Question:
After reviewing the serial ICU measurements, which summary is most accurate?

Options:
A. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 93 to 100, MAP was roughly stable (72 to 81), and heart rate rose from 67 to 85. SpO2 started at 97, ended at 96, and fell as low as 88 around hour 11.9; respiratory rate ranged 8-30. For labs and output, white count rose from 8 to 10.3, creatinine was roughly stable (0.7 to 0.6), lactate rose from 1.0 to 1.5, and urine output fell from 765 to 63.
B. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 90 to 120, MAP was roughly stable (69 to 78), and heart rate rose from 70 to 82. SpO2 started at 100, ended at 93, and fell as low as 85 around hour 13.4; respiratory rate ranged 8-28. For labs and output, white count rose from 9 to 11.1, creatinine was roughly stable (0.6 to 0.7), lactate rose from 0.9 to 1.3, and urine output fell from 785 to 60.
C. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 94 to 116, MAP rose from 73 to 81, and heart rate rose from 66 to 86. SpO2 started at 96, ended at 97, and fell as low as 84 around hour 11.5; respiratory rate ranged 9-26. For labs and output, white count rose from 8 to 13.0, creatinine was roughly stable (0.7 to 0.6), lactate rose from 1.0 to 1.6, and urine output fell from 760 to 64.
D. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 86 to 150, MAP was roughly stable (64 to 74), and heart rate rose from 74 to 78. SpO2 started at 96, ended at 88, and fell as low as 80 around hour 15.7; respiratory rate ranged 7-30. For labs and output, white count rose from 10 to 11.5, creatinine rose from 0.4 to 0.8, lactate stayed broadly stable from 1.1 to 1.0, and urine output fell from 815 to 56.

Answer: B


Question:
After checking the full sequence of measurements, which handoff is most accurate?

Options:
A. Clinically, the heart rate fell from 108 to 93, while MAP was roughly stable (87 to 80). Systolic pressure was labile, ranging 83-104, with the lowest value around hour 48.4. SpO2 briefly dipped to 88 around hour 3.6 before recovering to 95, while respiratory rate peaked at 35 and later settled at 26. The associated labs and urine output showed that white count rose from 4 to 34.7, creatinine fell from 24 to 0.2, lactate was checked once at 223, and urine output rose from 320 to 450, with recorded outputs ranging 97-480.
B. Clinically, the heart rate fell from 105 to 96, while MAP fell from 84 to 77. Systolic pressure was labile, ranging 86-124, with the lowest value around hour 45.4. SpO2 briefly dipped to 85 around hour 2.6 before recovering to 98, while respiratory rate peaked at 32 and later settled at 24. The associated labs and urine output showed that white count rose from 5 to 31.7, creatinine fell from 22 to 0.3, lactate was checked once at 203, and urine output rose from 300 to 500, with recorded outputs ranging 100-500.
C. Clinically, the heart rate fell from 109 to 92, while MAP fell from 88 to 81. Systolic pressure was labile, ranging 90-99, with the lowest value around hour 49.1. SpO2 briefly dipped to 86 around hour 2.9 before recovering to 94, while respiratory rate peaked at 34 and later settled at 26. The associated labs and urine output showed that white count rose from 4 to 35.5, creatinine fell from 24 to 0.2, lactate was checked once at 228, and urine output rose from 325 to 475, with recorded outputs ranging 96-475.
D. Clinically, the heart rate fell from 100 to 97, while MAP fell from 80 to 72. Systolic pressure was labile, ranging 90-154, with the lowest value around hour 40.9. SpO2 briefly dipped to 80 around hour 2.3 before recovering to 100, while respiratory rate peaked at 28 and later settled at 22. The associated labs and urine output showed that white count rose from 6 to 30.9, creatinine fell from 20 to 0.4, lactate was checked once at 173, and urine output rose from 270 to 530, with recorded outputs ranging 150-530.

Answer: B


Question:
Which option is most consistent with the actual sequence of measurements?

Options:
A. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 109, MAP rose from 70 to 77, and heart rate stayed around 66. SpO2 started at 96, ended at 99, and fell as low as 95 around hour 0.3; respiratory rate ranged 20-33. For labs and output, white count was 13.7 on its only check, creatinine was 3.6 on its only check, lactate fell from 578 to 4.9, and urine output fell from 110 to 15.
B. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 98 to 111, MAP rose from 68 to 75, and heart rate stayed around 68. SpO2 started at 94, ended at 100, and fell as low as 93 around hour 0.2; respiratory rate ranged 21-35. For labs and output, white count was 12.6 on its only check, creatinine was 4.0 on its only check, lactate fell from 578.2 to 4.5, and urine output fell from 112 to 14.
C. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 96 to 105, MAP rose from 74 to 81, and heart rate was roughly stable (62 to 69). SpO2 started at 96, ended at 99, and fell as low as 95 around hour 0.3; respiratory rate ranged 20-35. For labs and output, white count was 13.7 on its only check, creatinine was 3.6 on its only check, lactate fell from 578 to 4.9, and urine output fell from 110 to 15.
D. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (96 to 105), MAP rose from 66 to 80, and heart rate stayed around 70. SpO2 started at 92, ended at 100, and fell as low as 94 around hour 0.1; respiratory rate ranged 22-38. For labs and output, white count was 11.4 on its only check, creatinine was 4.3 on its only check, lactate fell from 548 to 4.2, and urine output fell from 114 to 13.

Answer: A


Question:
Which clinical summary is best supported by the time-stamped measurements?

Options:
A. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 137, MAP rose from 69 to 108, and heart rate rose from 64 to 81. SpO2 started at 97, ended at 99, and fell as low as 73 around hour 22.4; respiratory rate ranged 8-50. For labs and output, white count fell from 10.4 to 8.9, creatinine fell from 1 to 0.7, lactate fell from 2.3 to 1.4, and urine output fell from 510 to 97.
B. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 97 to 141, MAP rose from 66 to 105, and heart rate rose from 67 to 78. SpO2 started at 100, ended at 96, and fell as low as 74 around hour 23.9; respiratory rate ranged 8-53. For labs and output, white count fell from 11.9 to 10.3, creatinine fell from 1 to 0.8, lactate fell from 2.1 to 1.2, and urine output fell from 530 to 100.
C. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 116, MAP rose from 70 to 109, and heart rate rose from 63 to 82. SpO2 started at 96, ended at 100, and fell as low as 73 around hour 22.0; respiratory rate ranged 9-49. For labs and output, white count fell from 10.0 to 8.5, creatinine was roughly stable (1 to 0.9), lactate fell from 2.3 to 1.4, and urine output fell from 505 to 96.
D. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 92 to 171, MAP rose from 62 to 100, and heart rate rose from 72 to 81. SpO2 started at 96, ended at 92, and fell as low as 70 around hour 26.1; respiratory rate ranged 7-55. For labs and output, white count fell from 14.2 to 9.5, creatinine fell from 1 to 0.8, lactate fell from 1.8 to 0.9, and urine output fell from 560 to 96.

Answer: B


Question:
Which synopsis best matches the observed sequence rather than a plausible alternative?

Options:
A. Overall, the heart rate rose from 70 to 75, MAP rose from 69 to 108, and diastolic pressure moved from 45 to 92. Systolic pressure ranged 79-161 and ended at 137, and SpO2 recovered to 93 after a low of 77 around hour 24.9. Respiratory rate ended at 24; the available labs showed white count fell from 13.4 to 11.8, creatinine fell from 1 to 0.9, lactate fell from 2.3 to 1.0, and urine output fell from 550 to 97.
B. Overall, the heart rate rose from 65 to 81, MAP rose from 64 to 103, and diastolic pressure moved from 50 to 86. Systolic pressure ranged 74-126 and ended at 126, and SpO2 recovered to 98 after a low of 72 around hour 22.8. Respiratory rate ended at 27; the available labs showed white count fell from 10.8 to 9.2, creatinine fell from 1 to 0.7, lactate fell from 2.0 to 1.4, and urine output fell from 515 to 98.
C. Overall, the heart rate rose from 67 to 78, MAP rose from 66 to 105, and diastolic pressure moved from 48 to 89. Systolic pressure ranged 76-141 and ended at 141, and SpO2 recovered to 96 after a low of 74 around hour 23.9. Respiratory rate ended at 26; the available labs showed white count fell from 11.9 to 10.3, creatinine fell from 1 to 0.8, lactate fell from 2.1 to 1.2, and urine output fell from 530 to 100.
D. Overall, the heart rate rose from 62 to 82, MAP rose from 62 to 100, and diastolic pressure moved from 52 to 84. Systolic pressure ranged 72-111 and ended at 111, and SpO2 recovered to 100 after a low of 73 around hour 21.6. Respiratory rate ended at 28; the available labs showed white count fell from 9.7 to 9.5, creatinine fell from 1 to 0.7, lactate fell from 1.8 to 1.5, and urine output fell from 580 to 96.

