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

Options:
A. Overall, the heart rate rose from 70 to 90, while MAP was roughly stable (69 to 67). Systolic pressure was labile, ranging 85-176, with the lowest value around hour 13.4. SpO2 briefly dipped to 85 around hour 3.5 before recovering to 95, while respiratory rate peaked at 30 and later settled at 15. The associated labs and urine output showed that white count was roughly stable (6.8 to 7.8), creatinine was roughly stable (1.2 to 1.3), lactate was checked once at 1.5, and urine output was roughly stable (200 to 125), with recorded outputs ranging 0-470.
B. Overall, the heart rate rose from 68 to 92, while MAP was roughly stable (67 to 70). Systolic pressure was labile, ranging 87-191, with the lowest value around hour 12.3. SpO2 briefly dipped to 83 around hour 4.5 before recovering to 97, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (7.2 to 7.4), creatinine was roughly stable (1.0 to 1.5), lactate was checked once at 1.4, and urine output fell from 185 to 75, with recorded outputs ranging 0-485.
C. Overall, the heart rate rose from 74 to 86, while MAP was roughly stable (73 to 71). Systolic pressure was labile, ranging 89-151, with the lowest value around hour 15.3. SpO2 briefly dipped to 86 around hour 4.1 before recovering to 91, while respiratory rate peaked at 32 and later settled at 17. The associated labs and urine output showed that white count was roughly stable (6.2 to 8.4), creatinine was roughly stable (1.4 to 1.1), lactate was checked once at 1.8, and urine output was roughly stable (225 to 100), with recorded outputs ranging 2-445.
D. Overall, the heart rate rose from 66 to 94, while MAP was roughly stable (64 to 62). Systolic pressure was labile, ranging 90-206, with the lowest value around hour 11.2. SpO2 briefly dipped to 80 around hour 2.8 before recovering to 100, while respiratory rate peaked at 26 and later settled at 13. The associated labs and urine output showed that white count was roughly stable (7.5 to 7), creatinine rose from 0.9 to 1.4, lactate was checked once at 1.2, and urine output was roughly stable (170 to 155), with recorded outputs ranging 50-500.

Answer: A


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

Options:
A. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 71 to 53, diastolic pressure rose from 48 to 71, and heart rate was roughly stable (67 to 72). The lowest MAP was about 52 around hour 52.9, and the lowest valid SpO2 was 88 around hour 8.2; respiratory rate rose as high as 37 but ended at 20. The lower-frequency data fit that summary: temperature stayed around 33.1-34.9 C, white count fell from 17.2 to 11.2, creatinine stayed around 1.7, lactate was checked once at 464, and urine output was roughly stable (180 to 220)
B. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 66 to 58, diastolic pressure rose from 43 to 66, and heart rate was roughly stable (72 to 67). The lowest MAP was about 47 around hour 58.1, and the lowest valid SpO2 was 83 around hour 9.6; respiratory rate rose as high as 36 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 38.4-40.1 C, white count fell from 14.6 to 13.8, creatinine was roughly stable (1.4 to 1.6), lactate was checked once at 444, and urine output was roughly stable (185 to 250)
C. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 72 to 52, diastolic pressure rose from 49 to 65, and heart rate was roughly stable (66 to 73). The lowest MAP was about 52 around hour 56.9, and the lowest valid SpO2 was 89 around hour 8.6; respiratory rate rose as high as 38 but ended at 21. The lower-frequency data fit that summary: temperature stayed around 32.4-34.1 C, white count fell from 17.6 to 10.8, creatinine stayed around 1.8, lactate was checked once at 469, and urine output was roughly stable (175 to 225)
D. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 68 to 56, diastolic pressure rose from 45 to 68, and heart rate was roughly stable (70 to 69). The lowest MAP was about 49 around hour 55.9, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 34 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 36.1-37.9 C, white count fell from 15.7 to 12.7, creatinine stayed around 1.5, lactate was checked once at 444, and urine output was roughly stable (200 to 200)

