icupearls.org Archive

Q:  A 67-year-old male with renal insufficiency with a baseline Glomerular Filtration Rate (GFR) of 34 is admitted to the ICU with COVID-19 ...

Q:  In a typical attack of multiple sclerosis (MS), visual loss is usually associated with?  select one A) pain B) no pain Answer: A The ty...

Q: Ventilator-associated pneumonia (VAP) also includes patients who develop nosocomial pneumonia (HAP) within 48 hours of extubation. A) Tru...

Q:  78 years old male is admitted to the ICU with acute psychosis kind of symptoms.  The patient has been previously diagnosed with dementia...

Q:  Why is a short course of azithromycin considered relatively sufficient in comparison to other macrolides? Answer:  For most infections, ...

A note on pulse methylprednisolone and arrhythmias Glucocorticoids, particularly high doses, tend to cause arrhythmias like atrial flutter a...

Q: What are the four classes of acutely incarcerated/strangulated groin hernia? Answer: Acutely incarcerated or strangulated groin hernia a...

Q : Which of the pleural findings on imaging is usually more of a sign of concern for cancer? A) Nodularity B) Plaque Answer: A Any of the ...

Q : Platelets are routinely stored at? - select one A) cold temperature B) room temperature  Answer: B Platelets are best stored at room tem...

Q: One of the reasons for the effectiveness of thiazide diuretics is via weight loss in arginine vasopressin resistance (AVP-R), also known ...

Q: The high severity of neurologic deficit in stroke should be considered for intravenous thrombolysis (IVT) due to the high risk of intrac...

Q : Lactic Acidosis (LA) due to thiamine deficiency may not respond to intravenous sodium bicarbonate. A) True B) False Answer : A One of th...

Q: The severity of the hypothermia is related to mortality in Myxedema coma. A) True B) False Answer: A The seven cardinal signs, though n...

Q: Which of the glucocorticoids is least likely to induce psychosis? - select one A) Methylprednisolone B) Dexamethasone C) Betamethasone D)...

Q: All of the following conditions EXCEPT ONE may bar patients from diagnosis of Sjögren's syndrome (SS) and participation in SS studi...

Q: While evaluating pneumothorax (PTX) on Chest-X-Ray (CXR), a distance of ≥3 cm between the pleural line and the chest wall at the level o...

Case:  44 years old female is admitted to the ICU with severe, sudden headache in the occipital region, associated with nausea and photosens...

Q : Which of the following parasites is so far known to cause positive antiphospholipid antibodies (aPL)? A) Toxoplasma  B) Malaria C) Amoeb...

Q : A normal synovial fluid viscosity when expelled from the syringe to drop into a suitable receptacle will produce ______________ as it fa...

Case : While performing a 'code blue' on a patient, an arterial line can not be obtained. What would be the best way to determine th...

Q : If there is a high chance that a patient with hepatorenal syndrome-acute kidney injury (HRS-AKI) will get a liver transplant, vasoconstr...

Q:  Which of the vitamins may enhance the absorption of iron?  - select one A) Vitamin A B) Vitamin B C) Vitamin C  D) Vitamin D E) Vitamin ...

Q: Nicardipine is a Calcium Channel Blocker (CCB), but how is it distinct from other CCBs? Answer: Nicardipine (Cardene) is a Calcium Chann...

Q: 53 years old male with ESRD (End Stage Renal Disease) is in the ICU. The nurse requested a PRN medicine for BP control. Intravenous (IV)...

Q : Patients with active malignancy should not receive Cell Saver (CS) blood during surgery, as it may increase the chances of metastasis. A...

Q : 34 years old female with a known history of hypothyroidism is admitted to the ICU with hypotension, hyponatremia, hypoglycemia, bradycar...

Q : The advantage of giving epoetin intravenously (IV) is to have lower dosing. A) True B) False Answer: B The Subcutaneous (SQ) route is b...

Q: In kidney failure patients who get treated for hyperkalemia with insulin and glucose, which effect is relatively more resistant? - selec...

Q : What is the definition of Purulent pericarditis? Answer: Purulent pericarditis is defined as a localized infection of the pericardial s...

Case:  53 years old patient was intubated in the ICU without any complications.  CXR showed an ETT in the right mainstem. Provider pulled th...