Answer: C


Question:
After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?

Options:
A. Taken together, the heart rate rose from 69 to 82, while MAP rose from 74 to 81. Systolic pressure was labile, ranging 84-105, with the lowest value around hour 9.8. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 96, while respiratory rate peaked at 34 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (5.2 to 5.7), creatinine stayed around 1.0, lactate was not available, and urine output was roughly stable (180 to 150), with recorded outputs ranging 100-500.
B. Taken together, the heart rate rose from 66 to 85, while MAP rose from 71 to 78. Systolic pressure was labile, ranging 87-125, with the lowest value around hour 9.3. SpO2 briefly dipped to 85 around hour 1.3 before recovering to 99, while respiratory rate peaked at 31 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (5.7 to 5.2), creatinine stayed around 0.9, lactate was not available, and urine output stayed around 200, with recorded outputs ranging 100-500.
C. Taken together, the heart rate rose from 70 to 81, while MAP rose from 75 to 82. Systolic pressure was labile, ranging 83-100, with the lowest value around hour 9.9. SpO2 briefly dipped to 89 around hour 1.6 before recovering to 95, while respiratory rate peaked at 35 and later settled at 24. The associated labs and urine output showed that white count fell from 5.1 to 4.4, creatinine was roughly stable (1.0 to 1), lactate was not available, and urine output stayed around 200, with recorded outputs ranging 150-500.
D. Taken together, the heart rate rose from 62 to 90, while MAP rose from 66 to 74. Systolic pressure was labile, ranging 91-155, with the lowest value around hour 8.6. SpO2 briefly dipped to 86 around hour 1.0 before recovering to 100, while respiratory rate peaked at 33 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (6.5 to 4.5), creatinine stayed around 0.8, lactate was not available, and urine output stayed around 230, with recorded outputs ranging 96-530.

Answer: B


Question:
Which summary best preserves the direction and size of the recorded changes?

Options:
A. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 94), diastolic pressure rose from 69 to 79, and heart rate rose from 60 to 104. The lowest MAP was about 55 around hour 14.7, and the lowest valid SpO2 was 85 around hour 24.2; respiratory rate rose as high as 100 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.3-38.7 C, white count rose from 6.8 to 8.7, creatinine was roughly stable (0.8 to 0.7), lactate rose from 0.9 to 1.2, and urine output fell from 450 to 50.
B. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (88 to 96), diastolic pressure rose from 67 to 77, and heart rate rose from 62 to 107. The lowest MAP was about 53 around hour 15.8, and the lowest valid SpO2 was 83 around hour 23.2; respiratory rate rose as high as 98 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 38.5-41.0 C, white count rose from 6.4 to 9.1, creatinine was roughly stable (0.7 to 0.6), lactate rose from 1.0 to 1.2, and urine output fell from 435 to 52.
C. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (94 to 90), diastolic pressure rose from 73 to 76, and heart rate rose from 56 to 108. The lowest MAP was about 58 around hour 15.7, and the lowest valid SpO2 was 89 around hour 22.3; respiratory rate rose as high as 96 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.5-35.0 C, white count rose from 7.4 to 8.1, creatinine was roughly stable (0.9 to 0.8), lactate rose from 0.8 to 1.4, and urine output fell from 475 to 46.
D. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (86 to 98), diastolic pressure rose from 64 to 74, and heart rate rose from 64 to 100. The lowest MAP was about 50 around hour 16.9, and the lowest valid SpO2 was 80 around hour 26.4; respiratory rate rose as high as 102 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 40.8-43.2 C, white count rose from 6.0 to 9.4, creatinine stayed around 0.7, lactate rose from 0.9 to 1.2, and urine output fell from 450 to 100.

Answer: A

Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (90 to 94), diastolic pressure rose from 69 to 79, and heart rate rose from 60 to 104. The lowest MAP was about 55 around hour 14.7, and the lowest valid SpO2 was 85 around hour 24.2; respiratory rate rose as high as 100 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 36.3 to 98.8, white count rose from 6.8 to 8.7, creatinine was roughly stable (0.8 to 0.7), lactate rose from 0.9 to 1.2, and urine output fell from 450 to 50.


Question:
After checking the full sequence of measurements, which handoff is most accurate?

Options:
A. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 59 to 73, diastolic pressure rose from 48 to 64, and heart rate stayed around 74. The lowest MAP was about 29 around hour 84.6, and the lowest valid SpO2 was 88 around hour 34.6; respiratory rate rose as high as 28 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 39.3-40 C, white count rose from 15.2 to 22.4, creatinine rose from 9.1 to 100, lactate rose from 476 to 496, and urine output was roughly stable (97 to 48)
B. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 54 to 78, diastolic pressure rose from 43 to 65, and heart rate was roughly stable (79 to 80). The lowest MAP was about 26 around hour 83.6, and the lowest valid SpO2 was 85 around hour 30.6; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.3-37 C, white count rose from 13.7 to 20.9, creatinine rose from 9.6 to 97, lactate rose from 456 to 478, and urine output was roughly stable (100 to 45)
C. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 56 to 76, diastolic pressure rose from 45 to 67, and heart rate stayed around 77. The lowest MAP was about 26 around hour 83.6, and the lowest valid SpO2 was 85 around hour 31.6; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.3-37 C, white count rose from 13.7 to 20.9, creatinine rose from 9.6 to 97, lactate rose from 456 to 478, and urine output was roughly stable (100 to 45)
D. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 52 to 80, diastolic pressure rose from 40 to 62, and heart rate stayed around 82. The lowest MAP was about 24 around hour 79.1, and the lowest valid SpO2 was 80 around hour 27.1; respiratory rate rose as high as 31 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 31.8-32 C, white count rose from 11.4 to 18.6, creatinine rose from 10.3 to 97.1, lactate rose from 426 to 508, and urine output was roughly stable (96 to 95)

Answer: C

Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 56 to 76, diastolic pressure rose from 45 to 67, and heart rate stayed around 77. The lowest MAP was about 26 around hour 83.6, and the lowest valid SpO2 was 85 around hour 31.6; respiratory rate rose as high as 29 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.6, white count rose from 13.7 to 20.9, creatinine rose from 9.6 to 97, lactate rose from 456 to 478, and urine output was roughly stable (100 to 45)


Question:
Which summary best captures the overall course shown by the serial data?