Answer: D

Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 68 to 56, diastolic pressure rose from 45 to 68, and heart rate was roughly stable (70 to 69). The lowest MAP was about 49 around hour 55.9, and the lowest valid SpO2 was 85 around hour 9.2; respiratory rate rose as high as 34 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 97 to 100.3, white count fell from 15.7 to 12.7, creatinine stayed around 1.5, lactate was checked once at 444, and urine output was roughly stable (200 to 200)


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

Options:
A. Across the recorded window, the heart rate fell from 99 to 77, MAP was roughly stable (71 to 70), and diastolic pressure moved from 58 to 56. Systolic pressure ranged 60-193 and ended at 114, and SpO2 recovered to 93 after a low of 83 around hour 38. Respiratory rate ended at 20; the available labs showed white count fell from 22.1 to 14, creatinine was roughly stable (1.1 to 1.4), lactate fell from 291 to 1.2, and urine output rose from 200 to 300.
B. Across the recorded window, the heart rate fell from 94 to 83, MAP was roughly stable (66 to 65), and diastolic pressure moved from 63 to 50. Systolic pressure ranged 55-158 and ended at 109, and SpO2 recovered to 98 after a low of 82 around hour 33. Respiratory rate ended at 22; the available labs showed white count fell from 19.5 to 13.7, creatinine was roughly stable (1.5 to 1.0), lactate fell from 256 to 1.5, and urine output rose from 135 to 265.
C. Across the recorded window, the heart rate fell from 96 to 80, MAP was roughly stable (68 to 67), and diastolic pressure moved from 61 to 53. Systolic pressure ranged 57-173 and ended at 111, and SpO2 recovered to 96 after a low of 84 around hour 35. Respiratory rate ended at 21; the available labs showed white count fell from 20.6 to 14.8, creatinine was roughly stable (1.3 to 1.2), lactate fell from 271 to 1.4, and urine output rose from 150 to 280.
D. Across the recorded window, the heart rate fell from 92 to 84, MAP was roughly stable (64 to 70), and diastolic pressure moved from 66 to 48. Systolic pressure ranged 52-143 and ended at 107, and SpO2 recovered to 100 after a low of 80 around hour 36. Respiratory rate ended at 23; the available labs showed white count fell from 18.4 to 12.6, creatinine was roughly stable (1.6 to 0.9), lactate fell from 241 to 1.7, and urine output rose from 120 to 250.

Answer: C


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

Options:
A. Clinically, the heart rate was roughly stable (64 to 53), MAP fell from 91 to 69, and diastolic pressure moved from 48 to 58. Systolic pressure ranged 100-151 and ended at 107, and SpO2 recovered to 90 after a low of 84 around hour 3.8. Respiratory rate ended at 14; the available labs showed white count fell from 14 to 9, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 550 to 280.
B. Clinically, the heart rate was roughly stable (59 to 58), MAP fell from 86 to 69, and diastolic pressure moved from 53 to 53. Systolic pressure ranged 96-116 and ended at 100, and SpO2 recovered to 95 after a low of 83 around hour 4.3. Respiratory rate ended at 16; the available labs showed white count fell from 11 to 9.4, creatinine was roughly stable (0.9 to 0.6), lactate was not available, and urine output fell from 485 to 315.
C. Clinically, the heart rate was roughly stable (65 to 59), MAP fell from 92 to 70, and diastolic pressure moved from 47 to 52. Systolic pressure ranged 100-156 and ended at 108, and SpO2 recovered to 89 after a low of 89 around hour 3.9. Respiratory rate ended at 13; the available labs showed white count fell from 14 to 10.4, creatinine was roughly stable (0.7 to 0.8), lactate was not available, and urine output fell from 525 to 275.
D. Clinically, the heart rate was roughly stable (61 to 56), MAP fell from 88 to 66, and diastolic pressure moved from 51 to 55. Systolic pressure ranged 98-131 and ended at 104, and SpO2 recovered to 93 after a low of 85 around hour 3.3. Respiratory rate ended at 15; the available labs showed white count fell from 12 to 9.8, creatinine was roughly stable (0.8 to 0.7), lactate was not available, and urine output fell from 500 to 300.

