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 140 to 112, MAP was roughly stable (92 to 93), and heart rate fell from 99 to 53. SpO2 started at 93, ended at 91, and fell as low as 87 around hour 0.1; respiratory rate ranged 12-20. For labs and output, white count was 8.9 on its only check, creatinine rose from 0.7 to 0.9, lactate was not available, and urine output fell from 380 to 1.
B. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (105 to 118), MAP was roughly stable (87 to 88), and heart rate fell from 104 to 53. SpO2 started at 98, ended at 86, and fell as low as 86 around hour 0.3; respiratory rate ranged 10-24. For labs and output, white count was 9.8 on its only check, creatinine rose from 0.5 to 0.7, lactate was not available, and urine output fell from 415 to 1.
C. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (120 to 116), MAP was roughly stable (89 to 90), and heart rate fell from 102 to 50. SpO2 started at 96, ended at 88, and fell as low as 88 around hour 0.2; respiratory rate ranged 11-22. For labs and output, white count was 9.4 on its only check, creatinine rose from 0.6 to 0.8, lactate was not available, and urine output fell from 400 to 1.
D. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (90 to 120), MAP was roughly stable (84 to 86), and heart rate fell from 106 to 46. SpO2 started at 100, ended at 84, and fell as low as 84 around hour 0.4; respiratory rate ranged 9-24. For labs and output, white count was 10.2 on its only check, creatinine rose from 0.4 to 0.9, lactate was not available, and urine output fell from 430 to 1.

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 86 to 95, while MAP rose from 83 to 95. Systolic pressure was labile, ranging 80-146, with the lowest value around hour 34.3. SpO2 briefly dipped to 87 around hour 1.5 before recovering to 90, while respiratory rate peaked at 35 and later settled at 18. The associated labs and urine output showed that white count fell from 12.2 to 6.3, creatinine was roughly stable (0.9 to 0.9), lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75, with recorded outputs ranging 75-900.
B. Taken together, the heart rate rose from 83 to 98, while MAP rose from 80 to 92. Systolic pressure was labile, ranging 83-166, with the lowest value around hour 31.3. SpO2 briefly dipped to 84 around hour 1.3 before recovering to 93, while respiratory rate peaked at 32 and later settled at 16. The associated labs and urine output showed that white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75, with recorded outputs ranging 25-900.
C. Taken together, the heart rate rose from 87 to 94, while MAP rose from 84 to 95. Systolic pressure was labile, ranging 79-141, with the lowest value around hour 35.0. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 89, while respiratory rate peaked at 36 and later settled at 18. The associated labs and urine output showed that white count fell from 11.8 to 7.7, creatinine stayed around 0.9, lactate rose from 0.9 to 1.6, and urine output fell from 275 to 25, with recorded outputs ranging 27-875.
D. Taken together, the heart rate rose from 78 to 100, while MAP rose from 76 to 88. Systolic pressure was labile, ranging 87-196, with the lowest value around hour 26.8. SpO2 briefly dipped to 85 around hour 1.0 before recovering to 98, while respiratory rate peaked at 34 and later settled at 14. The associated labs and urine output showed that white count fell from 15.9 to 6.3, creatinine stayed around 0.7, lactate rose from 1.4 to 1.6, and urine output fell from 220 to 80, with recorded outputs ranging 23-930.

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 83 to 89, diastolic pressure was roughly stable (70 to 71), and heart rate rose from 80 to 100. The lowest MAP was about 61 around hour 45.3, and the lowest valid SpO2 was 87 around hour 1.1; respiratory rate rose as high as 35 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.3-35.9 C, white count fell from 15.2 to 6.6, creatinine stayed around 0.9, lactate rose from 1.3 to 1.5, and urine output fell from 270 to 78.
B. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 78 to 94, diastolic pressure rose from 65 to 72, and heart rate rose from 85 to 96. The lowest MAP was about 56 around hour 46.5, and the lowest valid SpO2 was 82 around hour 1.5; respiratory rate rose as high as 34 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38.5-41.1 C, white count fell from 12.6 to 7.5, creatinine was roughly stable (0.7 to 0.9), lactate rose from 1.1 to 1.4, and urine output fell from 250 to 125.
C. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 80 to 92, diastolic pressure rose from 67 to 74, and heart rate rose from 83 to 98. The lowest MAP was about 58 around hour 44.3, and the lowest valid SpO2 was 84 around hour 1.3; respiratory rate rose as high as 32 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 36.3-38.9 C, white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75.
D. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 76 to 96, diastolic pressure rose from 62 to 70, and heart rate rose from 88 to 101. The lowest MAP was about 54 around hour 48.8, and the lowest valid SpO2 was 80 around hour 0.3; respiratory rate rose as high as 28 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 40.8-43.4 C, white count fell from 11.4 to 7.8, creatinine stayed around 0.7, lactate rose from 0.8 to 1.7, and urine output fell from 220 to 70.

Answer: C

Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 80 to 92, diastolic pressure rose from 67 to 74, and heart rate rose from 83 to 98. The lowest MAP was about 58 around hour 44.3, and the lowest valid SpO2 was 84 around hour 1.3; respiratory rate rose as high as 32 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 97.4 to 102, white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75.


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

Options:
A. In broad terms, the heart rate rose from 83 to 98, MAP rose from 80 to 92, and diastolic pressure moved from 67 to 74. Systolic pressure ranged 83-166 and ended at 139, and SpO2 recovered to 93 after a low of 84 around hour 1.3. Respiratory rate ended at 16; the available labs showed white count fell from 13.7 to 7.1, creatinine stayed around 0.8, lactate rose from 1.1 to 1.4, and urine output fell from 250 to 75.
B. In broad terms, the heart rate rose from 81 to 100, MAP rose from 78 to 95, and diastolic pressure moved from 69 to 72. Systolic pressure ranged 81-151 and ended at 135, and SpO2 recovered to 95 after a low of 82 around hour 2.3. Respiratory rate ended at 17; the available labs showed white count fell from 12.6 to 6.7, creatinine stayed around 0.9, lactate rose from 1.0 to 1.2, and urine output fell from 265 to 73.
C. In broad terms, the heart rate rose from 87 to 101, MAP rose from 84 to 96, and diastolic pressure moved from 63 to 71. Systolic pressure ranged 87-191 and ended at 164, and SpO2 recovered to 89 after a low of 88 around hour 1.6. Respiratory rate ended at 14; the available labs showed white count fell from 15.6 to 7.7, creatinine stayed around 0.7, lactate rose from 1.4 to 1.6, and urine output fell from 225 to 79.
D. In broad terms, the heart rate rose from 78 to 100, MAP rose from 76 to 88, and diastolic pressure moved from 72 to 70. Systolic pressure ranged 78-136 and ended at 109, and SpO2 recovered to 98 after a low of 83 around hour 1.0. Respiratory rate ended at 18; the available labs showed white count fell from 11.4 to 6.3, creatinine stayed around 1.0, lactate rose from 0.8 to 1.1, and urine output fell from 300 to 70.

Answer: A


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

Options:
A. In broad terms, the heart rate rose from 53 to 57, while MAP rose from 77 to 96. Systolic pressure was labile, ranging 102-124, with the lowest value around hour 1.4. SpO2 briefly dipped to 91 around hour 1.4 before recovering to 97, while respiratory rate peaked at 23 and later settled at 18. The associated labs and urine output showed that white count fell from 13.3 to 11.8, creatinine fell from 0.9 to 0.4, lactate was checked once at 1.4, and urine output was roughly stable (470 to 480), with recorded outputs ranging 220-530.
B. In broad terms, the heart rate rose from 48 to 62, while MAP rose from 72 to 91. Systolic pressure was labile, ranging 107-159, with the lowest value around hour 1.0. SpO2 briefly dipped to 86 around hour 1.0 before recovering to 98, while respiratory rate peaked at 20 and later settled at 16. The associated labs and urine output showed that white count fell from 15.9 to 12.1, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.0, and urine output was roughly stable (435 to 515), with recorded outputs ranging 250-565.
C. In broad terms, the heart rate rose from 50 to 60, while MAP rose from 74 to 93. Systolic pressure was labile, ranging 105-144, with the lowest value around hour 1.2. SpO2 briefly dipped to 88 around hour 1.2 before recovering to 100, while respiratory rate peaked at 21 and later settled at 17. The associated labs and urine output showed that white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500), with recorded outputs ranging 200-550.
D. In broad terms, the heart rate rose from 46 to 64, while MAP rose from 70 to 96. Systolic pressure was labile, ranging 110-174, with the lowest value around hour 0.9. SpO2 briefly dipped to 84 around hour 2.2 before recovering to 96, while respiratory rate peaked at 19 and later settled at 15. The associated labs and urine output showed that white count fell from 17.1 to 10.7, creatinine fell from 0.7 to 0.6, lactate was checked once at 0.9, and urine output stayed around 420, with recorded outputs ranging 200-550.

