 42 years old afro-american male with no known previous history is admitted to ICU with accelerated hypertension (HTN). He responded to i...
Friday, February 24, 2023

Rinsing the mouth prior to expectoration

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Q: Rinsing the mouth prior to expectoration improves the quality of the sputum? A) True B) False Answer: A The yield of the sputum Gram sta...
Thursday, February 23, 2023

Antimicrobial strategy for severe community-acquired legionnaires' disease

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Q: Doxycycline is a good choice of treatment in patients with Legionnaires' disease? A) True B) False Answer: B Tetracyclines like dox...
Wednesday, February 22, 2023

recurrence of acute acalculous cholecystitis

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Q: 58 years old male admitted to ICU with sepsis developed acalculous cholecystitis. Gallbladder drainage is performed via percutaneous chol...
Tuesday, February 21, 2023

bleed in CKD patients

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Q : In patients with severe chronic kidney disease (CKD), which is a more common gastrointestinal (GI) bleed due to underlying uremia? (sele...
Monday, February 20, 2023

CT chest in smoke inhalations

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Q : How CT chest can help to establish prognosis in patients subjected to smoke inhalation? Answer : The standard of care in smoke inhalatio...
Sunday, February 19, 2023

phosphene

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Case: 32 years old male is admitted to ICU with acute psychosis. Psychiatry service note reads: "patient having phosphenes." Answe...
Saturday, February 18, 2023

Haldane effect

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Q: What is Haldane effect? Answer: The Haldane effect (named after John Scott Haldane) describe that deoxygenation of the blood increases ...
Friday, February 17, 2023

Total Artificial Heart - Animation

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Thursday, February 16, 2023

NSAIDs in cardiac patients

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Q: 56 years old male with history of chronic back pain is admitted to ICU from the cardiac cath lab after stents for coronary artery disease...
Wednesday, February 15, 2023

CSF lactate

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Q: What is the importance of measuring lactate level in Cerberospinal fluid (CSF)? Answer:   Although not usually measured but measuring CSF...
Tuesday, February 14, 2023

errors in SC CVC

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Q: All of the following are the common errors while putting subclavian (SC) central venous catheter (CVC) EXCEPT? (select one) A) improper ...
Monday, February 13, 2023

Clonidine toxicity

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Q: The preferred method of counteracting clonidine overdose/toxicity is? (select one) A) Naloxone  B) Yohimbine C) Hemodialysis Answer : A T...
Sunday, February 12, 2023

Metformin induced vitamin def.

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Q: Metformin tends to decrease the level of which vitamin? Answer: Vitamin B12 Patients on Metformin on a long-term basis may develop vitam...
Saturday, February 11, 2023

Bedrails and falls

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Q: 84 years old male is getting discharged to long-term acute care (LTAC) facility post-stroke. Orders must be written for the use of bed r...
Friday, February 10, 2023

AERD and ETOH

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Q : 32 years old male with a known history of asthma is admitted to ICU with acute asthma exacerbation after a dorm party where he consumed ...
Thursday, February 9, 2023

On Ivermectin

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Q : Ivermectin is derived from soil mold? A) True B) False Answer: A Ivermectin gained a lot of (in)famous popularity during COVID-19 due t...
Wednesday, February 8, 2023

omega-3 fatty acids and atrial fibrillation

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Q : 62 years old male who consumes many over the counter (OTC) nutritional products including vitamins and omega-3 fatty acid is admitted to...
Tuesday, February 7, 2023

spironolactone and furosemide in treating ascites

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Q: 54 years old male patient with cirrhosis is now ready to get transferred out of ICU. What is the preferred ratio of spironolactone and f...
Monday, February 6, 2023

Cerebral protection device during TAVR

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Sunday, February 5, 2023

statin and liver

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Q: 54 years old male with a history of coronary artery disease (CAD) and on statins is admitted to ICU for chest pain. Review of the chart s...
Saturday, February 4, 2023

post TIPS

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Q; After successful completion of Transjugular Intrahepatic Porto-systemic Shunt (TIPS) for variceal bleeding - hepatic encephalopathy _____...
Friday, February 3, 2023

NSAIDs, statins, PPIs for risk of adenocarcinoma in Barrett's esophagus

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Q: Aspirin and NSAIDs may have a protective effect on Barrett's esophagus for the development of esophageal carcinoma? A) True B) False...
Thursday, February 2, 2023

MOA of docusate

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Q: How stool softener docusate works? Answer : Stool softeners are frequently used in ICU for constipation. Very few people know that actual...
Wednesday, February 1, 2023

chylous ascites

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Q: Milky ascites confirm malignancy? A) True B) False Answer: B Milky ascites is due to high triglyceride levels, usually above 200 mg/dL,...
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...
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