icupearls.org Archive

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

Thursday, November 30, 2023

Erythromycin and gastroparesis

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Q: Erythromycin improves gastrointestinal motility by mostly acting at? (select one) A) Gastric fundus B) Duodenum C) Jejunum D) Descending ...
Wednesday, November 29, 2023

Poncet Disease

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Q : Poncet disease by definition is? (select one) A) an infectious disease B) an inflammatory disease Answer: B Poncet disease is characteri...
Tuesday, November 28, 2023

SGLT2 and DKA Hx

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Q:  Sodium-glucose cotransporter 2 (SGLT2) inhibitors should not be used in patients with a prior history of diabetic ketoacidosis (DKA)? A...
Monday, November 27, 2023

clinical subtypes of Multiple Sclerosis (MS)

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Q: What are the three clinical subtypes of Multiple Sclerosis (MS) in adult patients? Answer: MS is largely categorized into three clinica...
Saturday, November 25, 2023

"pseudos" of thrombocytosis

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Q: Name at least three "pseudo" abnormalities in the lab that may occur due to thrombocytosis?  Answer: Thrombocytosis in serum c...
Friday, November 24, 2023

Acute hypocalcemia

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Q : All of the following are the signs of acute hypocalcemia EXCEPT? (select one) A) tetany B) papilledema C) seizures  D) basal ganglia cal...
Thursday, November 23, 2023

Acute cannabis toxicity

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Q: 22 years old male, visiting friends and family on Thanksgiving weekend from college, and 'chilling' at a Hookah bar is brought t...
Wednesday, November 22, 2023

CXR and CAP

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Q: It is conventionally believed that chest x-ray (CXR) improvement lags behind the clinical improvement in community-acquired pneumonia (C...
Tuesday, November 21, 2023

Beta-Blocker in Grave's disease

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Q: Which Beta-Blocker (BB) is usually preferred in Grave's disease? (select one) A) Atenolol B) Esmolol C) Carvedilol  D) Timolol  Answe...
Monday, November 20, 2023

CT vs MRI in NSTI

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Q: Which radiographic imaging is preferred in necrotizing soft tissue infection (NSTI)? (select one) A) CT scan B) MRI Answer: A It should ...
Sunday, November 19, 2023

leukocyte count and glycemic emergencies

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Q:  Leukocytosis is usually proportional to the degree of ketonemia in patients with hyperglycemic emergencies. A) True B) False Answer : A ...
Saturday, November 18, 2023

History of miscarriage and heart

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Q: Female patients who have experienced spontaneous pregnancy loss have higher chances of having coronary heart disease (CHD)? A) True B) Fa...
Friday, November 17, 2023

Bedside trick - suspecting tracheal aspiration!!

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Q: 72 years old male with a recent stroke and now s/p tracheostomy is recovering in ICU, and awaiting long-term care transfer. Patient is al...
Thursday, November 16, 2023

B symptoms

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Q : Which of the following is not considered a part of B symptoms? (Except one) A) Fever B) Sweats C) Weight loss  D) Fatigue Answer : D B s...
Tuesday, November 14, 2023

Signs in acute hypocalcemia

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Q: Which sign is more specific to acute hypocalcemia? (select one) A) Chvostek's sign  B) Trousseau's sign  Answer: B Chvostek'...
Monday, November 13, 2023

PE in polycythemia

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Q : 44 years old cab driver with a history of lung disease secondary to smoking, who also works as an auto mechanic on weekends is admitted ...
Sunday, November 12, 2023

Campylobacter infections HIV patients

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Q: Initiation of a ntiretroviral therapy in HIV patients may __________ the risk of Campylobacter diarrhea/infection? (select one) A) decrea...
Saturday, November 11, 2023

Early PVE

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Q: 62 years old male with recent Aortic Valve Replacement (AVR) due to bicuspid Aortic Valve is readmitted due to endocarditis of the new va...
Friday, November 10, 2023

WCD and pacing

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Q: 68 years old male with past medical history of congestive heart failure (CHF) who was recently admitted for episodes of ventricular tachy...
Thursday, November 9, 2023

MOA of high dose steroids

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Q: Why do high doses of glucocorticoids work better in some medical emergencies than conventional doses? Answer: It is a common clinical pr...
Wednesday, November 8, 2023

resistance to NMB

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Case; 58 years old male with history of seizures is admitted to ICU with aspiration pneumonia requiring mechanical ventilation along with s...
Tuesday, November 7, 2023

Pregnancy and percutaneous kidney biopsy

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Q : Pregnancy is a contraindication to percutaneous kidney biopsy? A) True B) False Answer: B In early stages of pregnancy, percutaneous kid...
Monday, November 6, 2023

Somogyi hypothesis

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Q: Somogyi hypothesis is a dangerous phenomenon in patients with brittle blood sugar issues, and should particularly be watched in ICU?  A)...
Sunday, November 5, 2023

SIADH vs CSW in SAH

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Q: Which is more common in subarachnoid hemorrhage (SAH)? (select one) A) Syndrome of inappropriate antidiuretic hormone secretion (SIADH) ...
Saturday, November 4, 2023

Picture Diagnosis

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Q ; 32 years old female with history of brittle diabetes is admitted to ICU with lower abdominal pain and probable diagnosis of urosepsis. K...
Friday, November 3, 2023

total urine output per day from spot urine analysis

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Q : How total urine output per day can be estimated from spot urine analysis? Answer: It can easily be calculated by the following formula ...
Thursday, November 2, 2023

Reversing HD catheter port

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Q : 53 years old patient in ICU getting hemodialysis (HD). Nurse reports resistance with flow. ICU resident asked dialysis nurse to reverse ...
Wednesday, November 1, 2023

Mannitol, renal failure, Na and K

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Q: If Mannitol is given to a patient with renal failure it may cause? (select one) A) Hyponatremia and hyperkalemia B) hypernatremia and hy...
Tuesday, October 31, 2023

ICP leveling

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Q: 22 years old male is admitted to Neuro-ICU after head trauma. Intra-cranial catheter is inserted to monitor intra-cranial pressure (ICP)...
Monday, October 30, 2023

Hepatojugular reflux

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Q: Hepatojugular reflux should be performed with? (select one) A) mouth open B) mouth close Answer : A The hepatojugular reflux can be a us...
Sunday, October 29, 2023

DTS

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Q : Duke treadmill score (DTS) contains all of the following EXCEPT ? (select one) A) Exercise time  B) ST deviation  C) Angina score  D) In...
Saturday, October 28, 2023

Quantifying fluid responsiveness

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Q: 48 years old male with previous history of HIV is admitted to ICU with septic shock. The ICU fellow decided to float pulmonary artery (sw...
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