ICU Specialty Board Exam Started: Jul 12, 2026 20:20 Page 1 of 15 Attempt #854 Overall: 0 / 71 questions answered Question 1 / 71 Not answered In a rural clinic with limited resources: A patient has pulseless ventricular fibrillation. What is the immediate management? A. Atropine only B. Synchronized cardioversion with a pulse C. Oral aspirin D. Observation E. Defibrillation with high-quality CPR Show Answer & Explanation Correct Answer: E Explanation: [Intensive Care] Pulseless VF requires immediate defibrillation and high-quality CPR. Reference: AHA Advanced Cardiovascular Life Support Guidelines. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 2 / 71 Not answered During preoperative assessment: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 1931) A. Aspirin desensitization if benefits outweigh risks B. Ignore allergy and give full dose unsupervised C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: A Explanation: [Intensive Care] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 3 / 71 Not answered During preoperative assessment: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1930) A. Subcutaneous injection into forearm B. Oral tablet C. Nebulized only D. Topical application E. Intramuscular injection into the mid-anterolateral thigh Show Answer & Explanation Correct Answer: E Explanation: [Intensive Care] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 4 / 71 Not answered During preoperative assessment: A patient with DKA in ICU has potassium 3.0 mmol/L before insulin. What should be done first? A. Start insulin without potassium B. Give bicarbonate to all patients C. Restrict all fluids D. Replace potassium before starting insulin E. Give loop diuretic Show Answer & Explanation Correct Answer: D Explanation: [Intensive Care] Insulin shifts potassium intracellularly; significant hypokalemia should be corrected before insulin. Reference: ADA Standards of Care in Diabetes; critical care DKA protocols. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 5 / 71 Not answered During preoperative assessment: A patient has pulseless ventricular fibrillation. What is the immediate management? A. Atropine only B. Synchronized cardioversion with a pulse C. Defibrillation with high-quality CPR D. Oral aspirin E. Observation Show Answer & Explanation Correct Answer: C Explanation: [Intensive Care] Pulseless VF requires immediate defibrillation and high-quality CPR. Reference: AHA Advanced Cardiovascular Life Support Guidelines. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 1 of 15 Next → »