icupearls.org Archive

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

Monday, March 31, 2025

Mx of Delirium Tremens

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Q : In refractory delirium tremens(R-DT), phenobarbital should be prescribed ___________ benzodiazepine. - Select one A) With B) Without Ans...
Sunday, March 30, 2025

gland enlargement in alcoholic cirrhosis

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Q: Which of the following gland enlargement can be seen in advanced alcohol-associated cirrhosis? - select one A) Parotid gland  B) Salivary...
Saturday, March 29, 2025

Onn discovery of cryoprecipitate

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A quote from history on the discovery of cryoprecipitate Cryoprecipitate is cold-insoluble portion of plasma that precipitates when FFP has ...
Friday, March 28, 2025

CGA

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Q : What are the six domains of comprehensive geriatric assessment (CGA) in oncology patients? Answer : More than half of the new cases and ...
Thursday, March 27, 2025

Acetazolamide and Potassium

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Q : Diuresis with Acetazolamide causes? - Select one A) hyperkalemia B) hypokalemia Answer: B Acetazolamide is a carbonic anhydrase inhibito...
Wednesday, March 26, 2025

Contraindications of Bupropion

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Q: 34 years old overweight male (BMI of 32) with previous history of smoking history, alcoholism, hypertension (HTN), and depression is adm...
Tuesday, March 25, 2025

Positive urinary pregnancy test in men

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Case: A male undergoing lab tests came out positive for Beta-HCG. What could be the cause of positive Beta-HCG in a male? Discussion : A pos...
Monday, March 24, 2025

Picture Diagnosis

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Q: Patient presents with 10 years of difficulty swallowing food and water. It became worse over the last 3 months. Chest X-ray showed this. ...
Sunday, March 23, 2025

Older age HIV

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Q: What age is the cut-off age usually defined for "HIV infections in older adults"? - Select one A) ≥50 years B) ≥60 years C) ≥6...
Saturday, March 22, 2025

Spontaneous, nontraumatic gangrene

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Q:   Which system amongst the following is more prone to origniate spontaneous (nontraumatic) gas gangrene?  - Select one A) Muscles B) Geni...
Friday, March 21, 2025

Torsades de pointes and polymorphic VT

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Q: What is the difference between Torsades de Pointes and polymorphic Ventricular Tachycardia (VT)? Answer:  Torsades de Pointes, meaning ...
Thursday, March 20, 2025

Harmless Score

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Q: The Harmless score applies to ? - Select one A) Acute Aphasia (stroke) B) Acute Breathing problem C) Acute Cardiac event D) Acute Pancrea...
Wednesday, March 19, 2025

ADEs

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Q: Adverse Drug Events (ADEs) are more common in? - Select one A) Outpatient B) Emergency Room(ER) C) Inpatient Ward D) ICU  Answer: D Stu...
Tuesday, March 18, 2025

Dental trauma during intubation

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Q: 52 years old male has an accidental tooth avulsion during intubation in a small rural town where no emergency dental help is available o...
Monday, March 17, 2025

B symptoms

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Q:  Which of the following is not considered a "B" symptom in lymphoma?  - Select one A) Fever B) Night sweats  C) Weight loss D) ...
Sunday, March 16, 2025

melanoptysis

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Q; What is Melanoptysis? Answer : Black pigmented  airway secretions This question aims to guide students to use proper medical terms when ...
Saturday, March 15, 2025

FTDs

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Q:  Which symptom is most common in frontotemporal dementias (FTDs)?  - Select one A) Visual disturbances B) Aphasia C) Metallic taste D) Co...
Friday, March 14, 2025

nsNSAIDs, other drugs and GI bleed

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Q : 58 years old male with previous history of osteoarthritis, and chronic depression is admitted to ICU with gastrointestinal bleed (GIB). ...
Thursday, March 13, 2025

Citrate for CRRT

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Q: What's the rationale behind using citrate (when heparin is not used) to avoid filter clotting in continuous renal replacement therapy...
Wednesday, March 12, 2025

Antipsychotic med and side effects

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Q:  24 years old male recently started on an antipsychotic medicine presented to ER with choking sensation and difficulty breathing, requiri...
Tuesday, March 11, 2025

HES

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Q: Cannabinoids are? - Select one A) Hydrophilic B) Lipophilic Answer: B Cannabinoids accumulate in adipose tissues, including central and ...
Monday, March 10, 2025

Clonidine and Eye

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Q : Clonidine causes? - Select one A) Miosis B) Mydriasis Answer: A Clonidine is an alpha-2 adrenergic agonist. It was invented decades ago...
Sunday, March 9, 2025

Amiodarone and Eye

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Q : If corneal microdeposits are noted in patients on Amiodarone therapy, it should be considered serious, and Amiodarone should be stopped ...
Saturday, March 8, 2025

Frog sign

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Q: What is Frog sign? Answer:  In Paroxysmal Supra-Ventricular Tachycardia (PSVT) ,  a rapid and regular bulging is seen in the neck.  Thes...
Friday, March 7, 2025

Tuberculous pleuritis and HIV

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Q:  In HIV patient with tuberculous pleural effusion, CD4 count can remarkably affect the pleural fluid cell count and composition. A) True ...
Thursday, March 6, 2025

ISCLS

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Q : Name at least three laboratory findings that may help diagnose Idiopathic Systemic Cappilary Leak Syndrome (ISCLS)? Answer:  Although IC...
Wednesday, March 5, 2025

False + and - PET Scans

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Q: Give at least three rationales for false-negative and false-positive positron emission tomography (PET) scans. Answer:  PET scans have be...
Tuesday, March 4, 2025

CROP and CORE

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Q : The CROP and CORE indices are measures of weaning from which mechanical device? - Select one A) Extracorporeal Membrane Oxygenation (ECM...
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