Trauma & Critical Care

First-line vasopressor for septic shock after adequate fluids?

Initial crystalloid strategy in sepsis resuscitation?

Add-on agent when high-dose norepinephrine is needed to maintain MAP?

Indication for stress-dose steroids in septic shock?

Antibiotic timing in septic shock?

Best bedside indicator of fluid responsiveness?

ARDS lung-protective ventilation primary target?

Adjunct proven to improve survival in severe ARDS (PaO₂/FiO₂ ≤150) despite optimal ventilation?

Acceptable oxygenation/CO₂ targets in ARDS?

Status asthmaticus on ventilator—key setting approach?

Suspected cardiogenic vs septic shock differentiation—most helpful bedside tool?

Indication for dobutamine in shock?

Acute kidney injury with hemodynamic instability—preferred RRT modality?

DKA first fluid choice and insulin plan?

Open abdomen management principle?

Post–cardiac arrest care in comatose patient with ROSC?

Traumatic brain injury ICU targets?

First-line osmotherapy for acute ICP spikes (no hypotension)?

Seizure prophylaxis after severe TBI?

Fat embolism syndrome classic triad?

Rhabdomyolysis from crush injury—primary therapy?

Massive transfusion protocol essentials?

Airway burn/inhalation injury—first move?

Carbon monoxide poisoning hallmark and therapy?

Cyanide poisoning after enclosed-space fire—antidote?

Sedation strategy for ventilated ICU patients?

Weaning readiness best assessed by:

Post-extubation stridor prevention in high-risk patients?

Heparin-induced thrombocytopenia (HIT) suspicion—first step?

DVT prophylaxis in TBI with stable repeat CT?

ICU glycemic control target?

Determining predicted body weight (PBW) for VT setting is based on:

Early sign of ventilator-induced lung injury to monitor?

In early septic shock resuscitation, which bedside target is an acceptable alternative to lactate-guided therapy?

In a persistently septic postoperative ICU patient with TPN, multiple abdominal surgeries, and candidemia risk, appropriate empiric antifungal?

Which antibiotic class can precipitate respiratory failure in myasthenia gravis crisis and should be avoided if possible?

Neurogenic shock after high cervical spinal cord injury—hemodynamic strategy?

Suspected necrotizing soft tissue infection (NSTI) with crepitus, pain out of proportion, and shock. Best immediate step?

Infected pancreatic necrosis with sepsis 3 weeks after severe pancreatitis. Optimal intervention strategy?

Hemodynamically unstable massive pulmonary embolism without contraindications. Best initial therapy?

Convulsive status epilepticus—evidence-based sequence?

HHS (hyperosmolar hyperglycemic state) vs DKA—key distinguishing feature?

Thyroid storm in the ICU—initial bundle?

Suspected perforated viscus with septic shock despite antibiotics. Best next step?

Fulminant Clostridioides difficile colitis with toxic megacolon. Optimal management?

Dirty puncture wound with unknown tetanus status. What to give?

Warfarin-associated intracranial hemorrhage—rapid reversal?

Dabigatran-associated life-threatening bleeding—specific reversal?

Apixaban/rivaroxaban major bleeding—preferred reversal where available?

Severe alcohol withdrawal with agitation and hypertension in ICU. Best foundation therapy?

Hypertriglyceridemia-induced pancreatitis (TG >1,000 mg/dL). Helpful acute therapy?

Tricyclic antidepressant overdose with wide QRS and hypotension. First-line antidotal therapy?

Beta-blocker overdose with cardiogenic shock unresponsive to atropine. Next therapy?

Calcium channel blocker overdose (e.g., verapamil) with shock. Key therapy?

Suspected opioid overdose with respiratory depression in ICU. Best approach?

Acquired methemoglobinemia (e.g., benzocaine/dapsone) with cyanosis and low pulse ox but normal PaO₂. Antidote?

Anaphylaxis after antibiotic administration—first-line treatment?

ICU-acquired weakness prevention focuses on:

Ventilator dyssynchrony with rising intrinsic PEEP in severe obstructive physiology. First adjustments?

COPD exacerbation needing ventilatory support—preferred initial modality?

Post-extubation strategy in high-risk COPD to prevent reintubation:

Confirmed brain death in a potential organ donor—ICU management priorities?