icupearls.org Archive

Case: 34 years old male who recently traveled to Middle East is admitted to ICU with abdominal pain and sepsis like picture. Workup led to ...

Q: Renovascular hypertension is more common in? (select one) A) Afro-Americans patients B) Caucasian patients Answer: B Any white male who ...

Q: Sundowning is a form of Delirium? A) True B) False Answer : B It is very hard to distinguish between sundowning and delirium. Unfortunate...

Q:  If sphincter symptoms occur in patients with multiple sclerosis (MS), which is more common? (select one)   A) rectal B) urinary  Answer:...

Q: 62 years old male with previous history of sick sinus syndrome and subcutaneous implanted permanent pacemaker (PPM) has been recovering ...

Q : Which of the following is NOT among the three stages of Yellow fever infection? (select one) A) infection  B) transmission C) remission...

Q: 52 year old diabetic male with now resolving sepsis (off pressors) found to develop severe right upper quadrant (RUQ) tenderness around 7...

Q: 54 years old male is admitted to ICU with congestive heart failure. Pulmonary Artery Catheter (PAC) (swan-Ganz catheter) is floated? CXR ...

Q : 32 years old female, four weeks postpartum, is admitted to ICU with severe depression and suicidal ideation. Which of the following is m...

Q : Which of the following is the bigger risk factor in the development of osmotic demyelination syndrome (ODS), due to rapid reversal of ch...

Q: 82 years old male is admitted to ICU from Nursing Home with severe urosepsis. The indwelling urinary catheter on arrival tends to show bl...

Q: 34 years old male is admitted to ICU with Diffuse Alveolar hemorrhage (DAH). Urinalysis (UA) should be sent. A) True B) False Answer : A...

Q: Diplopia in Multiple Sclerosis (MS) is usually? (select one) A) painful B) painless Answer: B If a patient with MS encounters diplopia,...

Q : Which of the following requires gastric acidity for absorption? (select one) A) Dabigatran (Pradaxa) B) Apixaban (Eliquis) C) Edoxa...

Q: Leukocytosis is a known side effect of steroid treatment. What would be the best way to differentiate it from infection induced leukocyto...

Q: 32 years old male patient with history of severe schizophrenia, who was discharged from the hospital a month ago, now presented at Emerg...

Q: 62 years old male is admitted to ICU with respiratory distress. Patient has been diagnosed with asthma in the Emergency department (ED) ...

Q: One of the tricks to avoid atelectasis is to employ high FiO2? A) True B) False Answer: B The high fraction of inspired oxygen (FiO2) i...

Q:  Which of the Clonidine is helpful in hepatorenal syndrome? (select one) A) Oral B) Intravenous Answer: B The pathology of hepatorenal s...

Q: All of the following are included in the Clinical Opioid Withdrawal Scale (COWS) EXCEPT ? A) Resting pulse rate B) GI upset C) Sweating D...

Q : 34 years old male is admitted to the ICU with severe anxiety and hyperventilation. Arterial blood gas (ABG) showed severe respiratory al...

Q: All of the following can be diagnostic clues in Chest-X-ray (CXR) in patients with hepatic abscess EXCEPT? (select one) A) Right basilar...

Q: Peripherally Inserted Central Catheters (PICCs) are a viable option to decrease Central Line-Associated Bloodstream Infections (CLABSIs)...

Q: Patients with de novo right-sided congestive Heart Failure (CHF) may often have more severe symptoms than those with Left-sided CHF. A) T...

Q: 68 years old male is transferred to ICU with septic shock. Patient has advanced metastatic lung cancer. The family decides on palliative...

Q : What is ROX index? Answer : (SpO2/FiO2)/RR ROX Index predicts the Risk of intubation, particularly in patients who are not tachypneic bu...

Q : Fatal anaphylaxis from contrast media is more common in? (select one) A) Females B) Males Answer : B For reasons not fully understood, m...

Q: In early management of sepsis, intravenous fluids (IVF) should be given at 30 mL/kg per? (select one) A) actual body weight B) ideal body...

Q: 62 years old Caucasian female of Scandinavian descent with past history of polymyalgia rheumatica is recovering in ICU from community-acq...

Q ; 24 years old male is getting discharged from ICU to floor after resolution of his acute schizophrenia . Previously patient has been on h...

Q: 44 years old female is admitted to neuro critical care after the diagnosis of subarachnoid hemorrhage (SAH). Nimodipine 60 mg every four ...