ABIM Critical Care Practice Questions - American Board of Internal Medicine Critical Care Medicine Subspecialty Certification Exam - ABIM Critical Care Practice Questions - American Board of Internal Medicine Critical Care Medicine Subspecialty Certification Exam

Question 1

A 62-year-old man with community-acquired pneumonia has BP 78/42 mmHg, HR 118, lactate 5.2 mmol/L, and cool extremities. Per the Surviving Sepsis Campaign 2021 1-hour bundle, which intervention is required?

30 mL/kg IV crystalloid and broad-spectrum antibiotics within 1 hour after blood cultures Start norepinephrine before any fluid resuscitation Targeted CVP 8-12 mmHg before antibiotics Transfuse packed red cells to hemoglobin ≥10 g/dL

Correct Answer:

30 mL/kg IV crystalloid and broad-spectrum antibiotics within 1 hour after blood cultures

Question 2

A patient with septic shock remains hypotensive (MAP 58 mmHg) on norepinephrine 0.4 mcg/kg/min after adequate fluid resuscitation. Per SSC 2021, the next most appropriate step is to add:

Vasopressin 0.03 U/min Phenylephrine 1 mcg/kg/min Dopamine 10 mcg/kg/min Dobutamine 5 mcg/kg/min

Correct Answer:

Vasopressin 0.03 U/min

Question 3

A patient with septic shock on norepinephrine 0.5 mcg/kg/min and vasopressin 0.03 U/min remains vasopressor-dependent for 6 hours. Per SSC 2021, which therapy should be added?

IV hydrocortisone 200 mg/day Activated protein C IVIG High-dose methylprednisolone 30 mg/kg

Correct Answer:

IV hydrocortisone 200 mg/day

Question 4

In a septic shock patient who has received 60 mL/kg of balanced crystalloid and remains hypotensive with rising vasopressor requirements, SSC 2021 suggests:

Adding albumin to the resuscitation fluid strategy Switching to normal saline Starting hydroxyethyl starch Bolus of fresh frozen plasma

Correct Answer:

Adding albumin to the resuscitation fluid strategy

Question 5

A 55-year-old with pneumonia has PaO2 70 mmHg on FiO2 0.8, PEEP 10, bilateral infiltrates, and no evidence of cardiogenic edema on echo. By the Berlin definition, ARDS severity is:

Moderate (PF 100-200) Mild (PF 200-300) Severe (PF ≤100) Does not meet Berlin criteria

Correct Answer:

Moderate (PF 100-200)

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Prepare with the ABIM Critical Care Practice Questions - American Board of Internal Medicine Critical Care Medicine Subspecialty Certification Exam practice quiz. This question bank includes 100 questions covering patient, shock, severe, septic, and year-old. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABIM Critical Care Practice Questions - American Board of Internal Medicine Critical Care Medicine Subspecialty Certification Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, shock, severe, septic, and year-old. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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ABIM Critical Care Practice Questions - American Board of Internal Medicine Critical Care Medicine Subspecialty Certification Exam

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