Answer: C


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

Options:
A. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 77 to 90, diastolic pressure rose from 66 to 74, and heart rate rose from 47 to 63. The lowest MAP was about 70 around hour 20.2, and the lowest valid SpO2 was 91 around hour 1.0; respiratory rate rose as high as 22 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.4-34.1 C, white count fell from 16.3 to 11.4, creatinine fell from 0.9 to 0.6, lactate was checked once at 1.0, and urine output was roughly stable (470 to 520)
B. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 72 to 95, diastolic pressure rose from 61 to 75, and heart rate rose from 52 to 58. The lowest MAP was about 65 around hour 20.3, and the lowest valid SpO2 was 86 around hour 1.4; respiratory rate rose as high as 23 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 38.6-39.4 C, white count fell from 13.7 to 12.2, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.4, and urine output rose from 435 to 550.
C. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 78 to 89, diastolic pressure rose from 67 to 81, and heart rate rose from 46 to 63. The lowest MAP was about 71 around hour 17.3, and the lowest valid SpO2 was 92 around hour 0.2; respiratory rate rose as high as 23 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 32.6-33.4 C, white count fell from 16.7 to 11.0, creatinine fell from 0.9 to 0.6, lactate was checked once at 0.9, and urine output was roughly stable (475 to 525)
D. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 74 to 93, diastolic pressure rose from 63 to 77, and heart rate rose from 50 to 60. The lowest MAP was about 67 around hour 19.2, and the lowest valid SpO2 was 88 around hour 1.2; respiratory rate rose as high as 21 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.4-37.1 C, white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)

Answer: D

Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 74 to 93, diastolic pressure rose from 63 to 77, and heart rate rose from 50 to 60. The lowest MAP was about 67 around hour 19.2, and the lowest valid SpO2 was 88 around hour 1.2; respiratory rate rose as high as 21 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.8, white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)


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

Options:
A. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 138, MAP rose from 74 to 93, and heart rate rose from 50 to 60. SpO2 started at 88, ended at 100, and fell as low as 88 around hour 1.2; respiratory rate ranged 11-21. For labs and output, white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)
B. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 103 to 134, MAP rose from 72 to 96, and heart rate rose from 52 to 58. SpO2 started at 90, ended at 98, and fell as low as 87 around hour 1.4; respiratory rate ranged 10-22. For labs and output, white count fell from 15.9 to 11.8, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.0, and urine output was roughly stable (435 to 515)
C. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 109 to 113, MAP rose from 78 to 97, and heart rate rose from 46 to 64. SpO2 started at 84, ended at 96, and fell as low as 92 around hour 0.9; respiratory rate ranged 13-19. For labs and output, white count fell from 12.9 to 11.4, creatinine fell from 0.9 to 0.6, lactate was checked once at 1.4, and urine output was roughly stable (475 to 475)
D. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 100 to 168, MAP rose from 70 to 88, and heart rate rose from 54 to 63. SpO2 started at 92, ended at 96, and fell as low as 84 around hour 1.5; respiratory rate ranged 9-23. For labs and output, white count fell from 17.1 to 12.1, creatinine fell from 0.7 to 0.6, lactate was checked once at 0.9, and urine output was roughly stable (420 to 530)

Answer: A


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

Options:
A. For handoff, the heart rate rose from 53 to 57, MAP rose from 77 to 96, and diastolic pressure moved from 60 to 80. Systolic pressure ranged 108-164 and ended at 134, and SpO2 recovered to 97 after a low of 91 around hour 2.2. Respiratory rate ended at 16; the available labs showed white count fell from 16.3 to 14.4, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.4, and urine output was roughly stable (430 to 520)
B. For handoff, the heart rate rose from 50 to 60, MAP rose from 74 to 93, and diastolic pressure moved from 63 to 77. Systolic pressure ranged 105-144 and ended at 138, and SpO2 recovered to 100 after a low of 88 around hour 1.2. Respiratory rate ended at 17; the available labs showed white count fell from 14.8 to 12.9, creatinine fell from 0.8 to 0.5, lactate was checked once at 1.2, and urine output was roughly stable (450 to 500)
C. For handoff, the heart rate rose from 54 to 63, MAP rose from 78 to 97, and diastolic pressure moved from 59 to 74. Systolic pressure ranged 109-169 and ended at 163, and SpO2 recovered to 96 after a low of 92 around hour 1.4. Respiratory rate ended at 15; the available labs showed white count fell from 16.7 to 14.8, creatinine fell from 0.7 to 0.6, lactate was checked once at 1.4, and urine output was roughly stable (425 to 525)
D. For handoff, the heart rate rose from 46 to 64, MAP rose from 70 to 88, and diastolic pressure moved from 68 to 72. Systolic pressure ranged 100-114 and ended at 108, and SpO2 recovered to 96 after a low of 87 around hour 0.9. Respiratory rate ended at 19; the available labs showed white count fell from 12.6 to 12.1, creatinine fell from 1.0 to 0.3, lactate was checked once at 0.9, and urine output was roughly stable (500 to 470)

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 rose from 90 to 98, diastolic pressure rose from 76 to 87, and heart rate rose from 64 to 96. The lowest MAP was about 71 around hour 5.1, and the lowest valid SpO2 was 88 around hour 1.9; respiratory rate rose as high as 25 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.7-38 C, white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.
B. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 88 to 100, diastolic pressure rose from 74 to 85, and heart rate rose from 66 to 99. The lowest MAP was about 69 around hour 5.5, and the lowest valid SpO2 was 86 around hour 0.9; respiratory rate rose as high as 24 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 39.0-40 C, white count fell from 14.0 to 6, creatinine was roughly stable (1.6 to 3.2), lactate was not available, and urine output rose from 165 to 485.
C. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 94 to 97, diastolic pressure rose from 80 to 91, and heart rate rose from 60 to 100. The lowest MAP was about 75 around hour 4.5, and the lowest valid SpO2 was 92 around hour 1.6; respiratory rate rose as high as 27 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 33.0-34 C, white count fell from 17.0 to 5, creatinine was roughly stable (2.0 to 3.7), lactate was not available, and urine output rose from 125 to 550.
D. Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 86 to 100, diastolic pressure rose from 72 to 84, and heart rate rose from 68 to 92. The lowest MAP was about 74 around hour 6.1, and the lowest valid SpO2 was 84 around hour 2.2; respiratory rate rose as high as 23 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 41.2-42 C, white count fell from 12.8 to 7, creatinine was roughly stable (1.5 to 2.9), lactate was not available, and urine output rose from 180 to 470.

Answer: A

Over the available measurements, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 90 to 98, diastolic pressure rose from 76 to 87, and heart rate rose from 64 to 96. The lowest MAP was about 71 around hour 5.1, and the lowest valid SpO2 was 88 around hour 1.9; respiratory rate rose as high as 25 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 98 to 100.4, white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.


Question:
Which option correctly summarizes the serial measurements for this ICU stay?

Options:
A. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (155 to 140), MAP rose from 93 to 101, and heart rate rose from 61 to 99. SpO2 started at 97, ended at 100, and fell as low as 87 around hour 1.7; respiratory rate ranged 12-24. For labs and output, white count fell from 13.6 to 6, creatinine was roughly stable (2.0 to 3.1), lactate was not available, and urine output rose from 170 to 520.
B. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 135 to 144, MAP rose from 90 to 98, and heart rate rose from 64 to 96. SpO2 started at 100, ended at 98, and fell as low as 88 around hour 1.9; respiratory rate ranged 11-25. For labs and output, white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.
C. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 160 to 180, MAP rose from 94 to 100, and heart rate rose from 60 to 100. SpO2 started at 96, ended at 100, and fell as low as 92 around hour 1.6; respiratory rate ranged 13-23. For labs and output, white count fell from 13.2 to 7, creatinine was roughly stable (2.0 to 3.7), lactate was not available, and urine output rose from 175 to 525.
D. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 105 to 174, MAP rose from 86 to 94, and heart rate rose from 68 to 99. SpO2 started at 96, ended at 94, and fell as low as 84 around hour 2.2; respiratory rate ranged 9-27. For labs and output, white count fell from 17.4 to 5.2, creatinine was roughly stable (1.5 to 4.3), lactate was not available, and urine output rose from 120 to 470.

Answer: B


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

Options:
A. Across the recorded window, the heart rate rose from 67 to 99, MAP rose from 93 to 100, and diastolic pressure moved from 73 to 84. Systolic pressure ranged 100-181 and ended at 164, and SpO2 recovered to 95 after a low of 91 around hour 2.1. Respiratory rate ended at 18; the available labs showed white count fell from 16.6 to 6, creatinine was roughly stable (1.6 to 4.1), lactate was not available, and urine output rose from 170 to 480.
B. Across the recorded window, the heart rate rose from 62 to 98, MAP rose from 88 to 101, and diastolic pressure moved from 78 to 85. Systolic pressure ranged 95-146 and ended at 140, and SpO2 recovered to 100 after a low of 86 around hour 2.9. Respiratory rate ended at 20; the available labs showed white count fell from 14.0 to 6, creatinine was roughly stable (2.0 to 3.2), lactate was not available, and urine output rose from 135 to 515.
C. Across the recorded window, the heart rate rose from 64 to 96, MAP rose from 90 to 98, and diastolic pressure moved from 76 to 87. Systolic pressure ranged 97-161 and ended at 144, and SpO2 recovered to 98 after a low of 88 around hour 1.9. Respiratory rate ended at 19; the available labs showed white count fell from 15.1 to 6, creatinine was roughly stable (1.8 to 3.6), lactate was not available, and urine output rose from 150 to 500.
D. Across the recorded window, the heart rate rose from 60 to 100, MAP rose from 86 to 94, and diastolic pressure moved from 80 to 82. Systolic pressure ranged 92-131 and ended at 114, and SpO2 recovered to 100 after a low of 87 around hour 1.6. Respiratory rate ended at 21; the available labs showed white count fell from 12.8 to 5.2, creatinine was roughly stable (2.1 to 2.9), lactate was not available, and urine output rose from 200 to 530.

