ICU Specialty Board Exam Started: Jul 12, 2026 20:20 Page 14 of 15 Attempt #854 Overall: 0 / 71 questions answered Question 66 / 71 Not answered During an emergency department assessment: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1902) A. IM epinephrine for every isolated wheal B. Second-generation H1 antihistamine C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: B 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 Question 67 / 71 Not answered During an emergency department assessment: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1901) A. Inactivated influenza vaccine B. Live intranasal influenza vaccine C. BCG vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: A Explanation: [Intensive Care] Inactivated influenza vaccine is recommended in pregnancy; live attenuated intranasal vaccine is avoided. Reference: CDC/ACIP Immunization in Pregnancy 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 68 / 71 Not answered During an emergency department assessment: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1900) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Delay glucose correction until CT E. Treat hypoglycemia immediately and reassess neurologic deficit Show Answer & Explanation Correct Answer: E Explanation: [Intensive Care] Hypoglycemia can mimic stroke and should be corrected immediately while continuing appropriate assessment. Reference: AHA/ASA Stroke 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 Question 69 / 71 Not answered During an emergency department assessment: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1899) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. Life-threatening asthma requiring urgent escalation E. No oxygen required Show Answer & Explanation Correct Answer: D Explanation: [Intensive Care] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 70 / 71 Not answered During an emergency department assessment: A patient with DKA in ICU has potassium 3.0 mmol/L before insulin. What should be done first? A. Replace potassium before starting insulin B. Start insulin without potassium C. Give bicarbonate to all patients D. Restrict all fluids E. Give loop diuretic Show Answer & Explanation Correct Answer: A 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 Cancel « ← Previous Page 14 of 15 Next → »