Options:
A. Over the available measurements, the heart rate fell from 89 to 72, while MAP was roughly stable (91 to 89). Systolic pressure was labile, ranging 103-152, with the lowest value around hour 8.0. SpO2 briefly dipped to 91 around hour 7.3 before recovering to 95, while respiratory rate peaked at 30 and later settled at 20. The associated labs and urine output showed that white count rose from 9.1 to 12.8, creatinine fell from 1 to 0.5, lactate fell from 243 to 1, and urine output rose from 97 to 275, with recorded outputs ranging 38-820.
B. Over the available measurements, the heart rate fell from 84 to 77, while MAP was roughly stable (86 to 84). Systolic pressure was labile, ranging 110-187, with the lowest value around hour 7.1. SpO2 briefly dipped to 89 around hour 5.9 before recovering to 100, while respiratory rate peaked at 30 and later settled at 17. The associated labs and urine output showed that white count rose from 10.0 to 10.2, creatinine fell from 1 to 0.7, lactate fell from 208 to 1, and urine output rose from 98 to 310, with recorded outputs ranging 33-785.
C. Over the available measurements, the heart rate fell from 86 to 75, while MAP was roughly stable (88 to 86). Systolic pressure was labile, ranging 106-172, with the lowest value around hour 7.5. SpO2 briefly dipped to 88 around hour 6.3 before recovering to 98, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count rose from 9.6 to 11.3, creatinine fell from 1 to 0.6, lactate fell from 223 to 1, and urine output rose from 100 to 325, with recorded outputs ranging 35-800.
D. Over the available measurements, the heart rate fell from 82 to 80, while MAP was roughly stable (84 to 82). Systolic pressure was labile, ranging 110-202, with the lowest value around hour 6.8. SpO2 briefly dipped to 84 around hour 5.5 before recovering to 100, while respiratory rate peaked at 26 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (10.3 to 10.5), creatinine fell from 1 to 0.7, lactate fell from 193 to 1, and urine output rose from 96 to 295, with recorded outputs ranging 85-770.

Answer: C


Question:
Which summary best captures the overall course shown by the serial data?

Options:
A. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (85 to 86), diastolic pressure fell from 75 to 68, and heart rate fell from 103 to 73. The lowest MAP was about 63 around hour 14.5, and the lowest valid SpO2 was 85 around hour 22.5; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 36.3-36.9 C, white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)
B. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (83 to 88), diastolic pressure fell from 73 to 66, and heart rate fell from 105 to 71. The lowest MAP was about 61 around hour 15.6, and the lowest valid SpO2 was 83 around hour 23.6; respiratory rate rose as high as 30 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 38.5-39.1 C, white count fell from 15.6 to 14.6, creatinine was roughly stable (0.6 to 0.8), lactate was checked once at 2.9, and urine output was roughly stable (585 to 650)
C. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (89 to 82), diastolic pressure fell from 79 to 65, and heart rate fell from 99 to 77. The lowest MAP was about 66 around hour 15.5, and the lowest valid SpO2 was 89 around hour 20.6; respiratory rate rose as high as 30 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 32.5-33.1 C, white count fell from 18.6 to 11.6, creatinine stayed around 0.8, lactate was checked once at 3.1, and urine output was roughly stable (575 to 625)
D. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (80 to 90), diastolic pressure fell from 70 to 64, and heart rate fell from 108 to 76. The lowest MAP was about 58 around hour 16.8, and the lowest valid SpO2 was 80 around hour 21.5; respiratory rate rose as high as 26 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 40.8-41.4 C, white count fell from 14.4 to 12.9, creatinine stayed around 0.5, lactate was checked once at 2.6, and urine output was roughly stable (630 to 570)

Answer: A

In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (85 to 86), diastolic pressure fell from 75 to 68, and heart rate fell from 103 to 73. The lowest MAP was about 63 around hour 14.5, and the lowest valid SpO2 was 85 around hour 22.5; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature ranged from 97.4 to 98.4, white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)


Question:
Which option gives the best clinical synopsis of these ICU measurements?

Options:
A. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 116 to 117, MAP was roughly stable (88 to 89), and heart rate fell from 100 to 76. SpO2 started at 97, ended at 97, and fell as low as 88 around hour 21.0; respiratory rate ranged 12-26. For labs and output, white count fell from 15.2 to 15.0, creatinine was roughly stable (0.8 to 0.8), lactate was checked once at 3.1, and urine output was roughly stable (620 to 600)
B. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 113 to 137, MAP was roughly stable (85 to 86), and heart rate fell from 103 to 73. SpO2 started at 100, ended at 100, and fell as low as 85 around hour 22.5; respiratory rate ranged 11-28. For labs and output, white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)
C. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 117 to 120, MAP was roughly stable (89 to 90), and heart rate fell from 99 to 76. SpO2 started at 96, ended at 96, and fell as low as 89 around hour 20.6; respiratory rate ranged 13-30. For labs and output, white count fell from 14.8 to 12.7, creatinine stayed around 0.8, lactate was checked once at 2.6, and urine output was roughly stable (625 to 625)
D. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 108 to 133, MAP was roughly stable (80 to 89), and heart rate fell from 108 to 68. SpO2 started at 96, ended at 96, and fell as low as 84 around hour 24.8; respiratory rate ranged 9-30. For labs and output, white count fell from 18.9 to 11.2, creatinine stayed around 0.5, lactate was checked once at 3.2, and urine output was roughly stable (570 to 570)

Answer: B


Question:
Which clinical summary is best supported by the time-stamped measurements?

Options:
A. Overall, the heart rate fell from 106 to 70, MAP was roughly stable (88 to 89), and diastolic pressure moved from 72 to 71. Systolic pressure ranged 107-185 and ended at 133, and SpO2 recovered to 97 after a low of 88 around hour 23.5. Respiratory rate ended at 16; the available labs showed white count fell from 18.2 to 15.0, creatinine stayed around 0.6, lactate was checked once at 3.1, and urine output was roughly stable (620 to 580)
B. Overall, the heart rate fell from 101 to 76, MAP was roughly stable (83 to 84), and diastolic pressure moved from 77 to 65. Systolic pressure ranged 102-150 and ended at 122, and SpO2 recovered to 98 after a low of 83 around hour 21.4. Respiratory rate ended at 19; the available labs showed white count fell from 15.6 to 12.4, creatinine stayed around 0.8, lactate was checked once at 2.8, and urine output was roughly stable (585 to 615)
C. Overall, the heart rate fell from 103 to 73, MAP was roughly stable (85 to 86), and diastolic pressure moved from 75 to 68. Systolic pressure ranged 104-165 and ended at 137, and SpO2 recovered to 100 after a low of 85 around hour 22.5. Respiratory rate ended at 18; the available labs showed white count fell from 16.7 to 13.5, creatinine stayed around 0.7, lactate was checked once at 2.9, and urine output was roughly stable (600 to 600)
D. Overall, the heart rate fell from 98 to 78, MAP was roughly stable (80 to 82), and diastolic pressure moved from 80 to 64. Systolic pressure ranged 100-135 and ended at 107, and SpO2 recovered to 96 after a low of 84 around hour 20.2. Respiratory rate ended at 20; the available labs showed white count fell from 14.4 to 12.7, creatinine stayed around 0.8, lactate was checked once at 2.6, and urine output was roughly stable (650 to 630)

Answer: C


Question:
Which clinical summary is best supported by the time-stamped measurements?

Options:
A. Overall, the heart rate rose from 40 to 80, while MAP was roughly stable (87 to 84). Systolic pressure was labile, ranging 93-154, with the lowest value around hour 12.6. SpO2 briefly dipped to 80 around hour 25.6 before recovering to 100, while respiratory rate peaked at 31 and later settled at 29. The associated labs and urine output showed that white count was roughly stable (5.9 to 6.8), creatinine stayed around 0.9, lactate was checked once at 0.8, and urine output fell from 450 to 200, with recorded outputs ranging 200-450.
B. Overall, the heart rate rose from 38 to 82, while MAP was roughly stable (85 to 82). Systolic pressure was labile, ranging 97-169, with the lowest value around hour 11.5. SpO2 briefly dipped to 81 around hour 24.5 before recovering to 98, while respiratory rate peaked at 33 and later settled at 28. The associated labs and urine output showed that white count was roughly stable (6.3 to 6.4), creatinine stayed around 0.8, lactate was checked once at 0.9, and urine output fell from 435 to 185, with recorded outputs ranging 215-465.
C. Overall, the heart rate rose from 44 to 76, while MAP was roughly stable (91 to 88). Systolic pressure was labile, ranging 89-129, with the lowest value around hour 14.5. SpO2 briefly dipped to 84 around hour 27.5 before recovering to 96, while respiratory rate peaked at 35 and later settled at 31. The associated labs and urine output showed that white count was roughly stable (5.3 to 6), creatinine rose from 1.0 to 1.1, lactate was checked once at 0.8, and urine output fell from 450 to 175, with recorded outputs ranging 200-450.
D. Overall, the heart rate rose from 36 to 84, while MAP stayed around 82. Systolic pressure was labile, ranging 93-154, with the lowest value around hour 12.6. SpO2 briefly dipped to 80 around hour 26.6 before recovering to 100, while respiratory rate peaked at 31 and later settled at 29. The associated labs and urine output showed that white count was roughly stable (5.9 to 6.8), creatinine stayed around 0.9, lactate was checked once at 0.8, and urine output fell from 450 to 150, with recorded outputs ranging 150-450.