Answer: C


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

Options:
A. Clinically, the heart rate rose from 53 to 62, while MAP fell from 73 to 60. Systolic pressure was labile, ranging 87-123, with the lowest value around hour 6. SpO2 briefly dipped to 91 around hour 0.2 before recovering to 96, while respiratory rate peaked at 30 and later settled at 18. The associated labs and urine output showed that white count fell from 26.0 to 11.2, creatinine fell from 1.4 to 0.8, lactate fell from 247 to 1.4, and urine output stayed around 47, with recorded outputs ranging 50-380.
B. Clinically, the heart rate rose from 50 to 65, while MAP fell from 70 to 57. Systolic pressure was labile, ranging 90-143, with the lowest value around hour 5. SpO2 briefly dipped to 88 around hour 0.1 before recovering to 99, while respiratory rate peaked at 28 and later settled at 17. The associated labs and urine output showed that white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output stayed around 50, with recorded outputs ranging 30-400.
C. Clinically, the heart rate rose from 54 to 61, while MAP fell from 74 to 61. Systolic pressure was labile, ranging 94-118, with the lowest value around hour 6. SpO2 briefly dipped to 92 around hour 0.2 before recovering to 95, while respiratory rate peaked at 30 and later settled at 19. The associated labs and urine output showed that white count fell from 25.6 to 14, creatinine fell from 1.4 to 0.6, lactate fell from 252 to 1.4, and urine output stayed around 46, with recorded outputs ranging 34-350.
D. Clinically, the heart rate rose from 46 to 70, while MAP fell from 66 to 60. Systolic pressure was labile, ranging 94-173, with the lowest value around hour 4. SpO2 briefly dipped to 84 around hour 1.1 before recovering to 100, while respiratory rate peaked at 26 and later settled at 15. The associated labs and urine output showed that white count fell from 29.8 to 10, creatinine fell from 0.9 to 0.8, lactate fell from 197 to 0.9, and urine output was roughly stable (54 to 0), with recorded outputs ranging 0-400.

Answer: B


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 fell from 73 to 54, diastolic pressure fell from 74 to 50, and heart rate rose from 47 to 68. The lowest MAP was about 60 around hour 74, and the lowest valid SpO2 was 91 around hour 0.0; respiratory rate rose as high as 30 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.4-34.1 C, white count fell from 29.0 to 10, creatinine fell from 1.4 to 0.8, lactate fell from 207 to 1.4, and urine output was roughly stable (53 to 100)
B. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 68 to 59, diastolic pressure fell from 69 to 44, and heart rate rose from 52 to 63. The lowest MAP was about 55 around hour 76, and the lowest valid SpO2 was 86 around hour 0.2; respiratory rate rose as high as 27 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 38.6-39.4 C, white count fell from 26.4 to 13, creatinine fell from 1.0 to 0.6, lactate fell from 242 to 1.0, and urine output was roughly stable (48 to 52)
C. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 70 to 57, diastolic pressure fell from 71 to 47, and heart rate rose from 50 to 65. The lowest MAP was about 57 around hour 77, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 36.4-37.1 C, white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output was roughly stable (50 to 50)
D. Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 66 to 62, diastolic pressure fell from 66 to 42, and heart rate rose from 54 to 68. The lowest MAP was about 52 around hour 82, and the lowest valid SpO2 was 84 around hour 0; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 40.9-41.6 C, white count fell from 25.2 to 14, creatinine fell from 0.9 to 0.5, lactate fell from 257 to 0.9, and urine output was roughly stable (46 to 54)

Answer: C

Overall, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 70 to 57, diastolic pressure fell from 71 to 47, and heart rate rose from 50 to 65. The lowest MAP was about 57 around hour 77, and the lowest valid SpO2 was 88 around hour 0.1; respiratory rate rose as high as 28 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.7, white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output was roughly stable (50 to 50)


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

Options:
A. Over the available measurements, the heart rate rose from 50 to 65, MAP fell from 70 to 57, and diastolic pressure moved from 71 to 47. Systolic pressure ranged 90-143 and ended at 118, and SpO2 recovered to 99 after a low of 88 around hour 0.1. Respiratory rate ended at 17; the available labs showed white count fell from 27.5 to 12, creatinine fell from 1.2 to 0.7, lactate fell from 227 to 1.2, and urine output was roughly stable (50 to 50)
B. Over the available measurements, the heart rate rose from 48 to 67, MAP fell from 68 to 60, and diastolic pressure moved from 73 to 45. Systolic pressure ranged 88-128 and ended at 114, and SpO2 recovered to 100 after a low of 86 around hour 1.1. Respiratory rate ended at 18; the available labs showed white count fell from 26.4 to 11, creatinine fell from 1.4 to 0.6, lactate fell from 212 to 1.4, and urine output was roughly stable (48 to 48)
C. Over the available measurements, the heart rate rose from 54 to 68, MAP fell from 74 to 61, and diastolic pressure moved from 67 to 44. Systolic pressure ranged 94-168 and ended at 122, and SpO2 recovered to 95 after a low of 92 around hour 0.2. Respiratory rate ended at 15; the available labs showed white count fell from 29.4 to 14, creatinine fell from 0.9 to 0.8, lactate fell from 252 to 0.9, and urine output was roughly stable (54 to 54)
D. Over the available measurements, the heart rate rose from 46 to 70, MAP fell from 66 to 52, and diastolic pressure moved from 76 to 42. Systolic pressure ranged 86-113 and ended at 114, and SpO2 recovered to 100 after a low of 87 around hour 0.0. Respiratory rate ended at 19; the available labs showed white count fell from 25.2 to 11.2, creatinine fell from 1.5 to 0.5, lactate fell from 197 to 1.5, and urine output was roughly stable (100 to 46)

Answer: A


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

Options:
A. Over the available measurements, the heart rate fell from 114 to 83, while MAP rose from 69 to 85. Systolic pressure was labile, ranging 73-182, with the lowest value around hour 103.1. SpO2 briefly dipped to 86 around hour 0.6 before recovering to 94, while respiratory rate peaked at 32 and later settled at 26. The associated labs and urine output showed that white count stayed around 8.7, creatinine fell from 1.9 to 1, lactate fell from 279 to 3.1, and urine output fell from 402 to 180, with recorded outputs ranging 6-530.
B. Over the available measurements, the heart rate fell from 109 to 88, while MAP rose from 64 to 85. Systolic pressure was labile, ranging 71-217, with the lowest value around hour 97.8. SpO2 briefly dipped to 83 around hour 1.5 before recovering to 99, while respiratory rate peaked at 28 and later settled at 23. The associated labs and urine output showed that white count stayed around 9.6, creatinine fell from 1.5 to 1, lactate fell from 314 to 2.8, and urine output fell from 367 to 150, with recorded outputs ranging 5-565.
C. Over the available measurements, the heart rate fell from 111 to 86, while MAP rose from 66 to 82. Systolic pressure was labile, ranging 69-202, with the lowest value around hour 100.1. SpO2 briefly dipped to 85 around hour 0.5 before recovering to 97, while respiratory rate peaked at 30 and later settled at 24. The associated labs and urine output showed that white count stayed around 9.2, creatinine fell from 1.7 to 1, lactate fell from 299 to 2.9, and urine output fell from 382 to 200, with recorded outputs ranging 5-550.
D. Over the available measurements, the heart rate fell from 106 to 90, while MAP rose from 62 to 78. Systolic pressure was labile, ranging 74-232, with the lowest value around hour 95.6. SpO2 briefly dipped to 80 around hour 0.3 before recovering to 100, while respiratory rate peaked at 26 and later settled at 22. The associated labs and urine output showed that white count was roughly stable (9.9 to 8.4), creatinine fell from 1.7 to 1.1, lactate fell from 299 to 2.9, and urine output fell from 382 to 200, with recorded outputs ranging 55-550.

Answer: C


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

Options:
A. Viewed chronologically, the heart rate fell from 114 to 83, MAP rose from 69 to 85, and diastolic pressure moved from 20 to 57. Systolic pressure ranged 72-222 and ended at 175, and SpO2 recovered to 94 after a low of 84 around hour 0.6. Respiratory rate ended at 22; the available labs showed white count was roughly stable (9.7 to 8.4), creatinine fell from 1.7 to 1, lactate fell from 299 to 2.9, and urine output fell from 432 to 200.
B. Viewed chronologically, the heart rate fell from 111 to 86, MAP rose from 66 to 82, and diastolic pressure moved from 22 to 54. Systolic pressure ranged 69-202 and ended at 155, and SpO2 recovered to 97 after a low of 85 around hour 0.5. Respiratory rate ended at 24; the available labs showed white count stayed around 9.2, creatinine fell from 1.7 to 1, lactate fell from 299 to 2.9, and urine output fell from 382 to 200.
C. Viewed chronologically, the heart rate fell from 115 to 89, MAP rose from 70 to 86, and diastolic pressure moved from 20 to 51. Systolic pressure ranged 73-227 and ended at 180, and SpO2 recovered to 93 after a low of 89 around hour 0.6. Respiratory rate ended at 22; the available labs showed white count stayed around 9.8, creatinine fell from 1.9 to 1, lactate fell from 324 to 3.1, and urine output fell from 357 to 225.
D. Viewed chronologically, the heart rate fell from 106 to 90, MAP rose from 62 to 85, and diastolic pressure moved from 24 to 50. Systolic pressure ranged 64-172 and ended at 151, and SpO2 recovered to 100 after a low of 80 around hour 1.5. Respiratory rate ended at 26; the available labs showed white count stayed around 8.4, creatinine fell from 1.4 to 1, lactate fell from 269 to 2.6, and urine output fell from 412 to 170.

