Welcome to your Critical Care Mock Test
1.
A 45-year-old male with a history of chronic alcoholism is brought to the ER with confusion, agitation, and tremors. His blood pressure is 145/85 mmHg, heart rate is 110 bpm, and respiratory rate is 20/min. What is the most appropriate initial treatment?
2.
A 60-year-old woman presents with shortness of breath and a productive cough. On examination, she has an oxygen saturation of 88% on room air. Chest X-ray shows bilateral infiltrates. What is the most likely diagnosis?
3.
A 28-year-old male presents with a GCS of 8 after a motor vehicle accident. He has unequal pupils and the blood pressure is 90/60 mmHg, with a heart rate of 110 bpm. What is the initial management priority?
4.
A 70-year-old male is admitted with acute pancreatitis. He is confused, hypotensive (BP 85/50 mmHg), and has elevated lactate levels. Which of the following is the most appropriate initial treatment?
5.
A 45-year-old male presents with sudden-onset chest pain, diaphoresis, and nausea. ECG shows ST-segment elevation in leads II, III, and aVF. What is the next step in management?
6.
A 56-year-old male presents with fever, altered mental status, and hypotension. His blood culture grows E. coli, and the urine culture grows the same organism. What is the most likely diagnosis?
7.
A 65-year-old male with a history of COPD presents with increased shortness of breath and a productive cough. On examination, he is using accessory muscles for respiration, and his oxygen saturation is 89%. What is the best initial management?
8.
A 25-year-old woman is admitted with a diagnosis of septic shock. She is tachycardic, hypotensive, and febrile. Her lactate level is elevated. What is the most appropriate next step?
9.
A 45-year-old man with a history of diabetes presents with a blood glucose of 550 mg/dL and a bicarbonate level of 12 mEq/L. What is the most likely diagnosis?
10.
A 72-year-old man with a history of hypertension presents with a severe headache, nausea, and vomiting. His blood pressure is 220/120 mmHg. What is the most appropriate management step?
11.
A 40-year-old male with no significant medical history presents to the ER with acute onset of chest pain, dyspnea, and sweating. He has a blood pressure of 130/80 mmHg and a heart rate of 90 bpm. An ECG shows ST elevation in V1-V4. What is the most likely diagnosis?
12.
A 35-year-old woman presents with fever, headache, and photophobia. She has a positive Brudzinski sign and a history of recent travel to an area endemic to malaria. What is the most appropriate initial test to confirm the diagnosis?
13.
A 60-year-old woman presents with weakness, dizziness, and a history of a recent fall. On examination, she is hypotensive with a blood pressure of 85/50 mmHg. Her heart rate is 110 bpm, and her skin is warm and dry. What is the most appropriate next step in management?
14.
A 22-year-old woman presents with fever, cough, and pleuritic chest pain. On examination, she has decreased breath sounds and dullness to percussion over the right lower chest. What is the most likely diagnosis?
15.
A 50-year-old male with a history of hypertension presents with severe headache, visual disturbances, and nausea. His blood pressure is 220/120 mmHg. Fundoscopy reveals papilledema. What is the most likely diagnosis?
16.
A 65-year-old woman with diabetes presents with fever, chills, and dysuria. Urinalysis shows pyuria and bacteriuria. What is the most appropriate initial treatment?
17.
A 30-year-old man presents with severe abdominal pain, vomiting, and fever. His blood pressure is 90/60 mmHg, and his heart rate is 120 bpm. What is the most likely cause of his condition?
18.
A 50-year-old man with a history of chronic kidney disease presents with hyperkalemia and ECG changes. What is the first step in managing his hyperkalemia?
19.
A 70-year-old female with a history of heart failure presents with severe shortness of breath, crackles on lung auscultation, and an elevated BNP. What is the most likely diagnosis?
20.
A 25-year-old male presents with a sudden onset of severe, colicky abdominal pain, nausea, and vomiting. He is febrile and has a rigid abdomen. What is the most likely diagnosis?
21.
A 55-year-old male presents with fever, productive cough, and pleuritic chest pain. He has a history of smoking and chronic obstructive pulmonary disease (COPD). Chest X-ray shows a consolidation in the right lower lobe. What is the most appropriate management?
22.
A 65-year-old male with a history of atrial fibrillation presents with acute onset of right-sided weakness, slurred speech, and a drooping right-sided face. What is the most appropriate initial management?
23.
A 40-year-old woman presents with severe abdominal pain, nausea, vomiting, and fever. On examination, she has rebound tenderness and guarding in the right lower quadrant. What is the most likely diagnosis?
24.
A 35-year-old male presents with fever, fatigue, and right upper quadrant pain. His liver function tests show elevated AST and ALT. An ultrasound reveals hepatomegaly with a hypoechoic lesion in the liver. What is the most likely diagnosis?
25.
A 72-year-old female presents with sudden onset of severe chest pain radiating to the back, along with shortness of breath and tachycardia. Her blood pressure is 180/100 mmHg. What is the most likely diagnosis?