Answer: D


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

Options:
A. Over the available measurements, the heart rate was roughly stable (86 to 88), MAP was roughly stable (95 to 93), and diastolic pressure moved from 75 to 83. Systolic pressure ranged 24-156 and ended at 126, and SpO2 recovered to 94 after a low of 85 around hour 7.7. Respiratory rate ended at 19; the available labs showed white count fell from 13.9 to 6, creatinine was roughly stable (0.8 to 0.9), lactate stayed broadly stable from 0.9 to 1, and urine output fell from 525 to 350.
B. Over the available measurements, the heart rate was roughly stable (84 to 90), MAP was roughly stable (93 to 96), and diastolic pressure moved from 77 to 81. Systolic pressure ranged 23-141 and ended at 122, and SpO2 recovered to 96 after a low of 83 around hour 8.7. Respiratory rate ended at 20; the available labs showed white count fell from 12.8 to 6, creatinine was roughly stable (0.9 to 0.8), lactate stayed broadly stable from 0.8 to 1, and urine output fell from 510 to 335.
C. Over the available measurements, the heart rate was roughly stable (90 to 84), MAP was roughly stable (99 to 97), and diastolic pressure moved from 71 to 87. Systolic pressure ranged 26-181 and ended at 151, and SpO2 recovered to 90 after a low of 84 around hour 8.3. Respiratory rate ended at 17; the available labs showed white count fell from 15.8 to 5.2, creatinine was roughly stable (0.7 to 1.0), lactate stayed broadly stable from 1.0 to 1, and urine output fell from 575 to 375.
D. Over the available measurements, the heart rate was roughly stable (82 to 91), MAP was roughly stable (90 to 88), and diastolic pressure moved from 80 to 80. Systolic pressure ranged 22-126 and ended at 96, and SpO2 recovered to 98 after a low of 80 around hour 7.0. Respiratory rate ended at 21; the available labs showed white count fell from 11.7 to 5, creatinine was roughly stable (1.0 to 0.8), lactate stayed broadly stable from 0.8 to 1, and urine output fell from 495 to 320.

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 114 to 100, MAP fell from 80 to 73, and heart rate fell from 122 to 63. SpO2 started at 100, ended at 98, and fell as low as 85 around hour 7.6; respiratory rate ranged 12-39. For labs and output, white count was roughly stable (0.1 to 0), creatinine rose from 5.1 to 6.4, lactate stayed broadly stable from 726 to 697, and urine output fell from 200 to 75.
B. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 112 to 98, MAP fell from 78 to 71, and heart rate fell from 137 to 61. SpO2 started at 98, ended at 96, and fell as low as 83 around hour 8.0; respiratory rate ranged 11-41. For labs and output, white count was roughly stable (0.2 to 0), creatinine rose from 4.7 to 6.5, lactate fell from 726.2 to 682, and urine output fell from 215 to 73.
C. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 118 to 96, MAP fell from 84 to 77, and heart rate fell from 97 to 66. SpO2 started at 96, ended at 100, and fell as low as 86 around hour 7.0; respiratory rate ranged 14-41. For labs and output, white count was roughly stable (0.0 to 2), creatinine rose from 5.7 to 5.8, lactate stayed broadly stable from 751 to 722, and urine output fell from 175 to 79.
D. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 110 to 96, MAP was roughly stable (76 to 76), and heart rate fell from 152 to 58. SpO2 started at 96, ended at 94, and fell as low as 84 around hour 8.3; respiratory rate ranged 10-44. For labs and output, white count was roughly stable (0.2 to 0), creatinine rose from 4.3 to 7.2, lactate stayed broadly stable from 696 to 667, and urine output fell from 230 to 70.