Answer: B


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 fell from 75 to 68, diastolic pressure rose from 35 to 46, and heart rate rose from 77 to 104. The lowest MAP was about 55 around hour 32.5, and the lowest valid SpO2 was 85 around hour 21.9; respiratory rate rose as high as 32 but ended at 31. The lower-frequency data fit that summary: temperature stayed around 36.4-37.1 C, white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)
B. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 73 to 70, diastolic pressure rose from 33 to 44, and heart rate rose from 79 to 107. The lowest MAP was about 53 around hour 34.8, and the lowest valid SpO2 was 83 around hour 20.9; respiratory rate rose as high as 30 but ended at 29. The lower-frequency data fit that summary: temperature stayed around 38.6-39.4 C, white count rose from 4.3 to 6.2, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 1, and urine output was roughly stable (115 to 58)
C. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 79 to 64, diastolic pressure rose from 39 to 50, and heart rate rose from 73 to 108. The lowest MAP was about 59 around hour 28.8, and the lowest valid SpO2 was 89 around hour 20.0; respiratory rate rose as high as 34 but ended at 35. The lower-frequency data fit that summary: temperature stayed around 32.6-33.4 C, white count rose from 5.3 to 5.8, creatinine rose from 1.6 to 1.8, lactate was checked once at 1, and urine output was roughly stable (155 to 110)
D. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 70 to 67, diastolic pressure rose from 30 to 43, and heart rate rose from 82 to 100. The lowest MAP was about 58 around hour 33.5, and the lowest valid SpO2 was 80 around hour 24.1; respiratory rate rose as high as 28 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 40.9-41.6 C, white count rose from 4.0 to 6.5, creatinine was roughly stable (1.0 to 1.1), lactate was checked once at 1, and urine output was roughly stable (100 to 56)

Answer: A

In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 75 to 68, diastolic pressure rose from 35 to 46, and heart rate rose from 77 to 104. The lowest MAP was about 55 around hour 32.5, and the lowest valid SpO2 was 85 around hour 21.9; respiratory rate rose as high as 32 but ended at 31. The lower-frequency data fit that summary: temperature ranged from 97.5 to 98.7, white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)


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 fell from 153 to 100, MAP fell from 78 to 71, and heart rate rose from 74 to 107. SpO2 started at 97, ended at 95, and fell as low as 88 around hour 20.4; respiratory rate ranged 14-29. For labs and output, white count rose from 4.2 to 6.3, creatinine rose from 1.5 to 1.7, lactate was checked once at 1.2, and urine output was roughly stable (150 to 57)
B. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 133 to 120, MAP fell from 75 to 68, and heart rate rose from 77 to 104. SpO2 started at 100, ended at 92, and fell as low as 85 around hour 21.9; respiratory rate ranged 12-32. For labs and output, white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)
C. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 158 to 116, MAP was roughly stable (79 to 71), and heart rate rose from 73 to 108. SpO2 started at 96, ended at 96, and fell as low as 84 around hour 20.0; respiratory rate ranged 14-28. For labs and output, white count rose from 4.1 to 6.4, creatinine was roughly stable (1.6 to 1.1), lactate was checked once at 1, and urine output was roughly stable (155 to 56)
D. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 103 to 83, MAP fell from 70 to 64, and heart rate rose from 82 to 107. SpO2 started at 96, ended at 88, and fell as low as 80 around hour 24.1; respiratory rate ranged 10-34. For labs and output, white count was roughly stable (5.5 to 5), creatinine was roughly stable (1.0 to 1.7), lactate was checked once at 1, and urine output was roughly stable (100 to 64)

Answer: B


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

Options:
A. Overall, the heart rate rose from 80 to 107, MAP fell from 78 to 71, and diastolic pressure moved from 32 to 43. Systolic pressure ranged 97-170 and ended at 140, and SpO2 recovered to 89 after a low of 88 around hour 23.4. Respiratory rate ended at 28; the available labs showed white count rose from 5.2 to 6.3, creatinine was roughly stable (1.1 to 1.6), lactate was checked once at 1, and urine output was roughly stable (110 to 63)
B. Overall, the heart rate rose from 75 to 106, MAP was roughly stable (73 to 71), and diastolic pressure moved from 37 to 44. Systolic pressure ranged 98-135 and ended at 116, and SpO2 recovered to 94 after a low of 83 around hour 22.9. Respiratory rate ended at 33; the available labs showed white count rose from 4.3 to 5.4, creatinine was roughly stable (1.5 to 1.2), lactate was checked once at 1, and urine output was roughly stable (145 to 58)
C. Overall, the heart rate rose from 77 to 104, MAP fell from 75 to 68, and diastolic pressure moved from 35 to 46. Systolic pressure ranged 100-150 and ended at 120, and SpO2 recovered to 92 after a low of 85 around hour 21.9. Respiratory rate ended at 31; the available labs showed white count rose from 4.7 to 5.8, creatinine was roughly stable (1.3 to 1.4), lactate was checked once at 1, and urine output was roughly stable (130 to 60)
D. Overall, the heart rate rose from 72 to 108, MAP fell from 70 to 64, and diastolic pressure moved from 40 to 42. Systolic pressure ranged 96-120 and ended at 90, and SpO2 recovered to 96 after a low of 84 around hour 19.6. Respiratory rate ended at 36; the available labs showed white count was roughly stable (4.0 to 5), creatinine was roughly stable (1.6 to 1.1), lactate was checked once at 1, and urine output fell from 180 to 56.

Answer: C


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

Options:
A. Overall, the heart rate fell from 113 to 71, while MAP fell from 90 to 69. Systolic pressure was labile, ranging 86-146, with the lowest value around hour 56.7. SpO2 briefly dipped to 88 around hour 27.7 before recovering to 99, while respiratory rate peaked at 24 and later settled at 17. The associated labs and urine output showed that white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25), with recorded outputs ranging 15-390.
B. Overall, the heart rate fell from 111 to 73, while MAP fell from 88 to 67. Systolic pressure was labile, ranging 88-161, with the lowest value around hour 54.5. SpO2 briefly dipped to 86 around hour 26.6 before recovering to 100, while respiratory rate peaked at 23 and later settled at 16. The associated labs and urine output showed that white count fell from 11.3 to 6.5, creatinine was roughly stable (0.6 to 0.8), lactate was not available, and urine output was roughly stable (40 to 25), with recorded outputs ranging 25-390.
C. Overall, the heart rate fell from 117 to 67, while MAP fell from 94 to 73. Systolic pressure was labile, ranging 90-121, with the lowest value around hour 60.5. SpO2 briefly dipped to 89 around hour 29.6 before recovering to 95, while respiratory rate peaked at 26 and later settled at 19. The associated labs and urine output showed that white count fell from 8.3 to 7.9, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (36 to 27), with recorded outputs ranging 17-415.
D. Overall, the heart rate fell from 108 to 76, while MAP fell from 86 to 72. Systolic pressure was labile, ranging 90-176, with the lowest value around hour 52.2. SpO2 briefly dipped to 84 around hour 28.7 before recovering to 100, while respiratory rate peaked at 22 and later settled at 15. The associated labs and urine output showed that white count fell from 12.4 to 6.5, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (44 to 0), with recorded outputs ranging 0-360.

Answer: A


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

Options:
A. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 66, diastolic pressure fell from 82 to 54, and heart rate fell from 110 to 74. The lowest MAP was about 63 around hour 8.7, and the lowest valid SpO2 was 91 around hour 26.2; respiratory rate rose as high as 26 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 31-34.4 C, white count fell from 11.7 to 6.8, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (43 to 24)
B. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 69, diastolic pressure fell from 79 to 57, and heart rate fell from 113 to 71. The lowest MAP was about 60 around hour 7.7, and the lowest valid SpO2 was 88 around hour 27.7; respiratory rate rose as high as 24 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 34-37.4 C, white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25)
C. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 94 to 65, diastolic pressure fell from 83 to 61, and heart rate fell from 109 to 74. The lowest MAP was about 64 around hour 7.1, and the lowest valid SpO2 was 92 around hour 26.7; respiratory rate rose as high as 26 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 30-33.6 C, white count fell from 12.1 to 6.7, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (44 to 23)
D. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 86 to 74, diastolic pressure fell from 74 to 52, and heart rate fell from 118 to 66. The lowest MAP was about 56 around hour 8.4, and the lowest valid SpO2 was 84 around hour 29.9; respiratory rate rose as high as 26 but ended at 15. The lower-frequency data fit that summary: temperature stayed around 38-41.9 C, white count fell from 7.9 to 7.4, creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (40 to 75)

Answer: B

For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 69, diastolic pressure fell from 79 to 57, and heart rate fell from 113 to 71. The lowest MAP was about 60 around hour 7.7, and the lowest valid SpO2 was 88 around hour 27.7; respiratory rate rose as high as 24 but ended at 17. The lower-frequency data fit that summary: temperature ranged from 34 to 98.7, white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25)


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

Options:
A. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 148 to 108, MAP fell from 93 to 72, and heart rate fell from 110 to 74. SpO2 started at 97, ended at 100, and fell as low as 91 around hour 26.2; respiratory rate ranged 12-26. For labs and output, white count fell from 8.7 to 6.5, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (37 to 26)
B. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 107, MAP fell from 88 to 72, and heart rate fell from 115 to 69. SpO2 started at 98, ended at 97, and fell as low as 87 around hour 28.8; respiratory rate ranged 10-25. For labs and output, white count fell from 11.3 to 6.9, creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (42 to 24)
C. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 111, MAP fell from 90 to 69, and heart rate fell from 113 to 71. SpO2 started at 100, ended at 99, and fell as low as 88 around hour 27.7; respiratory rate ranged 11-24. For labs and output, white count fell from 10.2 to 7.3, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (40 to 25)
D. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 98 to 95, MAP fell from 86 to 64, and heart rate fell from 118 to 66. SpO2 started at 96, ended at 94, and fell as low as 84 around hour 29.9; respiratory rate ranged 9-26. For labs and output, white count fell from 12.4 to 6.5, creatinine was roughly stable (0.5 to 0.8), lactate was not available, and urine output was roughly stable (40 to 25)

