icupearls.org Archive

Q: What is the mechanism behind using Adenosine for chemical stress test? Answer: Adenosine causes vasodilation in the small and medium-siz...

Q: 19 years old college student presented to the Emergency Room with acute scrotal pain. The surgical ICU team has been called. Testicular ...

Q: Dry purpura is more pathognomonic than wet purpura. A) True B) False Answer : B Purpura is defined as coalesced petechiae, which are smal...

Q: 43 years old patient is started in ICU on Quetiapine for possible delirium. The patient is noted to have progressive prolongation of QTc ...

Q: Anti-anginal effects of nitrates are primarily due to? (select one) A) coronary vasodilatation B) systemic vasodilation  Answer: B Nitrat...

Q; Size of an Endotracheal Tube (ETT) represents? (choose one) A) Internal diameter of ETT B) External diameter of ETT Answer: B The “size” ...

Q : 48 years old male with known metastatic lung cancer is admitted to ICU with severe hypercalcemia of 16.3 mg/dL. The patient appears to b...

Q: 46 years old patient with a history of successful kidney transplant about 6 years ago is admitted to ICU with chest pain and EKG changes...

Q : 74 years old male is converted to hospice care after transfer to ICU due to distant metastases from pancreatic cancer. The patient reque...

Q: What is Singers' emboli? Answer: Helium gas emboli in singers An interesting cause of "Helium emboli" (popularly known as ...

Q: 34 years old female is scheduled to go for a brain MRI in ICU. She never had an MRI before but has heard of claustrophobic feelings in MR...

Q: Severe alcohol withdrawal is usually associated with? (select one) A) Hypomagnesemia  B) Hypermagnesemia  Answer: A The three most comm...

Q: Laboratory evidence of cholestasis ____________ imaging with biliary dilation or evidence of the underlying etiology is required to make...

Q : 58 years old Italian male is admitted to ICU from the ER due to symptoms of visual hallucinations, aggression, ataxia, myoclonus, and dy...

Q:  36-week pregnant patient presented with Right Upper Quadrant (RUQ) pain, elevated liver enzymes, severe hypertension (HTN), and thromboc...

Q : In Salicylate toxicity what is the target of Urine PH? Answer: 8 Renal elimination of salicylate can be achieved by alkaline diuresis t...

Q: A 32-year-old female is prescribed intravenous (IV) iron by the hematology service in the ICU. The patient has a mild history of childho...

Q: Right-sided (cecal) diverticulitis is more common in younger patients? A) True B) False Answer : A Right-sided diverticulitis is relativ...

Q: Liberal use of intravenous fluid during surgery is directly proportional to the postoperative ileus time. A) True B) False Answer : A Li...

Q: Which patient population usually presents with the classic triad of acute bacterial meningitis? (select one) A) Older  B) Younger Answer...

Q : If an 'epi' injection is not available during endoscopy, ethanol or a simple saline solution can be used for bleeding peptic ulc...

  Answer: Emphysematous Cholecystitis Emphysematous cholecystitis is an acute infection of the gallbladder wall caused by gas-forming orga...

Q: Correct calcium level is usually calculated by albumin level. What percentage of calcium is usually bound to albumin? (select one) A) 15-...

Q: Normal stool water osmolality is approximately equal to serum osmolality. A) Yes B) No Answer : A It is of clinical importance to unders...

Q: Erythropoietin may have a ______________ effect on acute optic neuritis. (select one) A) beneficial B) deleterious Answer: A Although co...

Q: 52 years old patient with active colon cancer and atrial fibrillation is admitted from ER to ICU with INR of 9 but no visible clinical b...

Q : Serial Fecal Microbiota Transplant (FMT) for treatment of Clostridioides difficile infection is more effective than a single administrat...

Q: Effects of giardiasis may last for 10 years despite effective treatment. A) True B) false Answer: A Not fully explained but the follow u...

Q : In which type of toxicity do patients develop "Alice in Wonderland-like" syndrome? Answer : Anticholinergic intoxication  Anti...

Q: Which of the following is NOT   a part of the diagnostic criteria for eosinophilic granulomatosis with polyangiitis (EGPA) (Churg-Straus...

Case: A 62-year-old male with a past medical history of diabetes mellitus, hyperlipidemia, atrial fibrillation, hypertension, and mild rena...

Q : What is the clinical significance of Pulmonary Artery Diastolic-Pulmonary Wedge Pressure Gradient (PADP - PAOP)? Answer: Once the PADP -...