icupearls.org Archive

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

Tuesday, January 2, 2024

COVID, home pulse-ox and resp. symptoms

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Q: Which of the following is a more reliable sign in COVID-19 patients to evaluate for possible inpatient admission? (select one) A) Progre...
Saturday, December 30, 2023

Ketamine side-effects

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Q : Ketamine may cause? (select one) A) dry-mouth B) salivation  Answer: B Ketamine has become popular in ICUs for sedation and pain manage...
Friday, December 29, 2023

Phosphate level in acetaminophen-induced acute liver failure

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Case : A patient is transferred from a nearby community hospital with acetaminophen-induced acute liver failure. ALT / AST reported in thous...
Thursday, December 28, 2023

PRIS and steroids

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Q: The addition  of steroids to a patient who is on propofol infusion will  _____________ the risk of propofol infusion syndrome. (select on...
Wednesday, December 27, 2023

CXR in PTX

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Q : Which phase of respiration on CXR is better to detect pneumothorax (PTX)? (select one) A) inspiration  B) expiration  Answer:  B Inspira...
Tuesday, December 26, 2023

LP and CSF draining rate

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Q; During lumbar puncture (LP), what is the normal rate of cerebrospinal fluid (CSF) escape via needle into the collecting tube? Answer; On...
Monday, December 25, 2023

Merry Christmas

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What do you call an intensivist working on Christmas Day?   Santa-in-the-box
Sunday, December 24, 2023

Plasma and Serum

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Q: What is the difference between plasma and serum? Answer: Plasma - is the liquid portion of normal unclotted blood. Plasma consists of 90%...
Saturday, December 23, 2023

Transfusion and tetany

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Case: 54 years old male with a history of alcoholic cirrhosis was brought to the Emergency Department (ED) after a fall and found to have an...
Friday, December 22, 2023

Types of size dependent vasculitis

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Q: Behçet syndrome is a? (select one) A) Large-vessel vasculitis B) Medium-vessel vasculitis C) Small-vessel vasculitis D) Variable-vessel ...
Wednesday, December 20, 2023

Organs involvement in SSc

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Q : Which of the following organs is relatively more involved in systemic sclerosis (scleroderma / SSc)? (select one) A) Gastrointestinal   ...
Tuesday, December 19, 2023

anti-seizure drug in Torsade de pointes

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Q: Which anti-seizure drug can be used to treat Torsade de pointes if conventional therapy fails? Answer: Phenytoin  First described in 19...
Monday, December 18, 2023

LR vs Saline

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Q: Lactate Ringer's contain all of the following EXCEPT ? (select one) A) Sodium B) Chloride C) Lactate D) Potassium E) Magnesium Answe...
Sunday, December 17, 2023

Peres nomogram

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Q: What is Peres Nomogram? Answer: Peres Nomogram is a rule of thumb to ascertain  internal jugular central venous catheter's insertion...
Saturday, December 16, 2023

Green tea and ALF

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Q : 32 years old, a health-conscious female with no past medical history is brought to the emergency department (ED) by family with symptoms...
Friday, December 15, 2023

Euthyroid Sick Syndrome

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Q: In Euthyroid Sick Syndrome which of the following eventually rises? (select one) A) TSH B) Total T3 C) Total T4 D) Free T4  E) reverse T...
Thursday, December 14, 2023

CAPS

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Q: Catastrophic antiphospholipid syndrome (CAPS) by definition is characterized by severe? (select one) A) thrombotic complications B) blee...
Tuesday, December 12, 2023

ICP waveform

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Q: In intracranial pressure (ICP) waveform, P2 represents intracranial compliance? A) True B) False Answer : A ICP monitoring waveform has ...
Monday, December 11, 2023

dosing of aminoglycosides

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Q: For aminoglycoside dosing, obesity is defined as a Total Body Weight (TBW) greater than what percentage of  the Ideal Body Weight (IBW)?...
Sunday, December 10, 2023

A note on Residual Kidney Function

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Over the years, with the increasingly easy access to renal replacement therapies/modalities, the importance of residual kidney function has ...
Saturday, December 9, 2023

Gastrointestinal cation exchangers

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Q: Which of the following has relatively a quicker action in hyperkalemia to reduce the potassium level? (select one) A) Patiromer B) Sodium...
Friday, December 8, 2023

NMB for intubation in organophosphate poisoning

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Q: Which of the following neuromuscular blockade (NMB) should NOT be used for intubation in patients with suspected organophosphate (OP) p...
Thursday, December 7, 2023

SCAP score

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Q; All of the following are the part of the severe community-acquired pneumonia (SCAP) score EXCEPT ? (select one) A) Systolic blood press...
Wednesday, December 6, 2023

Subcategories of KS

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Q : What are the different subcategories of Kaposi sarcoma (KS)? Answer : Kaposi sarcoma (KS) is an angioproliferative disorder due to human...
Monday, December 4, 2023

Biliary colic

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Q: Biliary colic pain is usually? (select one) A) constant B) spasmodic Answer: A Biliary colic is a misnomer. Biliary pain is usually cons...
Sunday, December 3, 2023

CHS

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Q: In cannabis hyperemesis syndrome (CHS) which of the following seems to be most effective? (select one) A) droperidol B) ondansetron C) m...
Saturday, December 2, 2023

monophasic with biphasic defibrillation

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Q: Why biphasic cardioversion is preferred over  monophasic cardioversion? Answer: In monophasic cardioversion, the current travels only in...
Friday, December 1, 2023

Symptoms of ACE inhibitor-induced angioedema

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Q : Which of the following symptoms is notably absent in Angiotensin-converting enzyme (ACE) inhibitors-induced angioedema? (select one) A)...
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...
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