Answer: C


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

Options:
A. Taken together, the heart rate fell from 98 to 51, while MAP fell from 68 to 33. Systolic pressure was labile, ranging 36-117, with the lowest value around hour 56.6. SpO2 briefly dipped to 70 around hour 56.6 before recovering to 64, while respiratory rate peaked at 34 and later settled at 8. The associated labs and urine output showed that white count fell from 16 to 3.8, creatinine was roughly stable (4.3 to 4.3), lactate fell from 4350 to 6.3, and urine output was roughly stable (87 to 22), with recorded outputs ranging 20-93.
B. Taken together, the heart rate fell from 95 to 54, while MAP fell from 65 to 30. Systolic pressure was labile, ranging 39-137, with the lowest value around hour 53.6. SpO2 briefly dipped to 67 around hour 53.6 before recovering to 67, while respiratory rate peaked at 31 and later settled at 8. The associated labs and urine output showed that white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20), with recorded outputs ranging 5-90.
C. Taken together, the heart rate fell from 99 to 50, while MAP fell from 69 to 33. Systolic pressure was labile, ranging 35-112, with the lowest value around hour 57.4. SpO2 briefly dipped to 71 around hour 53 before recovering to 63, while respiratory rate peaked at 35 and later settled at 9. The associated labs and urine output showed that white count fell from 15 to 5.2, creatinine was roughly stable (4.4 to 3.6), lactate fell from 4370 to 6.4, and urine output fell from 86 to 0, with recorded outputs ranging 0-94.
D. Taken together, the heart rate fell from 90 to 58, while MAP fell from 60 to 26. Systolic pressure was labile, ranging 44-167, with the lowest value around hour 49.1. SpO2 briefly dipped to 62 around hour 49.1 before recovering to 72, while respiratory rate peaked at 33 and later settled at 7. The associated labs and urine output showed that white count fell from 19 to 3.8, creatinine was roughly stable (3.0 to 5.0), lactate fell from 4150 to 5.0, and urine output was roughly stable (94 to 18), with recorded outputs ranging 4-140.

Answer: B


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

Options:
A. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 35, MAP fell from 68 to 33, and heart rate fell from 92 to 57. SpO2 started at 88, ended at 70, and fell as low as 66 around hour 50.6; respiratory rate ranged 6-28. For labs and output, white count fell from 16 to 5.1, creatinine was roughly stable (4.3 to 3.7), lactate fell from 4350 to 6.3, and urine output was roughly stable (87 to 22)
B. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 105 to 41, MAP fell from 63 to 28, and heart rate fell from 97 to 52. SpO2 started at 93, ended at 65, and fell as low as 65 around hour 55.9; respiratory rate ranged 6-33. For labs and output, white count fell from 18 to 4.2, creatinine was roughly stable (3.4 to 4.3), lactate fell from 4270.2 to 5.4, and urine output was roughly stable (92 to 19)
C. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 111 to 35, MAP fell from 69 to 34, and heart rate fell from 91 to 57. SpO2 started at 87, ended at 71, and fell as low as 71 around hour 49.9; respiratory rate ranged 7-33. For labs and output, white count fell from 15 to 3.8, creatinine was roughly stable (4.4 to 3.6), lactate fell from 4370 to 6.4, and urine output was roughly stable (86 to 22)
D. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 107 to 39, MAP fell from 65 to 30, and heart rate fell from 95 to 54. SpO2 started at 91, ended at 67, and fell as low as 67 around hour 53.6; respiratory rate ranged 6-31. For labs and output, white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20)

Answer: D


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

Options:
A. In broad terms, the heart rate fell from 95 to 54, MAP fell from 65 to 30, and diastolic pressure moved from 51 to 26. Systolic pressure ranged 39-137 and ended at 39, and SpO2 recovered to 67 after a low of 67 around hour 53.6. Respiratory rate ended at 8; the available labs showed white count fell from 17 to 4.6, creatinine was roughly stable (3.8 to 4.2), lactate fell from 4270 to 5.8, and urine output was roughly stable (90 to 20)
B. In broad terms, the heart rate fell from 93 to 56, MAP fell from 63 to 33, and diastolic pressure moved from 53 to 25. Systolic pressure ranged 35-122 and ended at 35, and SpO2 recovered to 69 after a low of 65 around hour 53. Respiratory rate ended at 8; the available labs showed white count fell from 16 to 4.2, creatinine was roughly stable (4.2 to 3.8), lactate fell from 4210 to 6.2, and urine output was roughly stable (88 to 19)
C. In broad terms, the heart rate fell from 99 to 57, MAP fell from 69 to 34, and diastolic pressure moved from 47 to 23. Systolic pressure ranged 43-162 and ended at 43, and SpO2 recovered to 63 after a low of 71 around hour 57.4. Respiratory rate ended at 7; the available labs showed white count fell from 19 to 5.2, creatinine was roughly stable (3.2 to 4.8), lactate fell from 4370 to 5.2, and urine output was roughly stable (94 to 22)
D. In broad terms, the heart rate fell from 90 to 58, MAP fell from 60 to 26, and diastolic pressure moved from 56 to 24. Systolic pressure ranged 34-107 and ended at 34, and SpO2 recovered to 72 after a low of 66 around hour 49.1. Respiratory rate ended at 9; the available labs showed white count fell from 15 to 3.8, creatinine was roughly stable (4.5 to 3.5), lactate fell from 4150 to 6.5, and urine output fell from 140 to 18.

Answer: A


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

Options:
A. In broad terms, the heart rate fell from 163 to 84, while MAP fell from 79 to 69. Systolic pressure was labile, ranging 79-143, with the lowest value around hour 80.6. SpO2 briefly dipped to 86 around hour 0.7 before recovering to 94, while respiratory rate peaked at 39 and later settled at 24. The associated labs and urine output showed that white count was roughly stable (16.3 to 18.3), creatinine was roughly stable (1.7 to 2.0), lactate fell from 235 to 0.9, and urine output was roughly stable (280 to 245), with recorded outputs ranging 2-570.
B. In broad terms, the heart rate fell from 128 to 89, while MAP fell from 74 to 64. Systolic pressure was labile, ranging 77-178, with the lowest value around hour 75.3. SpO2 briefly dipped to 83 around hour 0.5 before recovering to 99, while respiratory rate peaked at 35 and later settled at 22. The associated labs and urine output showed that white count fell from 18.9 to 16, creatinine was roughly stable (1.4 to 2.3), lactate fell from 200 to 0.7, and urine output was roughly stable (315 to 210), with recorded outputs ranging 50-535.
C. In broad terms, the heart rate fell from 143 to 87, while MAP fell from 76 to 66. Systolic pressure was labile, ranging 75-163, with the lowest value around hour 77.6. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 97, while respiratory rate peaked at 37 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225), with recorded outputs ranging 0-550.
D. In broad terms, the heart rate fell from 113 to 92, while MAP fell from 72 to 69. Systolic pressure was labile, ranging 80-193, with the lowest value around hour 73.1. SpO2 briefly dipped to 80 around hour 1.6 before recovering to 100, while respiratory rate peaked at 32 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (20.1 to 14.6), creatinine was roughly stable (1.2 to 2.5), lactate fell from 185 to 0.7, and urine output fell from 330 to 175, with recorded outputs ranging 0-520.

Answer: C


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

Options:
A. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (113 to 118), MAP fell from 76 to 66, and heart rate fell from 143 to 87. SpO2 started at 94, ended at 97, and fell as low as 85 around hour 0.6; respiratory rate ranged 6-37. For labs and output, white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225)
B. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (111 to 120), MAP fell from 74 to 64, and heart rate fell from 158 to 90. SpO2 started at 96, ended at 95, and fell as low as 83 around hour 0.7; respiratory rate ranged 6-39. For labs and output, white count fell from 18.9 to 16, creatinine was roughly stable (1.4 to 2.4), lactate fell from 200 to 0.7, and urine output was roughly stable (315 to 210)
C. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (117 to 114), MAP fell from 80 to 69, and heart rate fell from 118 to 91. SpO2 started at 90, ended at 100, and fell as low as 84 around hour 0.5; respiratory rate ranged 7-33. For labs and output, white count was roughly stable (15.9 to 18.7), creatinine was roughly stable (1.8 to 2.0), lactate fell from 240 to 0.9, and urine output was roughly stable (275 to 250)
D. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (108 to 122), MAP fell from 72 to 62, and heart rate fell from 173 to 82. SpO2 started at 98, ended at 92, and fell as low as 80 around hour 0.8; respiratory rate ranged 5-42. For labs and output, white count was roughly stable (20.1 to 14.6), creatinine was roughly stable (1.2 to 2.3), lactate fell from 215.2 to 0.7, and urine output was roughly stable (330 to 195)

Answer: A


Question:
Which summary should be used for rounds based on the recorded course?

