ICU Specialty Board Exam Started: Jul 12, 2026 23:39 Page 10 of 15 Attempt #1336 Overall: 0 / 71 questions answered Question 46 / 71 Not answered 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 1887) A. Ignore allergy and give full dose unsupervised B. Aspirin desensitization if benefits outweigh risks C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: B 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 47 / 71 Not answered A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1886) A. Intramuscular injection into the mid-anterolateral thigh B. Subcutaneous injection into forearm C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: A 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 48 / 71 Not answered 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. Give loop diuretic E. Replace potassium before starting insulin Show Answer & Explanation Correct Answer: E 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 49 / 71 Not answered A patient has pulseless ventricular fibrillation. What is the immediate management? A. Atropine only B. Synchronized cardioversion with a pulse C. Oral aspirin D. Defibrillation with high-quality CPR E. Observation Show Answer & Explanation Correct Answer: D 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 50 / 71 Not answered A patient after trauma has hypotension, distended neck veins, and muffled heart sounds. What is the diagnosis? A. Tension pneumothorax only B. Neurogenic shock C. Cardiac tamponade D. Septic shock E. Anaphylaxis Show Answer & Explanation Correct Answer: C Explanation: [Intensive Care] Beck triad after trauma suggests cardiac tamponade requiring urgent decompression. Reference: ATLS 10th edition. 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 10 of 15 Next → »