Answer: A


Question:
Which option is most consistent with the actual sequence of measurements?

Options:
A. Taken together, the heart rate rose from 63 to 69, while MAP was roughly stable (107 to 105). Systolic pressure was labile, ranging 98-145, with the lowest value around hour 24.8. SpO2 briefly dipped to 91 around hour 2.5 before recovering to 97, while respiratory rate peaked at 22 and later settled at 22. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 750 to 520, with recorded outputs ranging 400-820.
B. Taken together, the heart rate rose from 60 to 72, while MAP was roughly stable (104 to 102). Systolic pressure was labile, ranging 101-149, with the lowest value around hour 23.3. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 100, while respiratory rate peaked at 20 and later settled at 20. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 800 to 500, with recorded outputs ranging 350-800.
C. Taken together, the heart rate rose from 64 to 68, while MAP was roughly stable (108 to 105). Systolic pressure was labile, ranging 97-124, with the lowest value around hour 25.2. SpO2 briefly dipped to 92 around hour 3.3 before recovering to 96, while respiratory rate peaked at 22 and later settled at 22. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 775 to 450, with recorded outputs ranging 375-825.
D. Taken together, the heart rate rose from 56 to 76, while MAP was roughly stable (100 to 98). Systolic pressure was labile, ranging 105-179, with the lowest value around hour 21.1. SpO2 briefly dipped to 89 around hour 2.0 before recovering to 96, while respiratory rate peaked at 22 and later settled at 18. The associated labs and urine output showed that white count was not available, creatinine was not available, lactate was not available, and urine output fell from 830 to 470, with recorded outputs ranging 320-770.

Answer: B


Question:
Which summary best combines the vital-sign trends with the available labs and output?

Options:
A. Over the available measurements, the heart rate fell from 82 to 51, while MAP rose from 80 to 83. Systolic pressure was labile, ranging 97-124, with the lowest value around hour 6.3. SpO2 briefly dipped to 91 around hour 2.6 before recovering to 93, while respiratory rate peaked at 30 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (8 to 9.7), creatinine was roughly stable (1.4 to 0.9), lactate was not available, and urine output stayed around 220, with recorded outputs ranging 1-500.
B. Over the available measurements, the heart rate fell from 77 to 56, while MAP was roughly stable (75 to 78). Systolic pressure was labile, ranging 98-159, with the lowest value around hour 5.4. SpO2 briefly dipped to 86 around hour 1.5 before recovering to 98, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count fell from 11 to 8.4, creatinine stayed around 1.0, lactate was not available, and urine output was roughly stable (200 to 250), with recorded outputs ranging 51-500.
C. Over the available measurements, the heart rate fell from 79 to 54, while MAP was roughly stable (77 to 80). Systolic pressure was labile, ranging 100-144, with the lowest value around hour 5.8. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 96, while respiratory rate peaked at 29 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (10 to 9.2), creatinine was roughly stable (1.2 to 1.1), lactate was not available, and urine output was roughly stable (200 to 250), with recorded outputs ranging 1-500.
D. Over the available measurements, the heart rate fell from 74 to 58, while MAP was roughly stable (72 to 76). Systolic pressure was labile, ranging 103-174, with the lowest value around hour 5.0. SpO2 briefly dipped to 89 around hour 1.3 before recovering to 100, while respiratory rate peaked at 31 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (12 to 8.4), creatinine was roughly stable (0.9 to 1.4), lactate was not available, and urine output was roughly stable (170 to 220), with recorded outputs ranging 1-530.

Answer: C


Question:
After reviewing the serial ICU measurements, which summary is most accurate?

Options:
A. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 121 to 141, MAP rose from 80 to 92, and heart rate rose from 64 to 85. SpO2 started at 85, ended at 100, and fell as low as 91 around hour 0.1; respiratory rate ranged 12-31. For labs and output, white count fell from 8.9 to 8.7, creatinine was roughly stable (0.7 to 0.4), lactate fell from 154 to 1.5, and urine output fell from 480 to 170.
B. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 125, MAP rose from 77 to 89, and heart rate rose from 67 to 82. SpO2 started at 88, ended at 97, and fell as low as 88 around hour 0.2; respiratory rate ranged 11-29. For labs and output, white count was roughly stable (10.4 to 9.5), creatinine was roughly stable (0.6 to 0.5), lactate fell from 134 to 1.3, and urine output fell from 500 to 150.
C. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 122 to 142, MAP rose from 81 to 93, and heart rate rose from 63 to 86. SpO2 started at 84, ended at 100, and fell as low as 92 around hour 0.1; respiratory rate ranged 13-27. For labs and output, white count was roughly stable (8.5 to 10.1), creatinine stayed around 0.7, lactate fell from 134.2 to 1.3, and urine output fell from 500 to 150.
D. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (114 to 121), MAP rose from 72 to 92, and heart rate rose from 72 to 78. SpO2 started at 92, ended at 92, and fell as low as 87 around hour 0.4; respiratory rate ranged 9-31. For labs and output, white count was roughly stable (12.7 to 8.8), creatinine was roughly stable (0.4 to 0.7), lactate fell from 104 to 1.0, and urine output fell from 530 to 120.

Answer: B


Question:
Which summary most accurately describes the patient's changes over the episode?

Options:
A. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 54 to 80, diastolic pressure rose from 40 to 76, and heart rate fell from 148 to 142. The lowest MAP was about 54 around hour 1, and the lowest valid SpO2 was 88 around hour 0.0; respiratory rate rose as high as 43 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 31.8-33.8 C, white count was roughly stable (0.4 to 0.1), creatinine stayed around 0.7, lactate fell from 460 to 311.8, and urine output was roughly stable (270 to 235)
B. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 51 to 83, diastolic pressure rose from 37 to 79, and heart rate fell from 168 to 122. The lowest MAP was about 51 around hour 0, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 40 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 34.8-36.8 C, white count was roughly stable (0.3 to 0.2), creatinine stayed around 0.6, lactate fell from 440 to 312, and urine output was roughly stable (250 to 215)
C. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 55 to 79, diastolic pressure rose from 41 to 83, and heart rate fell from 143 to 123. The lowest MAP was about 55 around hour 0, and the lowest valid SpO2 was 89 around hour 0.0; respiratory rate rose as high as 42 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 31.0-33.0 C, white count was roughly stable (0.4 to 0.1), creatinine was roughly stable (0.7 to 0.7), lactate fell from 440 to 312, and urine output was roughly stable (250 to 265)
D. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 46 to 88, diastolic pressure rose from 32 to 74, and heart rate fell from 198 to 125. The lowest MAP was about 46 around hour 3, and the lowest valid SpO2 was 80 around hour 0; respiratory rate rose as high as 36 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 39.3-41.3 C, white count was roughly stable (0.1 to 0.4), creatinine stayed around 0.4, lactate fell from 410 to 342, and urine output was roughly stable (220 to 185)

Answer: B

For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 51 to 83, diastolic pressure rose from 37 to 79, and heart rate fell from 168 to 122. The lowest MAP was about 51 around hour 0, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 40 but ended at 21. The lower-frequency data fit that summary: temperature ranged from 94.7 to 98.2, white count was roughly stable (0.3 to 0.2), creatinine stayed around 0.6, lactate fell from 440 to 312, and urine output was roughly stable (250 to 215)


Question:
Which option best summarizes the hemodynamic, respiratory, lab, and urine-output pattern?