Answer: A


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

Options:
A. Viewed chronologically, the heart rate stayed around 91, while MAP fell from 77 to 64. Systolic pressure was labile, ranging 95-189, with the lowest value around hour 53.6. SpO2 briefly dipped to 82 around hour 30.6 before recovering to 98, while respiratory rate peaked at 18 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (14 to 10), creatinine was roughly stable (1.9 to 1.7), lactate stayed broadly stable from 1.4 to 1.8, and urine output fell from 620 to 130, with recorded outputs ranging 22-580.
B. Viewed chronologically, the heart rate stayed around 86, while MAP fell from 82 to 59. Systolic pressure was labile, ranging 90-154, with the lowest value around hour 48.4. SpO2 briefly dipped to 87 around hour 28.5 before recovering to 93, while respiratory rate peaked at 21 and later settled at 18. The associated labs and urine output showed that white count fell from 11 to 10.2, creatinine was roughly stable (1.5 to 1.6), lactate stayed broadly stable from 1.8 to 1.5, and urine output fell from 585 to 195, with recorded outputs ranging 70-615.
C. Viewed chronologically, the heart rate stayed around 92, while MAP fell from 76 to 65. Systolic pressure was labile, ranging 96-194, with the lowest value around hour 54.4. SpO2 briefly dipped to 86 around hour 31.5 before recovering to 99, while respiratory rate peaked at 22 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (14 to 9), creatinine was roughly stable (1.9 to 1.8), lactate stayed broadly stable from 1.4 to 1.9, and urine output fell from 625 to 155, with recorded outputs ranging 22-575.
D. Viewed chronologically, the heart rate stayed around 88, while MAP fell from 80 to 61. Systolic pressure was labile, ranging 92-169, with the lowest value around hour 50.6. SpO2 briefly dipped to 85 around hour 29.6 before recovering to 95, while respiratory rate peaked at 20 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.6 to 1.6, and urine output fell from 600 to 180, with recorded outputs ranging 20-600.

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 fell from 80 to 61, diastolic pressure fell from 58 to 45, and heart rate stayed around 88. The lowest MAP was about 48 around hour 25.6, and the lowest valid SpO2 was 85 around hour 29.6; respiratory rate rose as high as 20 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.5-37 C, white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.6 to 1.6, and urine output fell from 600 to 180.
B. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 78 to 63, diastolic pressure fell from 56 to 43, and heart rate stayed around 90. The lowest MAP was about 46 around hour 24.5, and the lowest valid SpO2 was 83 around hour 28.5; respiratory rate rose as high as 22 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 33.2-35 C, white count was roughly stable (11 to 10), creatinine was roughly stable (1.9 to 1.6), lactate stayed broadly stable from 1.5 to 1.8, and urine output fell from 585 to 230.
C. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 84 to 57, diastolic pressure fell from 62 to 49, and heart rate was roughly stable (84 to 91). The lowest MAP was about 48 around hour 25.6, and the lowest valid SpO2 was 85 around hour 28.6; respiratory rate rose as high as 20 but ended at 19. The lower-frequency data fit that summary: temperature stayed around 35.5-37 C, white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.4 to 1.6, and urine output fell from 600 to 180.
D. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 76 to 66, diastolic pressure fell from 54 to 42, and heart rate stayed around 92. The lowest MAP was about 51 around hour 26.6, and the lowest valid SpO2 was 80 around hour 27.4; respiratory rate rose as high as 22 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 31.0-32 C, white count was roughly stable (10 to 9), creatinine was roughly stable (2.0 to 1.2), lactate stayed broadly stable from 1.3 to 1.9, and urine output fell from 570 to 150.

