ICU Specialty Board Exam Started: Jul 12, 2026 23:36 Page 7 of 15 Attempt #1311 Overall: 0 / 71 questions answered Question 31 / 71 Not answered At a preventive-care consultation: 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. Cardiac tamponade D. Septic shock E. Anaphylaxis Show Answer & Explanation Correct Answer: C 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 32 / 71 Not answered At a preventive-care consultation: 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. Low tidal volume ventilation about 6 mL/kg predicted body weight C. No PEEP ever D. Routine hyperoxia only E. Immediate extubation Show Answer & Explanation Correct Answer: B 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 33 / 71 Not answered At a preventive-care consultation: A patient has septic shock with lactate 5 mmol/L and hypotension after fluids. What vasopressor is first-line? A. Norepinephrine B. Dopamine for all patients C. Epinephrine auto-injector only D. Phenylephrine always first E. No vasopressor Show Answer & Explanation Correct Answer: A 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 34 / 71 Not answered During preoperative assessment: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1935) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Antibiotic D. Warfarin E. Second-generation H1 antihistamine Show Answer & Explanation Correct Answer: E 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 35 / 71 Not answered In a ward handover scenario: A patient after trauma has hypotension, distended neck veins, and muffled heart sounds. What is the diagnosis? A. Cardiac tamponade B. Tension pneumothorax only C. Neurogenic shock D. Septic shock E. Anaphylaxis Show Answer & Explanation Correct Answer: A 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 7 of 15 Next → »