Options:
A. For handoff, the heart rate fell from 163 to 84, MAP fell from 79 to 69, and diastolic pressure moved from 66 to 51. Systolic pressure ranged 78-183 and ended at 114, and SpO2 recovered to 94 after a low of 88 around hour 1.6. Respiratory rate ended at 22; the available labs showed white count was roughly stable (19.3 to 18.3), creatinine was roughly stable (1.3 to 2.4), lactate fell from 235 to 0.7, and urine output was roughly stable (320 to 245)
B. For handoff, the heart rate fell from 143 to 87, MAP fell from 76 to 66, and diastolic pressure moved from 69 to 48. Systolic pressure ranged 75-163 and ended at 118, and SpO2 recovered to 97 after a low of 85 around hour 0.6. Respiratory rate ended at 23; the available labs showed white count was roughly stable (17.8 to 16.8), creatinine was roughly stable (1.5 to 2.2), lactate fell from 215 to 0.8, and urine output was roughly stable (300 to 225)
C. For handoff, the heart rate fell from 168 to 83, MAP fell from 80 to 70, and diastolic pressure moved from 65 to 52. Systolic pressure ranged 79-188 and ended at 122, and SpO2 recovered to 93 after a low of 84 around hour 0.7. Respiratory rate ended at 21; the available labs showed white count fell from 19.7 to 16, creatinine was roughly stable (1.2 to 2.5), lactate fell from 240 to 0.7, and urine output fell from 350 to 250.
D. For handoff, the heart rate fell from 113 to 90, MAP fell from 72 to 62, and diastolic pressure moved from 74 to 45. Systolic pressure ranged 70-133 and ended at 114, and SpO2 recovered to 100 after a low of 80 around hour 0.4. Respiratory rate ended at 25; the available labs showed white count was roughly stable (15.6 to 14.6), creatinine was roughly stable (1.8 to 1.9), lactate fell from 185 to 1.0, and urine output was roughly stable (270 to 195)

Answer: B


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

Options:
A. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 183 to 120, MAP fell from 93 to 78, and heart rate fell from 108 to 87. SpO2 started at 85, ended at 96, and fell as low as 91 around hour 0.0; respiratory rate ranged 10-32. For labs and output, white count fell from 8.9 to 7.1, creatinine fell from 0.8 to 0.4, lactate fell from 2.5 to 1.4, and urine output was roughly stable (37 to 38)
B. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 163 to 140, MAP fell from 90 to 75, and heart rate fell from 111 to 84. SpO2 started at 88, ended at 93, and fell as low as 88 around hour 0.1; respiratory rate ranged 9-30. For labs and output, white count was roughly stable (9.4 to 7.9), creatinine fell from 0.7 to 0.5, lactate fell from 2.3 to 1.2, and urine output was roughly stable (40 to 35)
C. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 188 to 115, MAP fell from 94 to 79, and heart rate fell from 107 to 88. SpO2 started at 84, ended at 97, and fell as low as 92 around hour 0.0; respiratory rate ranged 10-26. For labs and output, white count was roughly stable (8.8 to 8.5), creatinine was roughly stable (0.8 to 0.6), lactate fell from 2.5 to 1.4, and urine output was roughly stable (36 to 39)
D. Taken together, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 133 to 113, MAP fell from 86 to 78, and heart rate fell from 116 to 80. SpO2 started at 92, ended at 88, and fell as low as 87 around hour 0.2; respiratory rate ranged 8-34. For labs and output, white count was roughly stable (10.2 to 7.2), creatinine fell from 0.5 to 0.4, lactate fell from 2.0 to 0.9, and urine output was roughly stable (44 to 30)

Answer: B


Question:
Which option correctly summarizes the serial measurements for this ICU stay?

Options:
A. Across the recorded window, the heart rate fell from 68 to 55, while MAP rose from 100 to 108. Systolic pressure was labile, ranging 92-189, with the lowest value around hour 3.9. SpO2 briefly dipped to 88 around hour 5.9 before recovering to 88, while respiratory rate peaked at 45 and later settled at 20. The associated labs and urine output showed that white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100), with recorded outputs ranging 0-200.
B. Across the recorded window, the heart rate fell from 66 to 57, while MAP rose from 98 to 111. Systolic pressure was labile, ranging 94-204, with the lowest value around hour 3.5. SpO2 briefly dipped to 86 around hour 6.9 before recovering to 90, while respiratory rate peaked at 43 and later settled at 19. The associated labs and urine output showed that white count fell from 16.9 to 10, creatinine was roughly stable (1.5 to 1.2), lactate stayed broadly stable from 2.8 to 2, and urine output was roughly stable (62 to 50), with recorded outputs ranging 0-185.
C. Across the recorded window, the heart rate fell from 72 to 51, while MAP rose from 96 to 112. Systolic pressure was labile, ranging 88-164, with the lowest value around hour 4.5. SpO2 briefly dipped to 92 around hour 6.5 before recovering to 84, while respiratory rate peaked at 49 and later settled at 22. The associated labs and urine output showed that white count fell from 13.9 to 10.2, creatinine was roughly stable (1.9 to 1.2), lactate stayed broadly stable from 3.8 to 2, and urine output was roughly stable (56 to 96), with recorded outputs ranging 50-225.
D. Across the recorded window, the heart rate fell from 64 to 60, while MAP rose from 96 to 104. Systolic pressure was labile, ranging 96-219, with the lowest value around hour 3.1. SpO2 briefly dipped to 84 around hour 5.2 before recovering to 92, while respiratory rate peaked at 47 and later settled at 18. The associated labs and urine output showed that white count fell from 18.1 to 9, creatinine was roughly stable (1.3 to 1.4), lactate stayed broadly stable from 2.5 to 2, and urine output was roughly stable (64 to 96), with recorded outputs ranging 0-170.

Answer: A


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

Options:
A. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 97 to 105, diastolic pressure rose from 73 to 76, and heart rate fell from 65 to 58. The lowest MAP was about 64 around hour 4.9, and the lowest valid SpO2 was 91 around hour 5.4; respiratory rate rose as high as 48 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 33.6-35.7 C, white count fell from 17.3 to 10, creatinine was roughly stable (1.8 to 1.3), lactate stayed broadly stable from 2.7 to 2, and urine output was roughly stable (63 to 97)
B. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 100 to 108, diastolic pressure rose from 70 to 79, and heart rate fell from 68 to 55. The lowest MAP was about 61 around hour 3.9, and the lowest valid SpO2 was 88 around hour 5.9; respiratory rate rose as high as 45 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 36.6-38.7 C, white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100)
C. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 96 to 104, diastolic pressure rose from 74 to 83, and heart rate fell from 64 to 58. The lowest MAP was about 65 around hour 3.3, and the lowest valid SpO2 was 87 around hour 4.9; respiratory rate rose as high as 49 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 32.9-35.0 C, white count fell from 17.7 to 9, creatinine was roughly stable (1.9 to 1.4), lactate stayed broadly stable from 2.6 to 2, and urine output was roughly stable (64 to 96)
D. Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 96 to 112, diastolic pressure rose from 66 to 74, and heart rate fell from 72 to 50. The lowest MAP was about 56 around hour 4.7, and the lowest valid SpO2 was 84 around hour 6.7; respiratory rate rose as high as 47 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 41.1-43.2 C, white count fell from 13.6 to 13, creatinine was roughly stable (1.3 to 1.2), lactate stayed broadly stable from 4.0 to 2, and urine output rose from 56 to 150.

Answer: B

Viewed chronologically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP rose from 100 to 108, diastolic pressure rose from 70 to 79, and heart rate fell from 68 to 55. The lowest MAP was about 61 around hour 3.9, and the lowest valid SpO2 was 88 around hour 5.9; respiratory rate rose as high as 45 but ended at 20. The lower-frequency data fit that summary: temperature ranged from 37 to 101.7, white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100)


Question:
Which handoff summary best matches the measured ICU course?

Options:
A. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (197 to 181), MAP rose from 97 to 111, and heart rate fell from 65 to 58. SpO2 started at 97, ended at 91, and fell as low as 87 around hour 5.4; respiratory rate ranged 16-42. For labs and output, white count fell from 14.3 to 12, creatinine was roughly stable (1.8 to 0.9), lactate stayed broadly stable from 3.7 to 2, and urine output was roughly stable (57 to 97)
B. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 162 to 200, MAP rose from 98 to 106, and heart rate fell from 70 to 53. SpO2 started at 98, ended at 86, and fell as low as 86 around hour 6.3; respiratory rate ranged 14-47. For labs and output, white count fell from 16.9 to 10, creatinine was roughly stable (1.5 to 1.2), lactate stayed broadly stable from 3.4 to 2, and urine output was roughly stable (62 to 98)
C. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 177 to 185, MAP rose from 100 to 108, and heart rate fell from 68 to 55. SpO2 started at 100, ended at 88, and fell as low as 88 around hour 5.9; respiratory rate ranged 15-45. For labs and output, white count fell from 15.8 to 11, creatinine was roughly stable (1.6 to 1.1), lactate stayed broadly stable from 3.2 to 2, and urine output was roughly stable (60 to 100)
D. In broad terms, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 147 to 215, MAP rose from 96 to 104, and heart rate fell from 72 to 58. SpO2 started at 96, ended at 84, and fell as low as 84 around hour 6.7; respiratory rate ranged 13-47. For labs and output, white count fell from 18.1 to 10.2, creatinine was roughly stable (1.3 to 1.4), lactate stayed broadly stable from 2.5 to 2, and urine output was roughly stable (64 to 96)

Answer: C


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

Options:
A. Clinically, the heart rate was roughly stable (73 to 64), while MAP rose from 94 to 144. Systolic pressure was labile, ranging 101-151, with the lowest value around hour 6.0. SpO2 briefly dipped to 91 around hour 3.5 before recovering to 92, while respiratory rate peaked at 36 and later settled at 20. The associated labs and urine output showed that white count fell from 16.9 to 16, creatinine fell from 0.9 to 0.4, lactate was not available, and urine output fell from 620 to 150, with recorded outputs ranging 97-780.
B. Clinically, the heart rate was roughly stable (70 to 67), while MAP rose from 91 to 141. Systolic pressure was labile, ranging 104-171, with the lowest value around hour 5.5. SpO2 briefly dipped to 88 around hour 2.5 before recovering to 95, while respiratory rate peaked at 33 and later settled at 18. The associated labs and urine output showed that white count fell from 18.4 to 15, creatinine fell from 0.8 to 0.5, lactate was not available, and urine output fell from 600 to 200, with recorded outputs ranging 100-800.
C. Clinically, the heart rate was roughly stable (74 to 63), while MAP rose from 95 to 166. Systolic pressure was labile, ranging 100-146, with the lowest value around hour 6.1. SpO2 briefly dipped to 92 around hour 2.8 before recovering to 91, while respiratory rate peaked at 37 and later settled at 20. The associated labs and urine output showed that white count fell from 16.5 to 14.2, creatinine fell from 0.9 to 0.6, lactate was not available, and urine output fell from 625 to 225, with recorded outputs ranging 150-775.
D. Clinically, the heart rate was roughly stable (66 to 72), while MAP rose from 86 to 111. Systolic pressure was labile, ranging 108-201, with the lowest value around hour 4.8. SpO2 briefly dipped to 89 around hour 2.2 before recovering to 100, while respiratory rate peaked at 35 and later settled at 16. The associated labs and urine output showed that white count fell from 20.6 to 13, creatinine fell from 0.7 to 0.6, lactate was not available, and urine output fell from 570 to 170, with recorded outputs ranging 96-830.