Answer: A

In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 80 to 61, diastolic pressure fell from 58 to 45, and heart rate stayed around 88. The lowest MAP was about 48 around hour 25.6, and the lowest valid SpO2 was 85 around hour 29.6; respiratory rate rose as high as 20 but ended at 19. The lower-frequency data fit that summary: temperature ranged from 95.9 to 98.6, white count was roughly stable (12 to 11), creatinine was roughly stable (1.7 to 1.5), lactate stayed broadly stable from 1.6 to 1.6, and urine output fell from 600 to 180.


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

Options:
A. Taken together, the heart rate was roughly stable (106 to 105), MAP fell from 113 to 81, and diastolic pressure moved from 92 to 60. Systolic pressure ranged 90-173 and ended at 142, and SpO2 recovered to 87 after a low of 81 around hour 95.3. Respiratory rate ended at 24; the available labs showed white count fell from 13.9 to 7.1, creatinine stayed around 0.5, lactate stayed broadly stable from 1.4 to 1.3, and urine output fell from 580 to 320.
B. Taken together, the heart rate was roughly stable (101 to 104), MAP fell from 108 to 76, and diastolic pressure moved from 97 to 61. Systolic pressure ranged 85-138 and ended at 107, and SpO2 recovered to 92 after a low of 77 around hour 90.0. Respiratory rate ended at 26; the available labs showed white count fell from 11.3 to 5.8, creatinine stayed around 0.7, lactate stayed broadly stable from 1.0 to 1.0, and urine output fell from 650 to 285.
C. Taken together, the heart rate was roughly stable (107 to 98), MAP fell from 114 to 81, and diastolic pressure moved from 91 to 67. Systolic pressure ranged 91-178 and ended at 118, and SpO2 recovered to 86 after a low of 82 around hour 93.3. Respiratory rate ended at 23; the available labs showed white count fell from 14.3 to 7.2, creatinine stayed around 0.5, lactate stayed broadly stable from 1.4 to 1.4, and urine output fell from 575 to 325.
D. Taken together, the heart rate was roughly stable (103 to 102), MAP fell from 110 to 78, and diastolic pressure moved from 95 to 63. Systolic pressure ranged 87-153 and ended at 122, and SpO2 recovered to 90 after a low of 78 around hour 92.3. Respiratory rate ended at 25; the available labs showed white count fell from 12.4 to 6.6, creatinine stayed around 0.6, lactate stayed broadly stable from 1.2 to 1.1, and urine output fell from 600 to 300.

Answer: D


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

Options:
A. Taken together, the heart rate fell from 116 to 100, while MAP fell from 90 to 76. Systolic pressure was labile, ranging 75-112, with the lowest value around hour 12.3. SpO2 briefly dipped to 82 around hour 1.1 before recovering to 92, while respiratory rate peaked at 52 and later settled at 28. The associated labs and urine output showed that white count fell from 10.3 to 8.8, creatinine rose from 2.6 to 2.8, lactate was checked once at 2.0, and urine output fell from 720 to 0, with recorded outputs ranging 0-680.
B. Taken together, the heart rate fell from 113 to 103, while MAP fell from 87 to 73. Systolic pressure was labile, ranging 78-132, with the lowest value around hour 10.8. SpO2 briefly dipped to 79 around hour 0.1 before recovering to 95, while respiratory rate peaked at 49 and later settled at 26. The associated labs and urine output showed that white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50, with recorded outputs ranging 50-700.
C. Taken together, the heart rate fell from 117 to 99, while MAP fell from 91 to 77. Systolic pressure was labile, ranging 82-107, with the lowest value around hour 12.7. SpO2 briefly dipped to 83 around hour 0.2 before recovering to 91, while respiratory rate peaked at 53 and later settled at 28. The associated labs and urine output showed that white count fell from 9.9 to 9.1, creatinine rose from 2.6 to 2.8, lactate was checked once at 2.0, and urine output fell from 725 to 46, with recorded outputs ranging 54-675.
D. Taken together, the heart rate fell from 108 to 105, while MAP fell from 82 to 68. Systolic pressure was labile, ranging 82-162, with the lowest value around hour 8.6. SpO2 briefly dipped to 74 around hour 0.0 before recovering to 100, while respiratory rate peaked at 51 and later settled at 24. The associated labs and urine output showed that white count fell from 14.1 to 9.2, creatinine rose from 2.1 to 3.0, lactate was checked once at 1.5, and urine output fell from 670 to 54, with recorded outputs ranging 46-730.

