icupearls.org Archive

Case: 32 years old male was admitted with COVID pneumonia which required intubation, sedation, neuro-muscular blockade (NMB), and pronation...

Q : The finding of portal vein tumor thrombus(PVTT) in patients with Hepatocellular carcinoma (HCC) is a good prognostic sign as it signifie...

Q: If Rapid Shallow Breathing Index (RSBI) is measured while a patient is attached to the ventilator, respiratory rate should be counted? (...

Q: The intensity of Vancomycin Infusion Reaction (VIR) ( Red Man Syndrome)  can be minimized by concomitant administration of opioids? A) T...

Q : Proteinuria is the earliest feature of so far undiagnosed autosomal dominant polycystic kidney disease (ADPKD)? A) True B) False Answer ...

Case : 46 years old male is admitted to ICU with a motor vehicle accident (MVA) for observation. Before discharging to the floor, the morni...

Q: Which of the following is the most common fistula formation as one of the complications of diverticulitis? (select one) A) colovesical  ...

Q: The antidote for Sulfhemoglobinemia is methylene blue? A) True B) False Answer: B Relatively less known than methemoglobinemia, sulfhemog...

Q:  34 years old female, diagnosed with Lyme's disease 2 weeks ago, is now in the local rural ED of Wisconsin with a syncopal episode. E...

Q: What is the triad of Idiopathic systemic capillary leak syndrome (ISCLS)? Answer: Idiopathic systemic capillary leak syndrome (ISCLS) c...

  Q : 42 years old male with a past medical history of kidney transplant is admitted to ICU with septic shock due to an underlying kidney in...

Q: Dexmedetomidine can be used as a cough suppressant during post-surgery extubation? A) True B) False Answer: A  A less known effect of Dex...

Q; 73 years old nursing home resident with previous multiple ICU admissions is admitted again with MRSA-sepsis. Due to documented previous ...

Q:   Hypereosinophilic syndromes (HES) is defined as a bsolute eosinophil count   AEC ≥1500/microL on two occasions  (select one) A) > 7 ...

Case: 24 years old male from a motor vehicle accident (MVA) is transported within 'golden hour' to a trauma center. On initial asse...

  Q:  Which of the following antihypertensive agents may have a direct synergistic effect during blood transfusion reactions? (select one) A...

Q Negative Babinski sign (means no pathology) is demonstrated by? (select one) A) extensor plantar response B) flexor plantar response Answ...

Q: Describe at least five sets of patient populations who are at high risk of protamine reaction? Answer: Diabetics on NPH insulin, patient...

Q: 26 years old ocean-surfer, while vacationing at an Australian beach, was brought to ED after an "Australian box jellyfish" stin...

Q: Severe volume depletion tends to cause? (select one) A) pseudohypercalcemia B) pseudohypocalcemia  Answer: A This question aims to revi...

Q: Adrenal insufficiency may cause? (select one) A) Hypercalcemia  B) Hypocalcemia  Answer: A Adrenal insufficiency causes hypercalcemia, ...

Q: 63 years old female with a BMI of 42 and a history of motor vehicle trauma, is now extubated after an episode of community-acquired pneu...

Q: 54 years old male with chronic psoriasis, and on cyclosporine presented with acute myocardial infarction, managed with percutaneous coron...

Q : 54 years old female with an established diagnosis of dermatomyositis (DM) is admitted to ICU with community-acquired pneumonia which qui...

Q : What is CLOT-AF score? Answer: CLOTS‐AF score is a risk score to predict left atrial appendage thrombus (LAAT); however, LAAT risk fact...

Q : 26 years old surgical resident is admitted to ICU with Right Upper Quadrant (RUQ) pain, jaundice, white stool, and severe nausea and vom...

Q : Which of the following is the best predictor of Pneumocystis pneumonia (PCP) in HIV patients? (select one) A) exercise-induced desaturat...

Q : A bolus of 10 units of intravenous (IV) regular insulin and 50 mL of 50 percent dextrose(D-50) are expected to lower serum potassium lev...

Q: Patients who undergo surgery during hospitalization are more likely to quit smoking than those who have not had surgery? A) True B) Fals...

Q: What are Langer's lines? Answer: Langer lines are actually skin tension lines. They represent the map of the direction in which the...

Q : 28 years old male is admitted to trauma ICU after a motor vehicle accident (MVA) with high probability of fat embolism. A pulmonary arte...

Q: Uhthoff phenomenon occurs in? (select one) A) cold B) heat Answer:  B Transient flare-up of symptoms of  Multiple Sclerosis (MS) due t...