icupearls.org Archive

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

Monday, April 1, 2024

Paradoxical undressing

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Q : What is "paradoxical undressing"? Answer : It is a relatively unknown phenomenon, but 20-50% of hypothermia deaths are associ...
Sunday, March 31, 2024

AERD

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Q : Patients with Aspirin-Exacerbated Respiratory Distress (AERD) are usually sicker than patients with aspirin-tolerant asthma? A) True B) ...
Saturday, March 30, 2024

Characteristics of anemia in hypothyroid patients

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Q : Hypothyroidism tends to cause? (select one) A) Macrocytic anemia B) Microcytic anemia Answer: A In hypothyroidism, macrocytic anemia occ...
Friday, March 29, 2024

Nitrogen Narcosis

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Q; What is Nitrogen narcosis ? Answer: Nitrogen Narcosis affects scuba divers and is also called 'rapture of the deep.' As we all k...
Thursday, March 28, 2024

Vasopressin in cocaine toxicity

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Q : Why vasopressin is preferred over epinephrine in cardio-pulmonary arrest due to cocaine overdose? Answer : Epinephrine, like cocaine, ha...
Wednesday, March 27, 2024

pulmonary nocardial infection via hematogenous dissemination

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Q : The most common site from pulmonary nocardial infection via hematogenous dissemination is? (select one) A) brain B) heart C) liver D) ki...
Tuesday, March 26, 2024

VCP

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Q: In vocal cord paralysis (VCP), the wheezing is usually? (select one) A) expiratory B) inspiratory Answer : B Intubation is one of the mo...
Monday, March 25, 2024

Zone 4 for retroperitoneal region

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Q : The retroperitoneum is usually divided into three zones from a surgical perspective. What does zone 4 mean when it is mentioned? Answer:...
Saturday, March 23, 2024

Exchange transfusion and life-threatening malaria.

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Q : Exchange transfusion is an effective treatment for life-threatening malaria. A) Yes B) No Answer : B Although theoretically, it makes se...

Static and Dynamic hemodynamic monitoring

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Q: Central Venous Pressure (CVP) is considered as a _________ hemodynamic  monitoring? (Fill in the blank - select one) A) Static  B) Dynam...
Friday, March 22, 2024

Properties of Librium

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Q : Chlordiazepoxide (Librium) is a commonly used drug in ICU. Describe its four essential properties? Answer: Chlordiazepoxide is unique in...
Thursday, March 21, 2024

Oxygenation Index

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Q: What is the Oxygenation Index? Answer:  The Oxygenation Index (OI) is defined as the reciprocal of PF times MAP (Mean Airway Pressure) OI...
Wednesday, March 20, 2024

A cardiology case in a young patient

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Case: 24 years old male with no past medical history presented to ER with SVT (Supraventricular Tachycardia). His heart rate is 210. Patien...
Tuesday, March 19, 2024

Haldol in burn

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Q: Why should Haloperidol be used with caution in burn patients? Answer: Neuropsychiatric complications are commonly seen in major burn pa...
Monday, March 18, 2024

SMI and CVD

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Q: Individuals having schizophrenia are twice as likely to die from Cardio Vascular Disease (CVD). A) True B) False Answer: A Patients wit...
Sunday, March 17, 2024

Rhupus

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Q: Which patients usually get labeled as Rhupus? Answer:  Patients often have combined or overlapping features of Systemic Lupus Erythemato...
Saturday, March 16, 2024

ECG in acute pericarditis

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Q: ST elevation on EKG in acute pericarditis is usually? (select one) A) concave-up B) convex-up Answer : A Although not a confirmed science...
Monday, March 11, 2024

Sialorrhea

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Q : 66 years old male with metastatic lung cancer has been made comfort care in ICU. Patient is struggling with severe Sialorrhea (excess sa...
Sunday, March 10, 2024

Anti-hypertensive Scleroderma Renal Crisis (SRC)

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Q : Which of the following anti-hypertensive is relatively contraindicated in Scleroderma Renal Crisis (SRC)? (select one) A) Labetalol  B) ...

Fournier's Gangrene

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Q: Which gender is more to get Fournier gangrene? (select one)  A) Males  B) Females   Answer: A  Necrotizing fasciitis of the perineum is ...
Saturday, March 9, 2024

Characteristic finding of CSF In GBS

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Q: What is the characteristic finding in CSF in Guillain–BarrĂ© syndrome (GBS)? Answer: Albumino-cytological dissociation In Guillain–BarrĂ© ...
Friday, March 8, 2024

Erythrocytosis and smoking.

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Q: Erythrocytosis resolves with the cessation of smoking. A) Yes B) No Answer: A It is a well-known fact erythrocytosis and consequently, p...
Thursday, March 7, 2024

Adjunct Rx of behavioral effects due to levetiracetam

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Q: Which adjuvant treatment may take care of some of the central effects of Levetiracetam? Answer: Vitamin B6 (Pyridoxin) Levetiracetam (Ke...
Wednesday, March 6, 2024

Benzodiazepines as antiemetics

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Q: Benzodiazepines are relatively strong antiemetic agents and are less utilized for this purpose. A) True B) False Answer: B The benzodiaz...
Tuesday, March 5, 2024

Cachexia and sarcopenia

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Q : What is the difference between sarcopenia and cachexia? Answer: Cachexia is generally defined as weight loss due to loss of muscle mass....
Monday, March 4, 2024

Factors predictive of corticosteroid psychosis in patients with SLE

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Q: 34 years old female with a history of lupus and on home steroids is admitted to ICU with severe psychosis. Which of the following is a r...
Sunday, March 3, 2024

Boas' sign

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Q: What is Boas' sign? Answer: Boas's sign is hyperaesthesia below the right scapula in acute cholecystitis. It has also been descr...
Saturday, March 2, 2024

CRD

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Q: As per consensus-based guidelines from an academic panel (2004), 'death' is considered a grade in the management of chemotherapy-...
Friday, March 1, 2024

Asplenia and neutrophils

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Q: Asplenia tends to cause? (select one) A) neutrophilia B) neutropenia Answer : A Asplenia may occur due to various reasons including sple...
Thursday, February 29, 2024

Adenosine Stress Test

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Q: What is the mechanism behind using Adenosine for chemical stress test? Answer: Adenosine causes vasodilation in the small and medium-siz...
Wednesday, February 28, 2024

Adult testicular torsion

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Q: 19 years old college student presented to the Emergency Room with acute scrotal pain. The surgical ICU team has been called. Testicular ...
Monday, February 26, 2024

Dry purpura and wet purpura.

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