icupearls.org Archive

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

Monday, March 3, 2025

A spiderweb clot in the CSF

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Q: 42 years old male with no known previous history is brought to the ER with complaints of change in mental status, fever, and nuchal rigi...
Sunday, March 2, 2025

Initial corticosteroid dose for acute asthma

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Q:  A 42-year-old patient with previous history of asthma exacerbations is readmitted to ICU and is on ventilator now.  A massive initial do...
Saturday, March 1, 2025

Volume status, VAE and CVC

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Q : Which of the following tends to increase the risk of Venous Air Embolism (VAE) during central venous catheter (CVC) insertion? - Select ...
Friday, February 28, 2025

BB and PTSD

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Q: Which of the following Beta Blockers (BB) has some indications as an adjuvant in Post-traumatic Stress Disorder (PTSD)? - Select one  A)...
Thursday, February 27, 2025

fluoroquinolone and TB connection

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Q : What is the caveat of using fluoroquinolones in areas endemic to Mycobacterium tuberculosis (TB)? Answer: Widespread prophylactic and em...
Monday, February 24, 2025

Steroids and Neurocysticercosis

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Q:  Why steroids remain the mainstays in the treatment against Neurocysticercosis? Answer:  Albendazole and Praziquantel are both effective ...
Sunday, February 23, 2025

SIS

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Q: What is the Six-Item Screener (SIS) test? Answer:  It is a quick check of cognitive function The SIS consists of two components three me...
Saturday, February 22, 2025

Case: A patient with a lung cavity

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Scenario: 47 years old male with a history of alcohol abuse is admitted to the ICU with a week-long fever, cough, hypoxia, and dehydration....
Friday, February 21, 2025

A disease process which presents very much like TB

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Q : Which of the following disease processes presents very much like tսbеrϲսloѕiѕ in its subacute or chronic form? A) Legionnaire's dise...
Thursday, February 20, 2025

hMPV

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Q : Which symptoms amongst the following is almost always present in 100 percent of the cases with human metapneumovirus (hMΡV) in adults? -...
Wednesday, February 19, 2025

PLS

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Q: What is passenger leukocyte syndrome (PLS)? Answer: It's a kind of post-transplant hemolytic anemia PLS is a type of hemolytic anem...
Tuesday, February 18, 2025

ETOH abuse and suicide

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Q ; Alcoholic patients who commit suicide are usually lost in the healthcare system due to noncompliance and not seeking care. A) True B) Fa...
Monday, February 17, 2025

DOACs and TT

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Q: 58 years old male with previous history of atrial fibrillation and alcohol abuse presented with gastrointestinal bleed. Patient is using ...
Sunday, February 16, 2025

apical ballooning syndrome

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Q:   In which country was Takotsubo cardiomyopathy first described? - select one A) America B) Britain C) Canada D) Denmark E) Japan Answer:...
Friday, February 14, 2025

Major associations between septicemia from V. vulnificus

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Q:  48 years old male, considered a 'party animal' by his friends, is brought to a New York City Emergency Department with septicemi...
Thursday, February 13, 2025

Knee exam

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Q : A knee is usually cooler than the surrounding tissues. A) True B) False Answer: A Knee is a relatively avascular structure with "w...
Wednesday, February 12, 2025

Tacrolimus and PTDM

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Q: Tacrolimus has a protective effect against post-transplantation diabetes mellitus (PTDM). A) True B) False Answer : B Tacrolimus and cycl...
Tuesday, February 11, 2025

CK half life

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Q : 44 years old laborer is admitted to ICU with crushing injuries and developing rhabdomyolysis. Proper medical management is initiated. Se...
Monday, February 10, 2025

Taxanes and RT

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Q:  Chemotherapy with Τахanеs (Taxol) is considered protective against radiation therapy (RT) induced рոеսmоnitis? A) True B) False Answer: ...
Sunday, February 9, 2025

Pericarditis in pregnancy

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Q: 24 years old female at 29 weeks of gestation presented with acute chest pain. She was diagnosed with acute idiopathic pericarditis. Which...
Saturday, February 8, 2025

OARS

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Q : What does the acronym OARS stand for in motivational interviewing? Answer: Motivational interviewing is a ϲοսոѕеling style that guides a...
Friday, February 7, 2025

On Chagas Disease

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Q : Chagas disease can be congenital. A) True B) False Answer: A Although the risk is only 10 percent, infected mothers can pass protozoan p...
Thursday, February 6, 2025

wedged blood PO2

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Q : What is "wedged blood PO2," and what is it's clinical implication? Answer:   "Wedged blood PO2" is the level of ...
Wednesday, February 5, 2025

Effect of posture on the diuretic treatment of decompensated cirrhosis and heart failure

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Q: Standing upright increases the responsiveness of diuretics. A) True B) False Answer: B On the contrary, the supine position increases d...
Tuesday, February 4, 2025

D-5 as IVF resuscitation?

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Q:  68 years old female patient is admitted to ICU with urosepsis. The pharmacy has informed a shortage of Lactated Ringer's (LR) soluti...
Monday, February 3, 2025

sodium-glucose cotransporter 2 inhibitor & blood count

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Q ; SGLT2 (sodium-glucose cotransporter-2) inhibitors are getting immensely popular for diabetes management. They tend to cause? - select on...
Sunday, February 2, 2025

Hypermagnesemic pseudocoma

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Case; 58 years old male with End Stage Renal Disease (ESRD) on scheduled hemodialysis is brought from home with somnolence. Neuro exam is c...
Saturday, February 1, 2025

Lone AF

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Q: Young Patients with no structural heart disease, no cardiovascular risk factors, and a CHA2DS2-VASc score of "0" should be lab...
Friday, January 31, 2025

Jendrassik maneuver

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Q: What is Jendrassik maneuver in neurological exam? Answer : Maneuver to enhance the neurological reflexes. During a complete neurological ...
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