icupearls.org Archive

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

Saturday, February 28, 2026

SUP in head trauma

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Q: Why are patients with head trauma at increased risk for Gastrointestinal bleed (GIB) and require stress ulcer prophylaxis (SUP)? Answer: ...
Friday, February 27, 2026

Defining Neutropenia

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Q : Neutropenia is defined as an absolute neutrophil count (ANC) of less than? -select one A) 500/microL B) 1500/microL Answer: B Neutropen...
Thursday, February 26, 2026

ICS and voice

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Q : Inhaled glucocorticoids (ICS) may cause dysphonia. A) True B) False Answer: A Unfortunately, dysphonia manifested as a hoarse voice is ...
Wednesday, February 25, 2026

Asthma and ACE-I

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Q : Asthma patients are more prone to get cough from Angiotensin Converting Enzyme inhibitor (ACE-I). A) True B) False Answer: B Patients w...
Tuesday, February 24, 2026

Indium Scan vs Gallium scan

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Q:   What is the difference between an Indium Scan and a Gallium scan? Answer: The indium scan is a procedure in which WBCs (neutrophils)...
Sunday, February 22, 2026

End-Tidal CO2

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Q:  Why its called "End-Tidal" CO2? Answer : It's the point in the respiratory cycle where CO2 is at the highest level (End of...
Saturday, February 21, 2026

Bronchial Sleeve Resection

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Q: What is sleeve resection of the lung? Answer : A sleeve resection is a kind of maximum lung/tissue-sparing surgery, or an alternative to ...
Friday, February 20, 2026

Ventilator mode and sleep in ICU

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Q; Which of the ventilator modes has so far shown that it causes more sleep disturbances in the ICU patients? - select one A) Assist Contro...
Thursday, February 19, 2026

Paradoxical Effect of Acetazolamide in the Kidneys and Lungs

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Acetazolamide is a carbonic anhydrase inhibitor and is frequently used to treat hypercarbia and metabolic alkalosis. Acetazolamide affects t...
Tuesday, February 17, 2026

Wrist BP

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Q: Blood Pressure (BP) taken at the wrist level is usually? - select one A) falsely elevated B) falsely lowered Answer: A Measuring non-inva...
Monday, February 16, 2026

chloride in adrenal insufficiency

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Q : Patients with adrenal insufficiency tend to have? - select one A) Hyperchloremia B) Hypochloremia Answer : A Adrenal insufficiency, as d...
Sunday, February 15, 2026

Nimodipine prophylaxis in aneurysmal subarachnoid hemorrhage

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Q:  Why, despite no convincing angiographic evidence of nimodipine's effect on Subarachnoid Hemorrhage (SAH), does it continue to be the...
Friday, February 13, 2026

Fenoldopam

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Q : A 64-year-old male with a past medical history of hypertension, diabetes mellitus, hyperlipidemia, and stage-3 renal insufficiency is ad...
Thursday, February 12, 2026

Removal of stylet during intubation

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Q : What's the best time to remove the stylet from the Endotracheal Tube (ETT) while intubating the patient?  - select one A) Once the t...
Tuesday, February 10, 2026

On FFP

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Q: One unit of Fresh Frozen Plasma (FFP) is the plasma taken from a unit of whole blood. How quickly should it be frozen after collection? A...
Monday, February 9, 2026

Cannabis and Asthma

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Q: Cannabis (Marijuana) makes asthma? - select one A) better B) exacerbate Answer: B The objective of this question is to highlight the fa...
Sunday, February 8, 2026

Tricks for intractable hiccups

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  Q: Which 2 relatively non-pharmacologic tricks can work in intractable hiccups in the ICU ? Answer: 1. Give 2 ml Nebulised ...
Saturday, February 7, 2026

C/I of Magnesium in Eclampsia

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Q : Mention at least one disease where Magnesium is contraindicated in eclampsia? Answer: Myasthenia gravis High-dose magnesium has remaine...
Thursday, February 5, 2026

Eye and Semaglutide

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Q: Ischemic optic neuropathy due to semaglutide is? A) reversible B) irreversible Answer: B The last decade has seen a tremendous rise in t...
Wednesday, February 4, 2026

Other labs in hyperthyroidism

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Q ; In patients with hyperthyroidism, serum total, low-density (LDL), and high-density lipoprotein (HDL) cholesterol tends to be? - select o...
Tuesday, February 3, 2026

Sildenafil and Heart

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Q: Sildenafil may have an antiplatelet effect. A) True B) False Answer : A Sildenafil exerts its mild antianginal effect via four mechanisms...
Monday, February 2, 2026

OTC anti-diarrheal and dizzyness

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Case : 32-year-old male, healthy male with no past medical history, presented to the Emergency Department (ED) with dizziness. On telemetry ...
Sunday, February 1, 2026

Sleep Disturbances in ICU

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Q : ICU patients, particularly older patients, who sleep more during the day than at night, tend to have greater cognitive impairment during...
Saturday, January 31, 2026

Hypoxemia and Hyponatremia connection

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With serum sodium concentration even with a little less than 130 mEq/L,  and subtle symptoms like nausea, vomiting, headache, or confusion -...
Friday, January 30, 2026

Hyperkalemia-induced Brugada pattern on EKG

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Q: What is "hyperkalemic Brugada sign"? Answer: Type I Brugada type change on EKG with hyperkalemia  Frequently observed in ICU ...
Thursday, January 29, 2026

findings in advSM

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Q: In advanced systemic mastocytosis (advSM), impaired organ function will be described as? - select one A) A findings B) B findings  C) C ...
Wednesday, January 28, 2026

CRAB in MM

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Q: What is the "CRAB" of Multiple Myeloma (MM)? Answer:  "CRAB" is an acronym "CRAB" to remember the essentia...
Tuesday, January 27, 2026

Modified Marshall Score

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Q: In the Modified Marshall scoring system for organ dysfunction in acute pancreatitis, deterioration of which of the following organs is i...
Monday, January 26, 2026

pulmonary complication with Daptomycin infusion

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Q: Which life-threatening pulmonary complication may happen with Daptomycin infusion? Answer: Eosinophillic Pneumonia Accor...
Saturday, January 24, 2026

"ventricular interdependence" In cardiac tamponade

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Q: What is "ventricular interdependence" In cardiac tamponade? Answer: Distension of one ventricle alters the distensibility and...
Wednesday, January 21, 2026

Na in Posm formula

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Q : While calculating Effective Plasma Osmolality, particularly in hyperosmotic hyperglycemic nonketotic state (HHNK), which of the sodium (...
Tuesday, January 20, 2026

Etomidate and ICP

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Q:  Etomidate? - select one A) decreases the intracranial pressure B) increases the intracranial pressure     Answer: A    Etomidate is a us...
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