ICU Specialty Board Exam Started: Jul 12, 2026 22:43 Page 11 of 15 Attempt #1214 Overall: 0 / 71 questions answered Question 51 / 71 Not answered A ventilated patient has PaO2/FiO2 90 with bilateral infiltrates not explained by cardiac failure. What ventilation strategy improves outcomes? A. Tidal volume 15 mL/kg B. Low tidal volume ventilation about 6 mL/kg predicted body weight C. No PEEP ever D. Routine hyperoxia only E. Immediate extubation Show Answer & Explanation Correct Answer: B Explanation: [Intensive Care] ARDS management includes lung-protective low tidal volume ventilation. Reference: ARDSNet; Surviving Sepsis Campaign 2021. 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 52 / 71 Not answered A patient has septic shock with lactate 5 mmol/L and hypotension after fluids. What vasopressor is first-line? A. Norepinephrine B. Dopamine for all patients C. Epinephrine auto-injector only D. Phenylephrine always first E. No vasopressor Show Answer & Explanation Correct Answer: A Explanation: [Intensive Care] Norepinephrine is recommended as first-line vasopressor in septic shock. Reference: Surviving Sepsis Campaign 2021. 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 53 / 71 Not answered During an emergency department assessment: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1897) A. Subcutaneous injection into forearm B. Intramuscular injection into the mid-anterolateral thigh C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: B 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 54 / 71 Not answered During an emergency department 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 1898) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Aspirin desensitization if benefits outweigh risks D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: C 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 55 / 71 Not answered At a primary-care follow-up visit: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1913) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Second-generation H1 antihistamine D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: C Explanation: [Intensive Care] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. 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 11 of 15 Next → »