ICU Specialty Board Exam Started: Jul 12, 2026 19:25 Page 2 of 15 Attempt #717 Overall: 0 / 71 questions answered Question 6 / 71 Not answered During preoperative assessment: A patient after trauma has hypotension, distended neck veins, and muffled heart sounds. What is the diagnosis? A. Tension pneumothorax only B. Cardiac tamponade C. Neurogenic shock D. Septic shock E. Anaphylaxis Show Answer & Explanation Correct Answer: B 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 Question 7 / 71 Not answered During preoperative assessment: A ventilated patient has PaO2/FiO2 90 with bilateral infiltrates not explained by cardiac failure. What ventilation strategy improves outcomes? A. Low tidal volume ventilation about 6 mL/kg predicted body weight B. Tidal volume 15 mL/kg C. No PEEP ever D. Routine hyperoxia only E. Immediate extubation Show Answer & Explanation Correct Answer: A 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 8 / 71 Not answered During preoperative assessment: A patient has septic shock with lactate 5 mmol/L and hypotension after fluids. What vasopressor is first-line? A. Dopamine for all patients B. Epinephrine auto-injector only C. Phenylephrine always first D. No vasopressor E. Norepinephrine Show Answer & Explanation Correct Answer: E 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 9 / 71 Not answered In a ward handover scenario: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1924) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Antibiotic D. Second-generation H1 antihistamine E. Warfarin Show Answer & Explanation Correct Answer: D 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 10 / 71 Not answered In a ward handover scenario: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1923) A. Live intranasal influenza vaccine B. BCG vaccine C. Inactivated influenza vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: C 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 Cancel « ← Previous Page 2 of 15 Next → »