ICU Specialty Board Exam Started: Jul 12, 2026 21:49 Page 5 of 15 Attempt #1047 Overall: 0 / 71 questions answered Question 21 / 71 Not answered In a rural clinic with limited resources: 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. No PEEP ever C. Low tidal volume ventilation about 6 mL/kg predicted body weight D. Routine hyperoxia only E. Immediate extubation Show Answer & Explanation Correct Answer: C 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 22 / 71 Not answered In a rural clinic with limited resources: 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. Norepinephrine C. Epinephrine auto-injector only D. Phenylephrine always first E. No vasopressor Show Answer & Explanation Correct Answer: B 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 23 / 71 Not answered At a preventive-care consultation: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1946) A. Second-generation H1 antihistamine B. IM epinephrine for every isolated wheal C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: A 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 24 / 71 Not answered At a preventive-care consultation: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1945) A. Live intranasal influenza vaccine B. BCG vaccine C. Varicella vaccine D. No vaccine in pregnancy ever E. Inactivated influenza vaccine Show Answer & Explanation Correct Answer: E 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 25 / 71 Not answered At a preventive-care consultation: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1944) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Treat hypoglycemia immediately and reassess neurologic deficit E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: D 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 Cancel « ← Previous Page 5 of 15 Next → »