ICU Specialty Board Exam Started: Jul 12, 2026 21:01 Page 4 of 15 Attempt #913 Overall: 0 / 71 questions answered Question 16 / 71 Not answered In a ward handover scenario: A patient has pulseless ventricular fibrillation. What is the immediate management? A. Atropine only B. Defibrillation with high-quality CPR C. Synchronized cardioversion with a pulse D. Oral aspirin E. Observation Show Answer & Explanation Correct Answer: B 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 17 / 71 Not answered During preoperative assessment: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1932) A. Mild asthma suitable for discharge B. Life-threatening asthma requiring urgent escalation C. Normal finding after salbutamol D. Pneumonia excluded E. No oxygen required Show Answer & Explanation Correct Answer: B 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 18 / 71 Not answered During preoperative assessment: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1933) A. Give thrombolysis without glucose correction B. Start warfarin C. Treat hypoglycemia immediately and reassess neurologic deficit D. Discharge without treatment E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: C 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 19 / 71 Not answered During preoperative assessment: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1934) A. Live intranasal influenza vaccine B. BCG vaccine C. Varicella vaccine D. Inactivated influenza vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: D 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 20 / 71 Not answered In a rural clinic with limited resources: 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. Septic shock D. Cardiac tamponade E. Anaphylaxis Show Answer & Explanation Correct Answer: D 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 4 of 15 Next → »