icupearls.org Archive

Q: Flumazenil can be an effective antidote for which other drugs besides benzodiazepines? Answer: Flumazenil is traditionally used as an an...

Q : By default, stool osmolality is equal to plasma osmolality. A) True B) False Answer: A Normal fecal fluid's osmolality is about equa...

Q : All of the following are potential effects of bicarbonate therapy in lactic acidosis EXCEPT? - select one A) increase partial pressure o...

Q: Give some unconventional uses of Haloperidol? Answer : Although Haldol has slowly lost its charm in the ICU over the years due to the av...

Q:  32 years old female with a known history of Multiple Sclerosis (MS) presented with complaints of an electric shock radiating down as she...

Q : Why is Infectious mononucleosis (IM) called Infectious mononucleosis (IM) ? Answer:  This question aims to teach the habit of understand...

Q: What is the difference between Ganciclovir and Valganciclovir? Answer:   Ganciclovir and Valganciclovir are the mainstay of cytomegalovir...

Q:  21 years old female with Anorexia Nervosa is admitted to the ICU with severe electrolyte imbalance.  The patient has been prescribed ...

Q : 53 years old female presented with progressively worsening choking sensation over months. On exam, noticed to have stridor. CT chest and...

Q: 44 years old female with underlying pulmonary hypertension (pHTN), recently discharged from the hospital, presented back to the ED with v...

Q:  What is the mainstay of treatment for yellow fever? - select one A) IgG monoclonal antibody B) Ribavirin  C) Sofosbuvir  D) Plasma excha...

Q:  Which electrolyte disturbance is more common in patients with Guillain-Barré syndrome (GBS) who develop dysautonomia? A) Hypernatremia B...

Q : One dose of intravenous (IV) Vitamin K antagonizes the effects of warfarin for how many days? Answer:  About one week A high dose of Vit...

Q : What is the advantage of adding Sildenafil with inhaled NO (iNO) in the treatment of pulmonary hypertension? Answer: Sildenafil not only...

Q: What is Balint syndrome? Answer: Balint syndrome, initially described as psychic paralysis of visual fixation (a misnomer) 70 years ago,...

Q:  59 years female with schizophrenia presented to ED with Shortness of Breath (SOB).  Wife reports that recently patient was having a bout...

Q:  44 years old male is admitted to the ICU with severe acute pancreatitis after a bout of binge drinking at a Saturday night party.  Patie...

Q: Cefiderocol belongs to which generation of cephalosporins? - select one A) First generation  B) Second generation  C) Third generation D...

Q: What's the basis of Rouleaux formation in diseases with increased levels of plasma proteins? Answer: When red blood cells (RBCs) stac...

Q : 56 years old male is admitted to the ICU with an intentional overdose of Metformin.  Patient is in severe refractory shock, lactic acid...

Q: In an isovolemic healthy person, acute reduction in the hemoglobin (Hb) concentration induces all of the following compensatory changes ...

Case:  58 years old male is admitted to the ICU with Atrial fibrillation with RVR (rapid ventricular rate).  The patient did well with rate ...

Q:  ALDEN is an algorithm to determine the causality of which disease? Answer: Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN)...

Q:  In end-stage renal Disease (ESRD) patients, Glycated hemoglobin (A1C) is a better reflection of blood glucose control than daily or cont...

Q : Why we multiply Na by 2 in the formula in calculated Plasma osmolalilty whose formula is 2  x  Plasma Na (mEq/L) + [Glucose]/18 + Blood ...

Q : Leukocytosis in Diabetic ketoacidosis (DKA) is proportional to the degree of ketonemia. A) True B) False Answer : A (True) DKA is classi...

Q: 26 years old pregnant female is admitted to ICU with hypertensive crises and Bell's palsy. In which trimester is the risk of Bell...

Q: Beside infection give at least five causes of acidotic pleural fluid acidosis with or without low glucose? Answer : Complicated parapneu...

Q: In which subset of patients should the radial artery graft be used cautiously in cardiac arterial bypass surgery (CABG)? Answer: Renal ...

Q : Which type of renal failure is treated/managed by ACE inhibitors? Answer : Scleroderma Renal Crisis! Scleroderma Renal Crisis is one of ...

Case: 36 years old woman is admitted to the ICU for severe depression and suicidal ideation since she had three consecutive losses of pregn...