ICU Specialty Board Exam Started: Jul 13, 2026 02:28 Page 9 of 15 Attempt #1677 Overall: 0 / 71 questions answered Question 41 / 71 Not answered During an emergency department assessment: 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 42 / 71 Not answered A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1891) 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 43 / 71 Not answered A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1890) 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 44 / 71 Not answered A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1889) 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 Question 45 / 71 Not answered A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1888) 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 Cancel « ← Previous Page 9 of 15 Next → »