Answer: B


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 fell from 150 to 89, MAP fell from 90 to 76, and heart rate fell from 110 to 106. SpO2 started at 76, ended at 98, and fell as low as 82 around hour 0.0; respiratory rate ranged 18-46. For labs and output, white count fell from 10.3 to 8.8, creatinine rose from 2.6 to 2.8, lactate was checked once at 2, and urine output fell from 720 to 47.
B. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 115 to 94, MAP fell from 85 to 71, and heart rate fell from 115 to 106. SpO2 started at 81, ended at 93, and fell as low as 77 around hour 0.2; respiratory rate ranged 15-51. For labs and output, white count fell from 12.9 to 9.1, creatinine rose from 2.2 to 2.9, lactate was checked once at 1.6, and urine output fell from 685 to 52.
C. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 155 to 88, MAP fell from 91 to 76, and heart rate fell from 109 to 107. SpO2 started at 75, ended at 99, and fell as low as 78 around hour 0.0; respiratory rate ranged 18-45. For labs and output, white count fell from 9.9 to 8.4, creatinine rose from 2.6 to 2.8, lactate was checked once at 2.0, and urine output fell from 725 to 46.
D. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 130 to 92, MAP fell from 87 to 73, and heart rate fell from 113 to 103. SpO2 started at 79, ended at 95, and fell as low as 79 around hour 0.1; respiratory rate ranged 16-49. For labs and output, white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50.

Answer: D


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

Options:
A. In broad terms, the heart rate fell from 113 to 103, MAP fell from 87 to 73, and diastolic pressure moved from 69 to 64. Systolic pressure ranged 78-132 and ended at 92, and SpO2 recovered to 95 after a low of 79 around hour 0.1. Respiratory rate ended at 26; the available labs showed white count fell from 11.8 to 9.9, creatinine rose from 2.4 to 2.7, lactate was checked once at 1.8, and urine output fell from 700 to 50.
B. In broad terms, the heart rate fell from 111 to 106, MAP fell from 85 to 71, and diastolic pressure moved from 71 to 61. Systolic pressure ranged 76-117 and ended at 90, and SpO2 recovered to 97 after a low of 77 around hour 0.0. Respiratory rate ended at 27; the available labs showed white count fell from 10.7 to 9.5, creatinine rose from 2.5 to 2.6, lactate was checked once at 1.6, and urine output fell from 715 to 48.
C. In broad terms, the heart rate fell from 117 to 99, MAP fell from 91 to 77, and diastolic pressure moved from 65 to 68. Systolic pressure ranged 82-157 and ended at 96, and SpO2 recovered to 91 after a low of 78 around hour 0.2. Respiratory rate ended at 24; the available labs showed white count fell from 13.7 to 9.1, creatinine rose from 2.1 to 3.0, lactate was checked once at 2.0, and urine output fell from 750 to 54.
D. In broad terms, the heart rate fell from 108 to 105, MAP fell from 82 to 76, and diastolic pressure moved from 74 to 60. Systolic pressure ranged 74-102 and ended at 88, and SpO2 recovered to 100 after a low of 74 around hour 1.1. Respiratory rate ended at 28; the available labs showed white count fell from 9.6 to 9.2, creatinine rose from 2.7 to 2.9, lactate was checked once at 1.5, and urine output fell from 730 to 46.