26.
A 60-year-old male with a history of COPD presents with worsening shortness of breath, cough, and increased sputum production. On examination, he is tachypneic and uses accessory muscles to breathe. What is the most appropriate management?
27.
A 48-year-old male presents with headache, vomiting, and visual disturbances. On examination, his blood pressure is 210/130 mmHg, and fundoscopy shows papilledema. What is the most likely cause of his symptoms?
28.
A 30-year-old male presents with severe chest pain and dyspnea after a car accident. On examination, his breath sounds are decreased on the left side, and there is tracheal deviation to the right. What is the most likely diagnosis?
29.
A 70-year-old female with a history of heart failure presents with increasing shortness of breath, peripheral edema, and orthopnea. On examination, she has crackles at the lung bases and elevated jugular venous pressure. What is the most likely diagnosis?
30.
A 22-year-old male presents with a sudden onset of severe, colicky abdominal pain, nausea, and vomiting. He is febrile and has a rigid abdomen. What is the most likely diagnosis?
31.
A 60-year-old male with a history of hypertension presents with sudden onset of severe chest pain, sweating, and nausea. His blood pressure is 180/120 mmHg. What is the most likely cause of his symptoms?
32.
A 25-year-old female presents with acute onset of severe pelvic pain, nausea, and vomiting. She is febrile and has guarding in the lower abdomen. A transvaginal ultrasound shows an adnexal mass. What is the most likely diagnosis?
33.
A 40-year-old male presents with fever, night sweats, weight loss, and an abnormal chest X-ray showing a cavitary lesion in the upper lobe of the lung. What is the most likely diagnosis?
34.
A 50-year-old male presents with weakness, fatigue, and cold intolerance. His laboratory findings show a low serum sodium level (120 mEq/L), low cortisol, and elevated ACTH. What is the most likely diagnosis?
35.
A 60-year-old male with a history of diabetes presents with a painful, swollen, erythematous toe. He reports recent trauma to the toe and has a fever. What is the most likely diagnosis?
36.
A 70-year-old female with a history of osteoporosis presents with sudden-onset back pain after lifting a heavy object. On examination, she has point tenderness over her lower back. What is the most likely diagnosis?
37.
A 25-year-old male presents with fever, sore throat, and fatigue. On examination, he has bilateral cervical lymphadenopathy, tonsillar exudates, and splenomegaly. What is the most likely diagnosis?
38.
A 55-year-old male with a history of alcohol use disorder presents with confusion, tremors, and agitation. His blood pressure is elevated, and his heart rate is 110 bpm. What is the most likely diagnosis?
39.
A 45-year-old male presents with sudden-onset severe leg pain, pallor, and coldness in the left lower leg. On examination, there is no palpable pulse in the left foot. What is the most likely diagnosis?
40.
A 30-year-old woman presents with acute lower abdominal pain, vaginal bleeding, and a positive pregnancy test. What is the most likely diagnosis?
41.
A 60-year-old male presents with a history of chronic cough, weight loss, and hemoptysis. A chest X-ray shows a mass in the right lung. What is the most likely diagnosis?
42.
A 50-year-old male with diabetes presents with a painful, swollen right foot. The foot is warm, erythematous, and has ulcerations on the plantar surface. What is the most likely diagnosis?
43.
A 65-year-old female with a history of osteoarthritis presents with sudden-onset knee pain, swelling, and redness after a fall. What is the most likely diagnosis?
44.
A 50-year-old male with a history of smoking presents with chronic cough, weight loss, and hemoptysis. A CT scan shows a mass in the upper lobe of the left lung. What is the most likely diagnosis?
45.
A 70-year-old male with a history of heart failure presents with increasing shortness of breath, peripheral edema, and orthopnea. On examination, he has crackles at the lung bases and elevated jugular venous pressure. What is the most likely diagnosis?
46.
A 55-year-old female presents with worsening dyspnea, pleuritic chest pain, and hemoptysis. She has a history of recent long-haul flights. On examination, she is tachypneic, and her oxygen saturation is 88% on room air. What is the most likely diagnosis?
47.
A 40-year-old female with a history of Crohn's disease presents with abdominal pain, diarrhea, and fever. She has lost 5 kg over the past month. On examination, she has right lower quadrant tenderness. What is the most likely diagnosis?
48.
A 30-year-old male presents with fever, sore throat, and a red, swollen tonsil with a purulent exudate. His neck is tender, and he has difficulty swallowing. What is the most likely diagnosis?
49.
A 50-year-old male with a history of hypertension presents with sudden, severe chest pain that radiates to his back. His blood pressure is 190/120 mmHg. What is the most appropriate initial management?
50.
A 60-year-old male presents with sudden-onset weakness of the right arm and leg, slurred speech, and facial drooping. His symptoms started 2 hours ago. What is the most appropriate next step in management?
