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1. Which airway maneuver is most appropriate for an unconscious patient without suspected
cervical spine injury?
A. Jaw thrust
B. Head tilt–chin lift
C. Cricothyrotomy
D. Tracheostomy
Correct Answer: B. Head tilt–chin lift
Rationale: This maneuver effectively opens the airway in unconscious patients when cervical spine
injury is not suspected.
2. What is the normal arterial blood pH range?
A. 7.15–7.25
B. 7.25–7.35
C. 7.35–7.45
D. 7.45–7.55
Correct Answer: C. 7.35–7.45
Rationale: Normal physiologic pH is maintained within this narrow range.
3. Which parameter best reflects tissue perfusion?
A. Hemoglobin
B. Lactate level
C. Platelet count
D. Sodium level
Correct Answer: B. Lactate level
Rationale: Elevated lactate often indicates inadequate tissue oxygenation and perfusion.
4. Which shock type is characterized by decreased systemic vascular resistance?
A. Cardiogenic
B. Obstructive
C. Hypovolemic
D. Distributive
Correct Answer: D. Distributive
Rationale: Distributive shock causes vasodilation and reduced vascular resistance.
5. What is the first priority in critically ill patients?
A. Laboratory testing
B. Nutrition
, C. Airway assessment
D. Family counseling
Correct Answer: C. Airway assessment
Rationale: Airway stabilization is the first step in the ABC approach.
6. Which vasopressor is recommended first-line in septic shock?
A. Dopamine
B. Epinephrine
C. Norepinephrine
D. Vasopressin
Correct Answer: C. Norepinephrine
Rationale: Norepinephrine is the preferred initial vasopressor in septic shock.
7. A PaO₂ below 60 mmHg indicates:
A. Hypercapnia
B. Hypoxemia
C. Alkalosis
D. Hypernatremia
Correct Answer: B. Hypoxemia
Rationale: PaO₂ less than 60 mmHg reflects inadequate arterial oxygenation.
8. Which rhythm is shockable?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Sinus bradycardia
Correct Answer: C. Ventricular fibrillation
Rationale: VF is treated with immediate defibrillation.
9. Which electrolyte abnormality commonly causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypocalcemia
Correct Answer: B. Hyperkalemia
Rationale: Peaked T waves are a classic ECG sign of hyperkalemia.
10. What is the target MAP in septic shock?
A. 50 mmHg
B. 55 mmHg
C. 65 mmHg
D. 90 mmHg
Correct Answer: C. 65 mmHg
Rationale: MAP of at least 65 mmHg is generally recommended.