ICU Specialty Board Exam Started: Jul 12, 2026 22:41 Page 6 of 15 Attempt #1195 Overall: 0 / 71 questions answered Question 26 / 71 Not answered At a preventive-care consultation: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1943) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Life-threatening asthma requiring urgent escalation D. Pneumonia excluded E. No oxygen required Show Answer & Explanation Correct Answer: C 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 27 / 71 Not answered At a preventive-care consultation: 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 1942) A. Ignore allergy and give full dose unsupervised B. Aspirin desensitization if benefits outweigh risks C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: B 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 28 / 71 Not answered At a preventive-care consultation: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1941) A. Intramuscular injection into the mid-anterolateral thigh B. Subcutaneous injection into forearm C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: A 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 29 / 71 Not answered At a preventive-care consultation: 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. Restrict all fluids D. Give loop diuretic E. Replace potassium before starting insulin Show Answer & Explanation Correct Answer: E 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 Question 30 / 71 Not answered At a preventive-care consultation: A patient has pulseless ventricular fibrillation. What is the immediate management? A. Atropine only B. Synchronized cardioversion with a pulse C. Oral aspirin D. Defibrillation with high-quality CPR E. Observation Show Answer & Explanation Correct Answer: D 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 Cancel « ← Previous Page 6 of 15 Next → »