Options:
A. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 118 to 82, MAP rose from 54 to 86, and heart rate fell from 148 to 142. SpO2 started at 90, ended at 96, and fell as low as 84 around hour 0.0; respiratory rate ranged 16-37. For labs and output, white count was roughly stable (0.2 to 0.3), creatinine stayed around 0.7, lactate fell from 420 to 332, and urine output was roughly stable (270 to 195)
B. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 88, MAP rose from 49 to 81, and heart rate fell from 183 to 125. SpO2 started at 95, ended at 91, and fell as low as 83 around hour 0.2; respiratory rate ranged 13-42. For labs and output, white count was roughly stable (0.4 to 0), creatinine stayed around 0.5, lactate fell from 455 to 297, and urine output was roughly stable (235 to 230)
C. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 86, MAP rose from 51 to 83, and heart rate fell from 168 to 122. SpO2 started at 93, ended at 93, and fell as low as 85 around hour 0.1; respiratory rate ranged 14-40. For labs and output, white count was roughly stable (0.3 to 0.2), creatinine stayed around 0.6, lactate fell from 440 to 312, and urine output was roughly stable (250 to 215)
D. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 90, MAP rose from 46 to 78, and heart rate fell from 198 to 92. SpO2 started at 98, ended at 88, and fell as low as 80 around hour 0.2; respiratory rate ranged 12-44. For labs and output, white count was roughly stable (0.5 to 0.0), creatinine was roughly stable (0.4 to 0.7), lactate fell from 440.2 to 312, and urine output was roughly stable (250 to 215)

Answer: C


Question:
Which clinical summary is best supported by the time-stamped measurements?

Options:
A. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 150 to 170, MAP fell from 95 to 85, and heart rate rose from 63 to 83. SpO2 started at 94, ended at 100, and fell as low as 88 around hour 3.6; respiratory rate ranged 16-38. For labs and output, white count fell from 16.9 to 15.4, creatinine stayed around 0.8, lactate rose from 1.0 to 2.0, and urine output fell from 660 to 47.
B. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 130 to 145, MAP fell from 92 to 82, and heart rate rose from 66 to 80. SpO2 started at 97, ended at 97, and fell as low as 85 around hour 4.1; respiratory rate ranged 14-36. For labs and output, white count fell from 18.4 to 16.2, creatinine stayed around 0.7, lactate rose from 1.2 to 1.8, and urine output fell from 640 to 50.
C. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 155 to 175, MAP fell from 96 to 86, and heart rate rose from 62 to 84. SpO2 started at 93, ended at 100, and fell as low as 84 around hour 3.5; respiratory rate ranged 16-32. For labs and output, white count fell from 16.5 to 15.0, creatinine was roughly stable (0.8 to 0.8), lactate rose from 1.4 to 1.8, and urine output fell from 640 to 50.
D. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 141, MAP fell from 88 to 85, and heart rate rose from 70 to 76. SpO2 started at 100, ended at 92, and fell as low as 84 around hour 4.8; respiratory rate ranged 12-40. For labs and output, white count fell from 20.6 to 13.9, creatinine stayed around 0.5, lactate rose from 1.5 to 1.7, and urine output fell from 610 to 54.

Answer: B


Question:
Which clinical synopsis would you choose after reviewing the data chronologically?

Options:
A. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 122 to 102, MAP was roughly stable (73 to 66), and heart rate fell from 92 to 89. SpO2 started at 97, ended at 97, and fell as low as 84 around hour 10.2; respiratory rate ranged 14-28. For labs and output, white count fell from 9.3 to 8.8, creatinine rose from 1.5 to 1.7, lactate was not available, and urine output fell from 370 to 180.
B. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 117 to 108, MAP fell from 68 to 61, and heart rate fell from 97 to 84. SpO2 started at 98, ended at 92, and fell as low as 84 around hour 12.8; respiratory rate ranged 11-30. For labs and output, white count fell from 11.9 to 8.4, creatinine rose from 1.1 to 2, lactate was not available, and urine output fell from 335 to 145.
C. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 119 to 106, MAP fell from 70 to 63, and heart rate fell from 95 to 86. SpO2 started at 100, ended at 94, and fell as low as 85 around hour 11.7; respiratory rate ranged 12-29. For labs and output, white count fell from 10.8 to 8.8, creatinine rose from 1.3 to 1.9, lactate was not available, and urine output fell from 350 to 160.
D. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 114 to 110, MAP fell from 66 to 58, and heart rate fell from 100 to 89. SpO2 started at 96, ended at 90, and fell as low as 80 around hour 13.9; respiratory rate ranged 10-31. For labs and output, white count fell from 13.1 to 8, creatinine rose from 1.0 to 2.2, lactate was not available, and urine output fell from 320 to 130.

Answer: C


Question:
Which summary best avoids misstating the observed ICU course?

Options:
A. Viewed chronologically, the heart rate rose from 53 to 111, MAP rose from 84 to 97, and diastolic pressure moved from 61 to 87. Systolic pressure ranged 93-170 and ended at 111, and SpO2 recovered to 95 after a low of 88 around hour 0.2. Respiratory rate ended at 16; the available labs showed white count rose from 8.1 to 10, creatinine was roughly stable (0.7 to 1.0), lactate was not available, and urine output rose from 200 to 290.
B. Viewed chronologically, the heart rate rose from 50 to 108, MAP rose from 81 to 94, and diastolic pressure moved from 64 to 90. Systolic pressure ranged 90-150 and ended at 108, and SpO2 recovered to 98 after a low of 85 around hour 0.1. Respiratory rate ended at 18; the available labs showed white count rose from 7.6 to 9, creatinine was roughly stable (0.8 to 0.9), lactate was not available, and urine output rose from 180 to 310.
C. Viewed chronologically, the heart rate rose from 54 to 104, MAP rose from 85 to 98, and diastolic pressure moved from 60 to 94. Systolic pressure ranged 94-175 and ended at 112, and SpO2 recovered to 94 after a low of 84 around hour 0.2. Respiratory rate ended at 16; the available labs showed white count was roughly stable (8.2 to 8.2), creatinine was roughly stable (0.7 to 1.0), lactate was not available, and urine output rose from 230 to 285.
D. Viewed chronologically, the heart rate rose from 46 to 112, MAP rose from 76 to 97, and diastolic pressure moved from 68 to 86. Systolic pressure ranged 86-120 and ended at 104, and SpO2 recovered to 100 after a low of 80 around hour 1.1. Respiratory rate ended at 20; the available labs showed white count rose from 6.8 to 8, creatinine was roughly stable (1.0 to 0.8), lactate was not available, and urine output rose from 150 to 340.

Answer: B


Question:
After checking the full sequence of measurements, which handoff is most accurate?

Options:
A. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 84 to 71, diastolic pressure fell from 65 to 56, and heart rate rose from 72 to 100. The lowest MAP was about 70 around hour 45.8, and the lowest valid SpO2 was 88 around hour 11.3; respiratory rate rose as high as 28 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.4-33.9 C, white count was roughly stable (11.8 to 8.6), creatinine stayed around 0.8, lactate stayed broadly stable from 1.9 to 1.3, and urine output fell from 530 to 220.
B. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 79 to 76, diastolic pressure was roughly stable (60 to 57), and heart rate rose from 77 to 101. The lowest MAP was about 65 around hour 47.0, and the lowest valid SpO2 was 83 around hour 11.8; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38.6-39.1 C, white count was roughly stable (9.2 to 11.2), creatinine stayed around 0.6, lactate stayed broadly stable from 1.5 to 1.6, and urine output fell from 495 to 185.
C. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 81 to 74, diastolic pressure was roughly stable (62 to 59), and heart rate rose from 75 to 98. The lowest MAP was about 67 around hour 44.8, and the lowest valid SpO2 was 85 around hour 12.8; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.4-36.9 C, white count was roughly stable (10.3 to 10.1), creatinine stayed around 0.7, lactate stayed broadly stable from 1.7 to 1.5, and urine output fell from 510 to 200.
D. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 76 to 73, diastolic pressure was roughly stable (58 to 54), and heart rate rose from 80 to 94. The lowest MAP was about 62 around hour 49.3, and the lowest valid SpO2 was 80 around hour 15.1; respiratory rate rose as high as 29 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 40.9-41.4 C, white count was roughly stable (8.1 to 12.3), creatinine was roughly stable (0.5 to 0.8), lactate stayed broadly stable from 1.7 to 1.5, and urine output fell from 510 to 250.