Answer: B


Question:
Which handoff summary best matches the measured ICU course?

Options:
A. Over the available measurements, the heart rate was roughly stable (70 to 67), MAP rose from 91 to 141, and diastolic pressure moved from 69 to 82. Systolic pressure ranged 104-171 and ended at 159, and SpO2 recovered to 95 after a low of 88 around hour 2.5. Respiratory rate ended at 18; the available labs showed white count fell from 18.4 to 15, creatinine fell from 0.8 to 0.5, lactate was not available, and urine output fell from 600 to 200.
B. Over the available measurements, the heart rate was roughly stable (68 to 69), MAP rose from 89 to 144, and diastolic pressure moved from 71 to 80. Systolic pressure ranged 102-156 and ended at 155, and SpO2 recovered to 97 after a low of 86 around hour 3.5. Respiratory rate ended at 19; the available labs showed white count fell from 17.3 to 14, creatinine fell from 0.9 to 0.4, lactate was not available, and urine output fell from 585 to 215.
C. Over the available measurements, the heart rate was roughly stable (74 to 63), MAP rose from 95 to 166, and diastolic pressure moved from 65 to 86. Systolic pressure ranged 108-196 and ended at 184, and SpO2 recovered to 91 after a low of 87 around hour 2.8. Respiratory rate ended at 16; the available labs showed white count fell from 20.3 to 14.2, creatinine fell from 0.7 to 0.6, lactate was not available, and urine output fell from 650 to 175.
D. Over the available measurements, the heart rate stayed around 66, MAP rose from 91 to 141, and diastolic pressure moved from 69 to 79. Systolic pressure ranged 104-171 and ended at 159, and SpO2 recovered to 95 after a low of 88 around hour 2.5. Respiratory rate ended at 20; the available labs showed white count fell from 18.4 to 15, creatinine fell from 0.8 to 0.5, lactate was not available, and urine output fell from 600 to 200.

Answer: A


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

Options:
A. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 139 to 127, MAP fell from 108 to 89, and heart rate rose from 57 to 65. SpO2 started at 98, ended at 97, and fell as low as 88 around hour 51.4; respiratory rate ranged 8-46. For labs and output, white count fell from 20.8 to 6.3, creatinine was roughly stable (1 to 0.9), lactate fell from 330 to 255, and urine output rose from 250 to 425.
B. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 124 to 104, MAP fell from 106 to 87, and heart rate rose from 59 to 63. SpO2 started at 100, ended at 95, and fell as low as 86 around hour 53.6; respiratory rate ranged 8-48. For labs and output, white count fell from 21.9 to 5.9, creatinine stayed around 1, lactate fell from 330.2 to 255, and urine output rose from 250 to 425.
C. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 164 to 123, MAP fell from 112 to 92, and heart rate rose from 53 to 69. SpO2 started at 94, ended at 100, and fell as low as 87 around hour 47.6; respiratory rate ranged 9-42. For labs and output, white count fell from 18.9 to 6.9, creatinine was roughly stable (1 to 0.8), lactate fell from 355 to 280, and urine output rose from 225 to 450.
D. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 109 to 89, MAP fell from 104 to 84, and heart rate rose from 62 to 68. SpO2 started at 100, ended at 92, and fell as low as 84 around hour 55.9; respiratory rate ranged 7-48. For labs and output, white count fell from 23.1 to 5.5, creatinine was roughly stable (1 to 1.1), lactate fell from 300 to 225, and urine output rose from 280 to 395.

Answer: A


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

Options:
A. Viewed chronologically, the heart rate rose from 60 to 68, MAP fell from 111 to 92, and diastolic pressure moved from 89 to 75. Systolic pressure ranged 100-168 and ended at 147, and SpO2 recovered to 94 after a low of 91 around hour 54.4. Respiratory rate ended at 10; the available labs showed white count fell from 22.3 to 6.8, creatinine was roughly stable (1 to 1.0), lactate fell from 350 to 235, and urine output rose from 270 to 445.
B. Viewed chronologically, the heart rate rose from 57 to 65, MAP fell from 108 to 89, and diastolic pressure moved from 92 to 78. Systolic pressure ranged 99-148 and ended at 127, and SpO2 recovered to 97 after a low of 88 around hour 51.4. Respiratory rate ended at 12; the available labs showed white count fell from 20.8 to 6.3, creatinine was roughly stable (1 to 0.9), lactate fell from 330 to 255, and urine output rose from 250 to 425.
C. Viewed chronologically, the heart rate rose from 61 to 64, MAP fell from 112 to 92, and diastolic pressure moved from 88 to 82. Systolic pressure ranged 100-173 and ended at 123, and SpO2 recovered to 93 after a low of 92 around hour 52.4. Respiratory rate ended at 10; the available labs showed white count fell from 22.7 to 6.9, creatinine was roughly stable (1 to 1.0), lactate fell from 355 to 230, and urine output rose from 275 to 450.
D. Viewed chronologically, the heart rate rose from 52 to 70, MAP fell from 104 to 84, and diastolic pressure moved from 96 to 74. Systolic pressure ranged 94-118 and ended at 97, and SpO2 recovered to 100 after a low of 87 around hour 46.9. Respiratory rate ended at 14; the available labs showed white count fell from 18.6 to 5.5, creatinine was roughly stable (1 to 0.8), lactate fell from 300 to 285, and urine output rose from 300 to 395.

Answer: B


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

Options:
A. Viewed chronologically, the heart rate fell from 111 to 87, while MAP rose from 80 to 85. Systolic pressure was labile, ranging 100-175, with the lowest value around hour 39.9. SpO2 briefly dipped to 88 around hour 1.3 before recovering to 95, while respiratory rate peaked at 26 and later settled at 26. The associated labs and urine output showed that white count stayed around 8.9, creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (140 to 90), with recorded outputs ranging 38-380.
B. Viewed chronologically, the heart rate fell from 106 to 92, while MAP was roughly stable (75 to 80). Systolic pressure was labile, ranging 105-210, with the lowest value around hour 34.6. SpO2 briefly dipped to 83 around hour 0.2 before recovering to 100, while respiratory rate peaked at 23 and later settled at 23. The associated labs and urine output showed that white count was roughly stable (9 to 8.6), creatinine was roughly stable (0.5 to 0.6), lactate was not available, and urine output was roughly stable (120 to 140), with recorded outputs ranging 85-400.
C. Viewed chronologically, the heart rate fell from 112 to 86, while MAP was roughly stable (81 to 86). Systolic pressure was labile, ranging 107-170, with the lowest value around hour 40.6. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 94, while respiratory rate peaked at 26 and later settled at 26. The associated labs and urine output showed that white count stayed around 8.8, creatinine stayed around 0.6, lactate was not available, and urine output was roughly stable (145 to 115), with recorded outputs ranging 39-375.
D. Viewed chronologically, the heart rate fell from 108 to 90, while MAP was roughly stable (77 to 82). Systolic pressure was labile, ranging 103-195, with the lowest value around hour 36.9. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 98, while respiratory rate peaked at 24 and later settled at 24. The associated labs and urine output showed that white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140), with recorded outputs ranging 35-400.

Answer: D


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

Options:
A. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 82), diastolic pressure rose from 61 to 69, and heart rate fell from 108 to 90. The lowest MAP was about 64 around hour 39, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature stayed around 35.8-37.3 C, white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)
B. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 84), diastolic pressure rose from 59 to 67, and heart rate fell from 110 to 88. The lowest MAP was about 62 around hour 41, and the lowest valid SpO2 was 83 around hour 0.4; respiratory rate rose as high as 26 but ended at 23. The lower-frequency data fit that summary: temperature stayed around 38.0-39.5 C, white count stayed around 9.0, creatinine was roughly stable (0.6 to 0.6), lactate was not available, and urine output was roughly stable (120 to 190)
C. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 78), diastolic pressure rose from 65 to 73, and heart rate fell from 104 to 93. The lowest MAP was about 68 around hour 35, and the lowest valid SpO2 was 89 around hour 0; respiratory rate rose as high as 26 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 32.0-33.5 C, white count stayed around 10.0, creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (145 to 165)
D. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (72 to 86), diastolic pressure was roughly stable (56 to 66), and heart rate fell from 112 to 86. The lowest MAP was about 67 around hour 40, and the lowest valid SpO2 was 80 around hour 0.5; respiratory rate rose as high as 22 but ended at 22. The lower-frequency data fit that summary: temperature stayed around 40.3-41.8 C, white count stayed around 8.7, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (90 to 110)

Answer: A

In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 82), diastolic pressure rose from 61 to 69, and heart rate fell from 108 to 90. The lowest MAP was about 64 around hour 39, and the lowest valid SpO2 was 85 around hour 0.3; respiratory rate rose as high as 24 but ended at 24. The lower-frequency data fit that summary: temperature ranged from 96.4 to 99.2, white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)


