icupearls.org Archive

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

Sunday, August 31, 2025

Chloride level in sepsis

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Q: Which of the following is a prognostic marker of an increase in all-cause hospital mortality in sepsis? - Select one A) Hyperchloremia  ...
Saturday, August 30, 2025

multidrug-resistant tuberculosis and QTc prolongation

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Q : In the treatment of Multi-Drug resistant Tuberculosis (MDR-TB) ,  which drug requires close monitoring for QTc prolongation?  Select one...
Friday, August 29, 2025

Post MI Q waves

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Q : Regression of Q waves after acute myocardial infarction (MI) is a good sign. A) True B) False Answer : A Pathologic Q waves after MI may...
Thursday, August 28, 2025

Mimickers of AML

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Q:  Deficiency of all of the following may mimic Acute Myeloid Leukemia (AML) EXCEPT? - select one A)     vitamin B) folate C) copper  ...
Wednesday, August 27, 2025

INH induced seizure

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Q:  28 years male has recently started on Isoniazide (INH) after he tested positive for PPD during a routine employment exam.  He is now adm...
Tuesday, August 26, 2025

Case: Hemoptysis in a young female

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Q: 26 years old female presented with hemoptysis. Patient has a previous history of right-sided pneumo-pleural fistula a year ago, which wa...
Monday, August 25, 2025

On Hemorrhagic Pericardial & Pleural Effusion

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Q:  Why does blood in pleural and pericardial fluids not clot? Answer:   Hemorrhage within the pleural and pericardial space generally does ...
Sunday, August 24, 2025

Ineffective Rx in SS

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Q : All of the following should be avoided in Serotonin syndrome (SS) EXCEPT ? A) Propranolol B) Bromocriptine C) Dantrolene D) Lorazepam A...
Friday, August 22, 2025

BPaL and BPaLM

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Q : In multidrug-resistant tuberculosis (MDR)-TB, what do BPaL and BPaLM regimens mean? Answer: Acronym of drug combination BPaL bedaquiline...
Wednesday, August 20, 2025

Serum procalcitonin in small bowel obstruction

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Q: Procalcitonin is helpful in small bowel obstruction (SBO) to determine conservative vs. surgical approach. A) True B) False Answer : A T...
Tuesday, August 19, 2025

Adjuvant electrolyte treatment with thiamine administration

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Q:  Which adjuvant electrolyte treatment is recommended with thiamine administration in Wernick's Encephalopathy (WE)? Answer: Magnesium...
Monday, August 18, 2025

hypoxia and pulmonary vessels

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Q: Hypoxia causes pulmonary? - select one A) vasoconstriction B) vasodilatation Answer : A The proper term is hypoxic pulmonary vasoconstri...
Sunday, August 17, 2025

Diagnosis of Hypertensive Encephelopathy

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Q: Hypertensive encephalopathy, by definition, is a diagnosis of exclusion. A) True B) False Answer: A Hypertensive encephalopathy occurs du...
Saturday, August 16, 2025

Bell Clapper and Blue Dot Signs

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Case  17 years old male presented with acute pain in the Right testicular area, progressively worsening over the last 4 hours.  On exam, ...
Friday, August 15, 2025

Vaso in cocaine overdose

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Q: Why is vasopressin preferable over epinephrine in cardio-pulmonary arrest due to cocaine overdose? Answer:  Epinephrine, like cocaine, ha...
Thursday, August 14, 2025

VIR and opioids

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Q : Vancomycin Infusion Reaction (VIR) (Red Man Syndrome) can be attenuated by simultaneous administration of morphine. A) True B) False Ans...
Wednesday, August 13, 2025

IV Digoxin

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Q: You wrote an order for intravenous (IV) Digoxin 0.25 mg. What is missing in this order?   Answer; Rate  IV Digoxin should be given over a...
Tuesday, August 12, 2025

Cryoprecipitate

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Q: Why do we call it cryoprecipitate? Answer:   The name explains everything. Cryoprecipitate means "cold precipitate". When FFP ...
Monday, August 11, 2025

Smoke on TEE

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Q: What does the finding of spontaneous echocardiographic contrast (SEC) or "smoke" signify on transesophageal echocardiogram (TEE...
Sunday, August 10, 2025

Acid-Base in hepatic encephalopathy

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Q; 52 years old male with Grade 0 hepatic encephalopathy is intubated due to pneumonia. Is it good or bad to keep PH on the alkalotic side? ...
Saturday, August 9, 2025

Glucagon in bradycardia

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Q: Intravenous (IV) glucagon should be administered in suspected cases of?- select one A) beta blocker (BB) overdose B) calcium channel blo...
Friday, August 8, 2025

Milrinone MOA

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Q: Milrinone is a(n)? - Select one A) arteriolar dilator B) Venodilator  Answer: B Milrinone has a minimal venodilation effect. In fact, it...
Wednesday, August 6, 2025

GCS and severity of TBI

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Q: The severity of Traumatic Brain Injury (TBI) is defined by a Glasgow Coma Scale (GCS) score less than ___________.  Answer; 9 Strictly b...
Tuesday, August 5, 2025

ICP lowering agents and rebound phenomenon

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Q: Which of the following can have the highest "rebound effect" during the management of high Intracranial Pressure(ICP)? - select...
Monday, August 4, 2025

Systemic Complications Following SAH

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Q: All of the following are likely to be the complications of SubArachnoid Hemmorhage (SAH) EXCEPT? A) Rebleeding B) Vasospasm  C) Increased...

CT scan in CVT

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Q; 32 years old recently postpartum patient presented with severe headache. Neuroradiologist called with concern for cerebral venous thromb...
Sunday, August 3, 2025

radioactive iodine uptake and thyrotoxicosis factitia

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Q; 32 years old female with previous history of Anorexia Nervosa presents with signs and symptoms of thyrotoxicosis. 'Thyrotoxicosis fac...
Saturday, August 2, 2025

Metformin and AAA

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Q: Metformin has a protective effect on Abdominal Aortic Aneurysm (AAA). A) True B) False Answer : A Overall, diabetes mellitus has been ne...
Friday, August 1, 2025

Diagnosis of EVALI

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Q : All of the following are used to confirm or to designate probable diagnosis of E-cigarette or vaping product use-associated lung injury ...
Wednesday, July 30, 2025

Dig and EKG

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Q: 57 years old male is admitted to ICU with syncope. Further workup led to the diagnosis of Digitalis overdose. PR interval on EKG is expe...
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