Answer: C

Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 81 to 74, diastolic pressure was roughly stable (62 to 59), and heart rate rose from 75 to 98. The lowest MAP was about 67 around hour 44.8, and the lowest valid SpO2 was 85 around hour 12.8; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 97.6 to 98.5, white count was roughly stable (10.3 to 10.1), creatinine stayed around 0.7, lactate stayed broadly stable from 1.7 to 1.5, and urine output fell from 510 to 200.


Question:
Which summary best captures the overall course shown by the serial data?

Options:
A. In broad terms, the heart rate fell from 99 to 56, while MAP was roughly stable (93 to 85). Systolic pressure was labile, ranging 94-119, with the lowest value around hour 26.9. SpO2 briefly dipped to 91 around hour 1.2 before recovering to 91, while respiratory rate peaked at 38 and later settled at 14. The associated labs and urine output showed that white count rose from 8.8 to 15.2, creatinine stayed around 0.7, lactate was not available, and urine output fell from 3270 to 450, with recorded outputs ranging 22-3430.
B. In broad terms, the heart rate fell from 94 to 61, while MAP fell from 88 to 80. Systolic pressure was labile, ranging 99-154, with the lowest value around hour 24.3. SpO2 briefly dipped to 86 around hour 0.1 before recovering to 96, while respiratory rate peaked at 33 and later settled at 11. The associated labs and urine output showed that white count rose from 9.7 to 12.9, creatinine was roughly stable (0.5 to 0.7), lactate was not available, and urine output fell from 3350 to 500, with recorded outputs ranging 70-3350.
C. In broad terms, the heart rate fell from 96 to 59, while MAP fell from 90 to 82. Systolic pressure was labile, ranging 97-139, with the lowest value around hour 25.4. SpO2 briefly dipped to 88 around hour 0.2 before recovering to 94, while respiratory rate peaked at 35 and later settled at 12. The associated labs and urine output showed that white count rose from 9.3 to 13.7, creatinine stayed around 0.6, lactate was not available, and urine output fell from 3350 to 500, with recorded outputs ranging 20-3350.
D. In broad terms, the heart rate fell from 92 to 64, while MAP fell from 86 to 78. Systolic pressure was labile, ranging 101-169, with the lowest value around hour 23.1. SpO2 briefly dipped to 89 around hour 0.0 before recovering to 98, while respiratory rate peaked at 37 and later settled at 10. The associated labs and urine output showed that white count rose from 10.1 to 11.4, creatinine stayed around 0.4, lactate was not available, and urine output fell from 3470 to 470, with recorded outputs ranging 18-3230.

Answer: C


Question:
Which clinical summary is best supported by the time-stamped measurements?

Options:
A. Across the recorded window, the heart rate was roughly stable (79 to 77), MAP fell from 93 to 76, and diastolic pressure moved from 64 to 57. Systolic pressure ranged 86-163 and ended at 147, and SpO2 recovered to 97 after a low of 84 around hour 4. Respiratory rate ended at 24; the available labs showed white count was roughly stable (14.9 to 12.4), creatinine stayed around 0.7, lactate was checked once at 1.8, and urine output was roughly stable (190 to 105)
B. Across the recorded window, the heart rate rose from 74 to 83, MAP fell from 88 to 71, and diastolic pressure moved from 69 to 51. Systolic pressure ranged 81-128 and ended at 112, and SpO2 recovered to 98 after a low of 83 around hour 3. Respiratory rate ended at 27; the available labs showed white count was roughly stable (12.3 to 12.1), creatinine stayed around 0.9, lactate was checked once at 1.5, and urine output was roughly stable (125 to 140)
C. Across the recorded window, the heart rate was roughly stable (76 to 80), MAP fell from 90 to 73, and diastolic pressure moved from 67 to 54. Systolic pressure ranged 83-143 and ended at 127, and SpO2 recovered to 100 after a low of 85 around hour 3. Respiratory rate ended at 26; the available labs showed white count was roughly stable (13.4 to 13.2), creatinine stayed around 0.8, lactate was checked once at 1.6, and urine output was roughly stable (140 to 125)
D. Across the recorded window, the heart rate was roughly stable (72 to 84), MAP fell from 86 to 76, and diastolic pressure moved from 72 to 50. Systolic pressure ranged 78-113 and ended at 123, and SpO2 recovered to 96 after a low of 80 around hour 4. Respiratory rate ended at 28; the available labs showed white count was roughly stable (11.2 to 10.9), creatinine stayed around 1.0, lactate was checked once at 1.3, and urine output was roughly stable (110 to 155)

Answer: C


Question:
Which clinical summary is best supported by the time-stamped measurements?

Options:
A. Across the recorded window, the heart rate fell from 112 to 95, while MAP fell from 104 to 91. Systolic pressure was labile, ranging 95-166, with the lowest value around hour 4.5. SpO2 briefly dipped to 88 around hour 0.4 before recovering to 95, while respiratory rate peaked at 37 and later settled at 19. The associated labs and urine output showed that white count was 13.7 on its only check, creatinine fell from 10 to 0.8, lactate rose from 3 to 706, and urine output fell from 260 to 45, with recorded outputs ranging 30-400.
B. Across the recorded window, the heart rate fell from 110 to 97, while MAP fell from 102 to 94. Systolic pressure was labile, ranging 97-181, with the lowest value around hour 4.1. SpO2 briefly dipped to 86 around hour 1.4 before recovering to 97, while respiratory rate peaked at 35 and later settled at 18. The associated labs and urine output showed that white count was 14.8 on its only check, creatinine fell from 9 to 0.7, lactate rose from 3 to 691, and urine output fell from 245 to 0, with recorded outputs ranging 0-415.
C. Across the recorded window, the heart rate fell from 116 to 91, while MAP fell from 108 to 95. Systolic pressure was labile, ranging 91-141, with the lowest value around hour 5.1. SpO2 briefly dipped to 92 around hour 0.5 before recovering to 91, while respiratory rate peaked at 41 and later settled at 21. The associated labs and urine output showed that white count was 11.8 on its only check, creatinine fell from 12 to 0.9, lactate rose from 2 to 731, and urine output fell from 285 to 41, with recorded outputs ranging 45-375.
D. Across the recorded window, the heart rate fell from 108 to 100, while MAP fell from 100 to 86. Systolic pressure was labile, ranging 99-196, with the lowest value around hour 3.8. SpO2 briefly dipped to 89 around hour 0.2 before recovering to 100, while respiratory rate peaked at 39 and later settled at 17. The associated labs and urine output showed that white count was 15.9 on its only check, creatinine fell from 8 to 0.7, lactate rose from 4 to 676, and urine output fell from 230 to 50, with recorded outputs ranging 26-430.

Answer: A


Question:
Which option is most consistent with the actual sequence of measurements?

Options:
A. Clinically, the heart rate fell from 74 to 60, while MAP rose from 65 to 82. Systolic pressure was labile, ranging 83-127, with the lowest value around hour 0.6. SpO2 briefly dipped to 91 around hour 1.0 before recovering to 93, while respiratory rate peaked at 26 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (10.4 to 13.2), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (390 to 470), with recorded outputs ranging 33-470.
B. Clinically, the heart rate fell from 71 to 63, while MAP rose from 62 to 79. Systolic pressure was labile, ranging 86-147, with the lowest value around hour 0.5. SpO2 briefly dipped to 88 around hour 0.9 before recovering to 96, while respiratory rate peaked at 24 and later settled at 13. The associated labs and urine output showed that white count was roughly stable (11.9 to 11.7), creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (410 to 450), with recorded outputs ranging 30-450.
C. Clinically, the heart rate fell from 75 to 59, while MAP rose from 66 to 82. Systolic pressure was labile, ranging 82-122, with the lowest value around hour 0.6. SpO2 briefly dipped to 92 around hour 1.9 before recovering to 92, while respiratory rate peaked at 26 and later settled at 15. The associated labs and urine output showed that white count was roughly stable (10.0 to 13.6), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (385 to 400), with recorded outputs ranging 34-475.
D. Clinically, the heart rate fell from 66 to 63, while MAP rose from 58 to 74. Systolic pressure was labile, ranging 90-177, with the lowest value around hour 0.3. SpO2 briefly dipped to 84 around hour 0.8 before recovering to 100, while respiratory rate peaked at 22 and later settled at 11. The associated labs and urine output showed that white count was roughly stable (14.2 to 10.9), creatinine was roughly stable (0.2 to 0.5), lactate was not available, and urine output was roughly stable (410 to 450), with recorded outputs ranging 80-450.