Answer: A


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

Options:
A. In broad terms, the heart rate fell from 97 to 82, while MAP stayed around 74. Systolic pressure was labile, ranging 74-114, with the lowest value around hour 8. SpO2 briefly dipped to 82 around hour 15.8 before recovering to 97, while respiratory rate peaked at 26 and later settled at 16. The associated labs and urine output showed that white count fell from 51.5 to 40.3, creatinine was roughly stable (1.6 to 1), lactate fell from 296 to 276, and urine output fell from 520 to 280, with recorded outputs ranging 80-480.
B. In broad terms, the heart rate fell from 92 to 87, while MAP stayed around 69. Systolic pressure was labile, ranging 75-109, with the lowest value around hour 7. SpO2 briefly dipped to 86 around hour 13.2 before recovering to 98, while respiratory rate peaked at 30 and later settled at 13. The associated labs and urine output showed that white count fell from 46.2 to 43.4, creatinine was roughly stable (1.2 to 0.8), lactate fell from 331 to 277, and urine output fell from 485 to 315, with recorded outputs ranging 28-515.
C. In broad terms, the heart rate fell from 94 to 85, while MAP stayed around 71. Systolic pressure was labile, ranging 71-111, with the lowest value around hour 7. SpO2 briefly dipped to 85 around hour 14.3 before recovering to 100, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 300, with recorded outputs ranging 30-500.
D. In broad terms, the heart rate fell from 90 to 87, while MAP was roughly stable (66 to 74). Systolic pressure was labile, ranging 71-111, with the lowest value around hour 7. SpO2 briefly dipped to 85 around hour 15.3 before recovering to 100, while respiratory rate peaked at 28 and later settled at 14. The associated labs and urine output showed that white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 250, with recorded outputs ranging 30-500.

Answer: C


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

Options:
A. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (97 to 95), MAP stayed around 71, and heart rate fell from 94 to 85. SpO2 started at 96, ended at 100, and fell as low as 85 around hour 14.3; respiratory rate ranged 10-28. For labs and output, white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 300.
B. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (95 to 97), MAP stayed around 69, and heart rate fell from 92 to 87. SpO2 started at 94, ended at 98, and fell as low as 83 around hour 13.2; respiratory rate ranged 11-29. For labs and output, white count fell from 46.2 to 43.4, creatinine was roughly stable (1.2 to 1), lactate fell from 316.2 to 277, and urine output fell from 485 to 315.
C. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (100 to 91), MAP stayed around 75, and heart rate fell from 98 to 88. SpO2 started at 100, ended at 96, and fell as low as 89 around hour 16.2; respiratory rate ranged 8-30. For labs and output, white count fell from 52.2 to 40.3, creatinine was roughly stable (1.6 to 1.0), lactate fell from 291 to 271, and urine output fell from 525 to 275.
D. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (92 to 91), MAP was roughly stable (66 to 74), and heart rate fell from 94 to 85. SpO2 started at 96, ended at 100, and fell as low as 84 around hour 14.3; respiratory rate ranged 10-28. For labs and output, white count fell from 48.5 to 41.1, creatinine was roughly stable (1.4 to 0.9), lactate fell from 316 to 292, and urine output fell from 500 to 300.