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 fell from 173 to 103, MAP was roughly stable (80 to 85), and heart rate fell from 105 to 93. SpO2 started at 93, ended at 100, and fell as low as 88 around hour 0.2; respiratory rate ranged 14-26. For labs and output, white count was roughly stable (9 to 8.6), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)
B. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 153 to 123, MAP was roughly stable (77 to 82), and heart rate fell from 108 to 90. SpO2 started at 96, ended at 98, and fell as low as 85 around hour 0.3; respiratory rate ranged 13-24. For labs and output, white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)
C. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 178 to 98, MAP was roughly stable (81 to 86), and heart rate fell from 104 to 94. SpO2 started at 92, ended at 100, and fell as low as 89 around hour 0.2; respiratory rate ranged 15-22. For labs and output, white count stayed around 8.8, creatinine was roughly stable (0.6 to 0.6), lactate was not available, and urine output was roughly stable (120 to 140)
D. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 123 to 119, MAP rose from 72 to 85, and heart rate fell from 112 to 86. SpO2 started at 100, ended at 94, and fell as low as 84 around hour 0.5; respiratory rate ranged 11-26. For labs and output, white count stayed around 10.2, creatinine stayed around 0.3, lactate was not available, and urine output was roughly stable (90 to 170)

Answer: B


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

Options:
A. Overall, the heart rate fell from 111 to 87, MAP was roughly stable (80 to 85), and diastolic pressure moved from 58 to 72. Systolic pressure ranged 106-215 and ended at 143, and SpO2 recovered to 95 after a low of 84 around hour 0.4. Respiratory rate ended at 22; the available labs showed white count was roughly stable (9 to 8.6), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (170 to 140)
B. Overall, the heart rate fell from 106 to 93, MAP was roughly stable (75 to 80), and diastolic pressure moved from 63 to 66. Systolic pressure ranged 101-180 and ended at 108, and SpO2 recovered to 100 after a low of 83 around hour 0.2. Respiratory rate ended at 25; the available labs showed white count stayed around 9.0, creatinine stayed around 0.4, lactate was not available, and urine output was roughly stable (135 to 125)
C. Overall, the heart rate fell from 108 to 90, MAP was roughly stable (77 to 82), and diastolic pressure moved from 61 to 69. Systolic pressure ranged 103-195 and ended at 123, and SpO2 recovered to 98 after a low of 85 around hour 0.3. Respiratory rate ended at 24; the available labs showed white count stayed around 9.4, creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (120 to 140)
D. Overall, the heart rate fell from 104 to 94, MAP rose from 72 to 85, and diastolic pressure moved from 66 to 64. Systolic pressure ranged 98-165 and ended at 119, and SpO2 recovered to 100 after a low of 80 around hour 1.3. Respiratory rate ended at 26; the available labs showed white count stayed around 8.7, creatinine stayed around 0.3, lactate was not available, and urine output was roughly stable (150 to 110)

Answer: C


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 was roughly stable (81 to 76), diastolic pressure rose from 61 to 68, and heart rate was roughly stable (76 to 75). The lowest MAP was about 59 around hour 7.0, and the lowest valid SpO2 was 91 around hour 0; respiratory rate rose as high as 41 but ended at 34. The lower-frequency data fit that summary: temperature stayed around 33.2-34.9 C, white count was roughly stable (13.9 to 10.4), creatinine stayed around 0.6, lactate fell from 1 to 0.2, and urine output rose from 53 to 270.
B. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (78 to 79), diastolic pressure rose from 58 to 65, and heart rate fell from 79 to 72. The lowest MAP was about 56 around hour 7.5, and the lowest valid SpO2 was 88 around hour 0.6; respiratory rate rose as high as 38 but ended at 31. The lower-frequency data fit that summary: temperature stayed around 36.2-37.9 C, white count was roughly stable (12.4 to 11.9), creatinine stayed around 0.5, lactate fell from 1 to 0.3, and urine output rose from 50 to 250.
C. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (82 to 75), diastolic pressure rose from 62 to 69, and heart rate fell from 75 to 72. The lowest MAP was about 60 around hour 6.9, and the lowest valid SpO2 was 92 around hour 0.5; respiratory rate rose as high as 40 but ended at 35. The lower-frequency data fit that summary: temperature stayed around 32.5-34.1 C, white count was roughly stable (14.3 to 10.0), creatinine was roughly stable (0.6 to 0.6), lactate fell from 1 to 0.3, and urine output rose from 50 to 300.
D. For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (74 to 84), diastolic pressure was roughly stable (54 to 62), and heart rate fell from 84 to 68. The lowest MAP was about 59 around hour 8.5, and the lowest valid SpO2 was 84 around hour 0.8; respiratory rate rose as high as 34 but ended at 26. The lower-frequency data fit that summary: temperature stayed around 40.7-42.4 C, white count was roughly stable (10.2 to 14.2), creatinine stayed around 0.3, lactate fell from 1 to 0.5, and urine output rose from 46 to 220.

Answer: B

For handoff, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (78 to 79), diastolic pressure rose from 58 to 65, and heart rate fell from 79 to 72. The lowest MAP was about 56 around hour 7.5, and the lowest valid SpO2 was 88 around hour 0.6; respiratory rate rose as high as 38 but ended at 31. The lower-frequency data fit that summary: temperature ranged from 37 to 100.3, white count was roughly stable (12.4 to 11.9), creatinine stayed around 0.5, lactate fell from 1 to 0.3, and urine output rose from 50 to 250.


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 163 to 117, MAP was roughly stable (81 to 82), and heart rate fell from 76 to 75. SpO2 started at 94, ended at 98, and fell as low as 87 around hour 0.5; respiratory rate ranged 8-35. For labs and output, white count was roughly stable (10.9 to 13.4), creatinine stayed around 0.6, lactate fell from 1 to 0.4, and urine output rose from 53 to 230.
B. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 128 to 108, MAP was roughly stable (76 to 77), and heart rate fell from 81 to 70. SpO2 started at 99, ended at 93, and fell as low as 86 around hour 0.7; respiratory rate ranged 8-40. For labs and output, white count was roughly stable (13.5 to 10.8), creatinine was roughly stable (0.4 to 0.6), lactate fell from 1.2 to 0.3, and urine output rose from 50 to 250.
C. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 143 to 121, MAP was roughly stable (78 to 79), and heart rate fell from 79 to 72. SpO2 started at 97, ended at 95, and fell as low as 88 around hour 0.6; respiratory rate ranged 8-38. For labs and output, white count was roughly stable (12.4 to 11.9), creatinine stayed around 0.5, lactate fell from 1 to 0.3, and urine output rose from 50 to 250.
D. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 113 to 93, MAP was roughly stable (74 to 74), and heart rate was roughly stable (84 to 75). SpO2 started at 100, ended at 90, and fell as low as 84 around hour 0.8; respiratory rate ranged 7-40. For labs and output, white count fell from 14.7 to 11.1, creatinine stayed around 0.3, lactate fell from 1 to 0.1, and urine output rose from 46 to 280.

Answer: C


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

Options:
A. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 98 to 82, diastolic pressure was roughly stable (78 to 75), and heart rate rose from 79 to 111. The lowest MAP was about 63 around hour 1.7, and the lowest valid SpO2 was 91 around hour 0; respiratory rate rose as high as 30 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.5-34.4 C, white count was roughly stable (13.0 to 10.4), creatinine stayed around 0.9, lactate rose from 4.8 to 325, and urine output fell from 400 to 50.
B. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 93 to 87, diastolic pressure fell from 73 to 69, and heart rate rose from 84 to 106. The lowest MAP was about 63 around hour 2.9, and the lowest valid SpO2 was 86 around hour 2; respiratory rate rose as high as 27 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 38.8-39.6 C, white count was roughly stable (10.4 to 13.0), creatinine was roughly stable (0.7 to 0.6), lactate rose from 5.2 to 310, and urine output fell from 385 to 2.
C. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 95 to 85, diastolic pressure was roughly stable (75 to 72), and heart rate rose from 82 to 108. The lowest MAP was about 60 around hour 1.9, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 28 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 36.5-37.4 C, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.
D. Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 90 to 87, diastolic pressure was roughly stable (70 to 68), and heart rate rose from 86 to 111. The lowest MAP was about 56 around hour 2.2, and the lowest valid SpO2 was 84 around hour 3; respiratory rate rose as high as 26 but ended at 10. The lower-frequency data fit that summary: temperature stayed around 41.0-41.9 C, white count was roughly stable (9.2 to 14.2), creatinine was roughly stable (0.7 to 0.5), lactate rose from 5.5 to 295, and urine output fell from 370 to 3.

Answer: C

Across the recorded window, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 95 to 85, diastolic pressure was roughly stable (75 to 72), and heart rate rose from 82 to 108. The lowest MAP was about 60 around hour 1.9, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 28 but ended at 12. The lower-frequency data fit that summary: temperature ranged from 97.7 to 99.3, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.


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

Options:
A. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (148 to 112), MAP fell from 98 to 88, and heart rate rose from 79 to 111. SpO2 started at 97, ended at 96, and fell as low as 91 around hour 0; respiratory rate ranged 6-30. For labs and output, white count was roughly stable (10.0 to 11.1), creatinine was roughly stable (0.9 to 0.6), lactate rose from 5.3 to 345, and urine output fell from 380 to 2.
B. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 113, MAP fell from 95 to 88, and heart rate rose from 82 to 108. SpO2 started at 100, ended at 93, and fell as low as 87 around hour 0; respiratory rate ranged 6-28. For labs and output, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.
C. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (153 to 107), MAP fell from 99 to 89, and heart rate rose from 78 to 112. SpO2 started at 96, ended at 97, and fell as low as 92 around hour 0; respiratory rate ranged 7-30. For labs and output, white count was roughly stable (9.6 to 13.8), creatinine stayed around 0.9, lactate rose from 5 to 325, and urine output fell from 400 to 0.
D. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (128 to 132), MAP fell from 95 to 85, and heart rate rose from 82 to 108. SpO2 started at 100, ended at 93, and fell as low as 88 around hour 0; respiratory rate ranged 6-28. For labs and output, white count was roughly stable (11.5 to 11.9), creatinine was roughly stable (0.8 to 0.7), lactate rose from 4.8 to 325, and urine output fell from 400 to 0.

Answer: D