Answer: B


Question:
Which summary best represents the patient's recorded course across the episode?

Options:
A. Over the available measurements, the heart rate fell from 71 to 63, MAP rose from 62 to 79, and diastolic pressure moved from 45 to 70. Systolic pressure ranged 86-147 and ended at 112, and SpO2 recovered to 96 after a low of 88 around hour 0.9. Respiratory rate ended at 13; the available labs showed white count was roughly stable (11.9 to 11.7), creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (410 to 450)
B. Over the available measurements, the heart rate was roughly stable (69 to 66), MAP rose from 60 to 77, and diastolic pressure moved from 47 to 67. Systolic pressure ranged 84-132 and ended at 110, and SpO2 recovered to 98 after a low of 86 around hour 0.8. Respiratory rate ended at 14; the available labs showed white count was roughly stable (10.8 to 10.6), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (395 to 435)
C. Over the available measurements, the heart rate fell from 75 to 59, MAP rose from 66 to 83, and diastolic pressure moved from 41 to 74. Systolic pressure ranged 90-172 and ended at 116, and SpO2 recovered to 92 after a low of 87 around hour 1.0. Respiratory rate ended at 11; the available labs showed white count was roughly stable (13.8 to 10.9), creatinine stayed around 0.3, lactate was not available, and urine output was roughly stable (460 to 475)
D. Over the available measurements, the heart rate fell from 66 to 63, MAP rose from 58 to 82, and diastolic pressure moved from 50 to 66. Systolic pressure ranged 82-117 and ended at 108, and SpO2 recovered to 100 after a low of 84 around hour 1.9. Respiratory rate ended at 15; the available labs showed white count was roughly stable (9.7 to 9.4), creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (380 to 420)

Answer: A


Question:
Which summary best avoids misstating the observed ICU course?

Options:
A. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (97 to 93), diastolic pressure was roughly stable (80 to 78), and heart rate fell from 91 to 83. The lowest MAP was about 78 around hour 1.4, and the lowest valid SpO2 was 88 around hour 21.9; respiratory rate rose as high as 42 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 37.2-38.2 C, white count fell from 14.8 to 13.4, creatinine was roughly stable (1 to 0.9), lactate was not available, and urine output fell from 350 to 85.
B. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (95 to 95), diastolic pressure was roughly stable (78 to 76), and heart rate fell from 93 to 81. The lowest MAP was about 76 around hour 1.5, and the lowest valid SpO2 was 86 around hour 23.0; respiratory rate rose as high as 44 but ended at 25. The lower-frequency data fit that summary: temperature stayed around 39.5-40.5 C, white count fell from 13.7 to 12.2, creatinine stayed around 1, lactate was not available, and urine output fell from 350 to 135.
C. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (100 to 89), diastolic pressure was roughly stable (84 to 75), and heart rate fell from 87 to 84. The lowest MAP was about 81 around hour 2.4, and the lowest valid SpO2 was 92 around hour 20.0; respiratory rate rose as high as 46 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 33.5-34.5 C, white count fell from 16.7 to 11.5, creatinine was roughly stable (1 to 1.0), lactate was not available, and urine output fell from 325 to 89.
D. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (92 to 98), diastolic pressure was roughly stable (76 to 74), and heart rate was roughly stable (96 to 86). The lowest MAP was about 74 around hour 1.7, and the lowest valid SpO2 was 84 around hour 20.9; respiratory rate rose as high as 38 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 41.7-42.7 C, white count fell from 12.6 to 11.1, creatinine was roughly stable (1 to 0.8), lactate was not available, and urine output fell from 380 to 80.

Answer: A

In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (97 to 93), diastolic pressure was roughly stable (80 to 78), and heart rate fell from 91 to 83. The lowest MAP was about 78 around hour 1.4, and the lowest valid SpO2 was 88 around hour 21.9; respiratory rate rose as high as 42 but ended at 26. The lower-frequency data fit that summary: temperature ranged from 99 to 100.8, white count fell from 14.8 to 13.4, creatinine was roughly stable (1 to 0.9), lactate was not available, and urine output fell from 350 to 85.


Question:
Which brief chart summary best matches the measurement sequence?

Options:
A. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 130 to 98, MAP fell from 98 to 72, and heart rate fell from 86 to 70. SpO2 started at 98, ended at 96, and fell as low as 85 around hour 2; respiratory rate ranged 6-26. For labs and output, white count was roughly stable (10.2 to 9.8), creatinine stayed around 0.6, lactate fell from 1.6 to 1.3, and urine output rose from 300 to 400.
B. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 100, MAP fell from 96 to 70, and heart rate fell from 88 to 73. SpO2 started at 100, ended at 94, and fell as low as 83 around hour 2; respiratory rate ranged 6-28. For labs and output, white count fell from 11.3 to 9, creatinine stayed around 0.5, lactate fell from 1.8 to 1.1, and urine output rose from 285 to 415.
C. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 155 to 94, MAP fell from 100 to 75, and heart rate fell from 82 to 74. SpO2 started at 94, ended at 100, and fell as low as 84 around hour 2; respiratory rate ranged 7-24. For labs and output, white count was roughly stable (8.3 to 10.4), creatinine stayed around 0.7, lactate fell from 1.4 to 1.2, and urine output rose from 325 to 375.
D. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 100 to 97, MAP fell from 94 to 68, and heart rate fell from 90 to 66. SpO2 started at 100, ended at 92, and fell as low as 80 around hour 2; respiratory rate ranged 5-28. For labs and output, white count was roughly stable (12.4 to 9.1), creatinine was roughly stable (0.4 to 0.7), lactate fell from 1.8 to 1.3, and urine output rose from 300 to 400.

Answer: A


Question:
Which option is most consistent with the actual sequence of measurements?

Options:
A. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 165 to 97, diastolic pressure fell from 150 to 83, and heart rate rose from 47 to 97. The lowest MAP was about 89 around hour 28.1, and the lowest valid SpO2 was 88 around hour 0.0; respiratory rate rose as high as 33 but ended at 33. The lower-frequency data fit that summary: temperature stayed around 33.4-33.8 C, white count was roughly stable (8 to 7.0), creatinine was roughly stable (12 to 12.1), lactate was checked once at 282, and urine output was not recorded.
B. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 130 to 98, diastolic pressure fell from 115 to 84, and heart rate rose from 52 to 97. The lowest MAP was about 84 around hour 28.2, and the lowest valid SpO2 was 83 around hour 0; respiratory rate rose as high as 28 but ended at 28. The lower-frequency data fit that summary: temperature stayed around 38.6-39.0 C, white count was roughly stable (8 to 7.9), creatinine was roughly stable (10 to 9.5), lactate was checked once at 317, and urine output was not recorded.
C. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 145 to 100, diastolic pressure fell from 130 to 86, and heart rate rose from 50 to 94. The lowest MAP was about 86 around hour 27.1, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 30 but ended at 30. The lower-frequency data fit that summary: temperature stayed around 36.4-36.8 C, white count was roughly stable (8 to 7.5), creatinine was roughly stable (11 to 10.6), lactate was checked once at 302, and urine output was not recorded.
D. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 115 to 96, diastolic pressure fell from 100 to 82, and heart rate rose from 54 to 90. The lowest MAP was about 82 around hour 29.4, and the lowest valid SpO2 was 80 around hour 0.2; respiratory rate rose as high as 32 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 40.9-41.3 C, white count was roughly stable (7 to 8.2), creatinine was roughly stable (9 to 10.7), lactate was checked once at 332, and urine output was not recorded.

