icupearls.org Archive

Q : 38 years old G5P2 female at 36 weeks of pregnancy is admitted to the ICU for high-risk delivery. She was found to have a placenta growin...

Q: High-intensity athletic workout may cause iron deficiency due to loss of iron in sweat. A) True B) False Answer: A A liter of sweat caus...

Q : Hemodialysis should be instituted as early as possible in a Calcium Channel Blocker (CCB) overdose. A) True B) False Answer: B CCBs are ...

Q : Hyperalbuminemia can cause hypercalcemia. A) True B) False Answer : A Although it is very well known that hypoalbuminemia can cause hypo...

Q : Erythrocyte Sedimentation Rate (ESR) in patients with sickle cell disease is expected to be spuriously? - select one A) high B) low Answ...

Q: What is Gaisböck's syndrome? Answer : A version of relative polycythemia.  Gaisböck's syndrome is also called stress or spurious...

Q : Overall , Diastolic Blood Pressure (DBP) tends to increase with age. A) True B) False Answer: B Various factors contribute to the decre...

Case: A   74-year-old male with no major history, except for restless legs syndrome (RLS), is admitted to the ICU for community-acquired pne...

Q : Antiretroviral therapy (ART) in HIV patients increases the risk of cardiovascular disease. A) True B) False Answer : B Although in the p...

Q: Low serum albumin is a risk factor for Critical Illness Polyneuropathy (CIP). A) True B) False Answer: A CIP is commonly seen in patient...

Q:  A 24-year-old female with 22 weeks of pregnancy is admitted to the ICU with severe symptoms of Parvovirus 19, confirmed with a high IgM ...

Case: 22 years old atheletic male went through a non-complicated appendectomy under general anesthesia. Patient became agitated on weaning ...

Q:  A 43-year-old male with an established history of ulcerative colitis is admitted to the ICU with Lower GI bleed requiring transfusion. O...

Q : Prolonged use of inhaled Nitric Oxide (iNO) is intended to cause more of? - select one A) Kidney dysfunction B) liver dysfunction Answer...

Q: In Methanol and Ethylene Glycol toxicity, the time-relationship of 'osmolal gap' and 'Anion gap' is inversely proportiona...

Q:  A 52-year-old male with a history of End Stage Renal Disease (ESRD) is admitted to the ICU with suspected infective endocarditis (IE).  ...

Q : In Critical Illness Myopathy (CIM), the presence of extraocular muscle weakness is diagnostic. A) True B) False Answer : B CIM has a few...

Q: On chest X-ray, the aortopulmonary angle can be found on? - select one A) left side B) right side Answer: A The aortopulmonary angle, a...

Q: Patients with elevated Intra-Cranial Pressure (ICP) should not be fed enteral free water.  A) True B) False   Answer : A  Patients with ...

Q: Small cell carcinoma in the lungs is considered a neuroendocrine tumor. A) True B) False Answer : A Small cell carcinoma, large cell neu...

Q : What is the dose of Midazolam to give intranasally if no IV or IM route is available? Answer: if its an emergency and no IV line is est...

Q: The Critical Illness Myopathy (CIM) affects which group of muscles more? - select one A) distal  B) proximal  Answer : B CIM, although i...

Q : Utilizing "Banana bag" plays an integral part in the management of alcohol withdrawal as it contains thiamine. A) True B) Fals...

Q : What is the target Kt/V in patients with peritoneal dialysis? - select one A) ≥ 1.3/week B) ≥ 1.7/week Answer : B The objective of this ...

Q: The postconcussion syndrome (PCS) is associated with daytime sleepiness. A) True B) False Answer : A Almost all patients who went through...

Q: A 47-year-old male in the ICU went into supraventricular tachycardia (SVT) and was successfully converted to Normal Sinus Rhythm (NSR) w...

Case:  32-year-old newly pregnant patient admitted to the ICU with Pulmonary Embolism, and now getting discharged.  The clinician decided to...

Q:  The cardiology team decided to start Bromocriptine for a postpartum cardiomyopathy patient. Which one other intervention should be consi...

Q: Which of the following is a more reliable sign of acute opioid toxicity? - select one A) Depressed mental status B) Decreased respirator...

Q: The presence of two out of three cardinal symptoms of COPD exacerbation helps to justify? - select one A) Start antibiotics B) Admit to h...

Q: All of the following pathologies will cause pleural fluid acidosis EXCEPT? - select one A) Malignancy B) Tuberculosis C) Urinothorax  D)...

Q:  A 68-year-old male whose blood pressure medicines have recently been changed presented to the Emergency Room with severe colicky abdomin...