ICU Specialty Board Exam Started: Jul 12, 2026 20:19 Page 3 of 15 Attempt #824 Overall: 0 / 71 questions answered Question 11 / 71 Not answered In a ward handover scenario: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1922) A. Give thrombolysis without glucose correction B. Treat hypoglycemia immediately and reassess neurologic deficit C. Start warfarin D. Discharge without treatment E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: B 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 12 / 71 Not answered In a ward handover scenario: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1921) A. Life-threatening asthma requiring urgent escalation B. Mild asthma suitable for discharge C. Normal finding after salbutamol D. Pneumonia excluded E. No oxygen required Show Answer & Explanation Correct Answer: A 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 13 / 71 Not answered In a ward handover scenario: 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 1920) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Use antihistamine as antiplatelet D. Give only paracetamol E. Aspirin desensitization if benefits outweigh risks Show Answer & Explanation Correct Answer: E 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 14 / 71 Not answered In a ward handover scenario: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1919) A. Subcutaneous injection into forearm B. Oral tablet C. Nebulized only D. Intramuscular injection into the mid-anterolateral thigh E. Topical application Show Answer & Explanation Correct Answer: D 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 15 / 71 Not answered In a ward handover scenario: 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. Replace potassium before starting insulin D. Restrict all fluids E. Give loop diuretic Show Answer & Explanation Correct Answer: C 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 3 of 15 Next → »