Answer: C

Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 145 to 100, diastolic pressure fell from 130 to 86, and heart rate rose from 50 to 94. The lowest MAP was about 86 around hour 27.1, and the lowest valid SpO2 was 85 around hour 0.1; respiratory rate rose as high as 30 but ended at 30. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.3, white count was roughly stable (8 to 7.5), creatinine was roughly stable (11 to 10.6), lactate was checked once at 302, and urine output was not recorded.


Question:
Which synopsis best matches the observed sequence rather than a plausible alternative?

Options:
A. Overall, the heart rate rose from 82 to 101, while MAP was roughly stable (80 to 81). Systolic pressure was labile, ranging 97-182, with the lowest value around hour 73.6. SpO2 briefly dipped to 88 around hour 7.6 before recovering to 95, while respiratory rate peaked at 28 and later settled at 16. The associated labs and urine output showed that white count was roughly stable (12.4 to 11.6), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output stayed around 200, with recorded outputs ranging 25-400.
B. Overall, the heart rate rose from 80 to 103, while MAP was roughly stable (78 to 84). Systolic pressure was labile, ranging 99-197, with the lowest value around hour 71.3. SpO2 briefly dipped to 86 around hour 8.6 before recovering to 97, while respiratory rate peaked at 27 and later settled at 15. The associated labs and urine output showed that white count was roughly stable (13.5 to 10.5), creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (185 to 150), with recorded outputs ranging 25-400.
C. Overall, the heart rate rose from 86 to 97, while MAP was roughly stable (84 to 85). Systolic pressure was labile, ranging 93-157, with the lowest value around hour 77.3. SpO2 briefly dipped to 92 around hour 8.2 before recovering to 91, while respiratory rate peaked at 30 and later settled at 18. The associated labs and urine output showed that white count fell from 10.5 to 9.0, creatinine rose from 0.7 to 0.8, lactate was not available, and urine output stayed around 225, with recorded outputs ranging 75-425.
D. Overall, the heart rate rose from 78 to 106, while MAP was roughly stable (76 to 76). Systolic pressure was labile, ranging 101-212, with the lowest value around hour 69.1. SpO2 briefly dipped to 89 around hour 6.8 before recovering to 100, while respiratory rate peaked at 30 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (14.7 to 9.3), creatinine was roughly stable (0.4 to 0.8), lactate was not available, and urine output stayed around 170, with recorded outputs ranging 23-370.

Answer: A


Question:
Which clinical synopsis would you choose after reviewing the data chronologically?

Options:
A. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 108, MAP was roughly stable (83 to 84), and heart rate rose from 85 to 104. SpO2 started at 97, ended at 98, and fell as low as 91 around hour 7.1; respiratory rate ranged 14-26. For labs and output, white count was roughly stable (10.9 to 13.1), creatinine rose from 0.7 to 0.8, lactate was not available, and urine output was roughly stable (220 to 220)
B. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 123 to 103, MAP was roughly stable (78 to 79), and heart rate rose from 84 to 104. SpO2 started at 98, ended at 93, and fell as low as 86 around hour 8.0; respiratory rate ranged 11-30. For labs and output, white count fell from 13.5 to 10.8, creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (185 to 185)
C. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 138 to 128, MAP was roughly stable (80 to 81), and heart rate rose from 82 to 101. SpO2 started at 100, ended at 95, and fell as low as 88 around hour 7.6; respiratory rate ranged 12-28. For labs and output, white count was roughly stable (12.4 to 11.6), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output was roughly stable (200 to 200)
D. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 108 to 88, MAP was roughly stable (76 to 84), and heart rate rose from 86 to 96. SpO2 started at 96, ended at 90, and fell as low as 87 around hour 8.3; respiratory rate ranged 10-30. For labs and output, white count was roughly stable (14.7 to 9.3), creatinine was roughly stable (0.4 to 0.8), lactate was not available, and urine output was roughly stable (170 to 170)

Answer: C


Question:
After reviewing the recorded vitals, labs, and urine output, which summary is most accurate?

Options:
A. Taken together, the heart rate fell from 118 to 58, while MAP rose from 53 to 80. Systolic pressure was labile, ranging 87-121, with the lowest value around hour 0.3. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 93, while respiratory rate peaked at 20 and later settled at 12. The associated labs and urine output showed that white count was 3.2 on its only check, creatinine was 0.6 on its only check, lactate was checked once at 0.8, and urine output rose from 110 to 330, with recorded outputs ranging 78-470.
B. Taken together, the heart rate fell from 115 to 61, while MAP rose from 50 to 77. Systolic pressure was labile, ranging 90-141, with the lowest value around hour 0.2. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 96, while respiratory rate peaked at 19 and later settled at 10. The associated labs and urine output showed that white count was 3.7 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 0.7, and urine output rose from 130 to 380, with recorded outputs ranging 75-450.
C. Taken together, the heart rate fell from 119 to 57, while MAP rose from 54 to 81. Systolic pressure was labile, ranging 86-116, with the lowest value around hour 0.3. SpO2 briefly dipped to 86 around hour 0.7 before recovering to 95, while respiratory rate peaked at 21 and later settled at 12. The associated labs and urine output showed that white count was 3.1 on its only check, creatinine was 0.6 on its only check, lactate was checked once at 0.8, and urine output rose from 105 to 405, with recorded outputs ranging 79-475.
D. Taken together, the heart rate fell from 110 to 66, while MAP rose from 46 to 72. Systolic pressure was labile, ranging 94-171, with the lowest value around hour 0.0. SpO2 briefly dipped to 80 around hour 0.4 before recovering to 100, while respiratory rate peaked at 17 and later settled at 8. The associated labs and urine output showed that white count was 4.5 on its only check, creatinine was 0.3 on its only check, lactate was checked once at 0.5, and urine output rose from 160 to 350, with recorded outputs ranging 125-420.

Answer: B


Question:
Which option best reflects the important trends and outliers in this episode?

Options:
A. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 53 to 74, diastolic pressure rose from 41 to 71, and heart rate fell from 112 to 64. The lowest MAP was about 53 around hour 0.1, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 20 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 32.7-35.8 C, white count was 4.2 on its only check, creatinine was 0.4 on its only check, lactate was checked once at 0.8, and urine output rose from 150 to 360.
B. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 48 to 79, diastolic pressure rose from 36 to 66, and heart rate fell from 117 to 59. The lowest MAP was about 48 around hour 0.3, and the lowest valid SpO2 was 83 around hour 0.7; respiratory rate rose as high as 21 but ended at 9. The lower-frequency data fit that summary: temperature stayed around 38.0-41.0 C, white count was 3.3 on its only check, creatinine was 0.6 on its only check, lactate was checked once at 0.6, and urine output rose from 115 to 430.
C. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 77, diastolic pressure rose from 38 to 68, and heart rate fell from 115 to 61. The lowest MAP was about 50 around hour 0.2, and the lowest valid SpO2 was 85 around hour 0.6; respiratory rate rose as high as 19 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 35.7-38.8 C, white count was 3.7 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 0.7, and urine output rose from 130 to 380.
D. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 46 to 82, diastolic pressure rose from 34 to 65, and heart rate fell from 120 to 56. The lowest MAP was about 46 around hour 1.2, and the lowest valid SpO2 was 80 around hour 0.8; respiratory rate rose as high as 17 but ended at 8. The lower-frequency data fit that summary: temperature stayed around 40.2-43.3 C, white count was 3.0 on its only check, creatinine was 0.7 on its only check, lactate was checked once at 0.5, and urine output rose from 100 to 410.

Answer: C

Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 50 to 77, diastolic pressure rose from 38 to 68, and heart rate fell from 115 to 61. The lowest MAP was about 50 around hour 0.2, and the lowest valid SpO2 was 85 around hour 0.6; respiratory rate rose as high as 19 but ended at 10. The lower-frequency data fit that summary: temperature ranged from 96.2 to 101.9, white count was 3.7 on its only check, creatinine was 0.5 on its only check, lactate was checked once at 0.7, and urine output rose from 130 to 380.