ICU Specialty Board Exam Started: Jul 13, 2026 00:43 Page 8 of 15 Attempt #1420 Overall: 0 / 71 questions answered Question 36 / 71 Not answered In a ward handover scenario: 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. Routine hyperoxia only D. Immediate extubation E. Low tidal volume ventilation about 6 mL/kg predicted body weight Show Answer & Explanation Correct Answer: E 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 37 / 71 Not answered In a ward handover scenario: 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. Epinephrine auto-injector only C. Phenylephrine always first D. Norepinephrine E. No vasopressor Show Answer & Explanation Correct Answer: D 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 38 / 71 Not answered During an emergency department assessment: A patient has pulseless ventricular fibrillation. What is the immediate management? A. Atropine only B. Synchronized cardioversion with a pulse C. Oral aspirin D. Observation E. Defibrillation with high-quality CPR Show Answer & Explanation Correct Answer: E 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 39 / 71 Not answered During an emergency department assessment: 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 Question 40 / 71 Not answered During an emergency department assessment: 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 Cancel « ← Previous Page 8 of 15 Next → »