Answer: A


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

Options:
A. For handoff, the heart rate fell from 105 to 83, while MAP rose from 59 to 66. Systolic pressure was labile, ranging 88-116, with the lowest value around hour 30.7. SpO2 briefly dipped to 91 around hour 1.7 before recovering to 93, while respiratory rate peaked at 24 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (8 to 9.6), creatinine was roughly stable (1.7 to 1.4), lactate was checked once at 1, and urine output was roughly stable (26 to 10), with recorded outputs ranging 4-160.
B. For handoff, the heart rate fell from 100 to 88, while MAP rose from 54 to 61. Systolic pressure was labile, ranging 93-151, with the lowest value around hour 28.1. SpO2 briefly dipped to 86 around hour 0.6 before recovering to 98, while respiratory rate peaked at 21 and later settled at 18. The associated labs and urine output showed that white count fell from 11 to 8.3, creatinine rose from 1.4 to 1.7, lactate was checked once at 1, and urine output was roughly stable (24 to 62), with recorded outputs ranging 25-195.
C. For handoff, the heart rate fell from 106 to 82, while MAP was roughly stable (59 to 67). Systolic pressure was labile, ranging 95-111, with the lowest value around hour 31.1. SpO2 briefly dipped to 92 around hour 0.8 before recovering to 92, while respiratory rate peaked at 24 and later settled at 21. The associated labs and urine output showed that white count was roughly stable (8 to 9.7), creatinine was roughly stable (1.8 to 1.4), lactate was checked once at 1, and urine output was roughly stable (27 to 56), with recorded outputs ranging 4-155.
D. For handoff, the heart rate fell from 102 to 86, while MAP rose from 56 to 63. Systolic pressure was labile, ranging 91-136, with the lowest value around hour 29.2. SpO2 briefly dipped to 88 around hour 0.7 before recovering to 96, while respiratory rate peaked at 22 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (10 to 9.1), creatinine was roughly stable (1.5 to 1.6), lactate was checked once at 1, and urine output was roughly stable (25 to 60), with recorded outputs ranging 3-180.

Answer: D


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

Options:
A. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 18 to 113, MAP was roughly stable (83 to 79), and heart rate fell from 97 to 83. SpO2 started at 97, ended at 96, and fell as low as 95 around hour 27.4; respiratory rate ranged 12-26. For labs and output, white count rose from 8.8 to 13.3, creatinine rose from 0.9 to 1.1, lactate fell from 2.5 to 1.9, and urine output fell from 280 to 78.
B. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 16 to 118, MAP was roughly stable (78 to 74), and heart rate fell from 98 to 83. SpO2 started at 98, ended at 91, and fell as low as 90 around hour 32.6; respiratory rate ranged 10-30. For labs and output, white count was roughly stable (11.4 to 11), creatinine rose from 0.7 to 1, lactate fell from 2.1 to 1.5, and urine output fell from 315 to 73.
C. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 19 to 112, MAP was roughly stable (84 to 79), and heart rate fell from 96 to 84. SpO2 started at 96, ended at 97, and fell as low as 91 around hour 26.6; respiratory rate ranged 13-26. For labs and output, white count rose from 8.4 to 13.7, creatinine rose from 0.9 to 1, lactate fell from 2.5 to 1.9, and urine output fell from 275 to 79.
D. For handoff, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 17 to 116, MAP was roughly stable (80 to 76), and heart rate fell from 100 to 80. SpO2 started at 100, ended at 93, and fell as low as 92 around hour 30.4; respiratory rate ranged 11-28. For labs and output, white count rose from 10.3 to 11.8, creatinine rose from 0.8 to 1, lactate fell from 2.3 to 1.7, and urine output fell from 300 to 75.

Answer: D


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

Options:
A. Over the available measurements, the heart rate fell from 100 to 80, MAP was roughly stable (80 to 76), and diastolic pressure moved from 7 to 65. Systolic pressure ranged 17-152 and ended at 116, and SpO2 recovered to 93 after a low of 92 around hour 30.4. Respiratory rate ended at 28; the available labs showed white count rose from 10.3 to 11.8, creatinine rose from 0.8 to 1, lactate fell from 2.3 to 1.7, and urine output fell from 300 to 75.
B. Over the available measurements, the heart rate fell from 98 to 83, MAP was roughly stable (78 to 74), and diastolic pressure moved from 7 to 62. Systolic pressure ranged 16-137 and ended at 114, and SpO2 recovered to 95 after a low of 90 around hour 28.1. Respiratory rate ended at 29; the available labs showed white count rose from 9.2 to 10.7, creatinine rose from 0.9 to 1, lactate fell from 2.1 to 1.9, and urine output fell from 285 to 73.
C. Over the available measurements, the heart rate fell from 96 to 76, MAP was roughly stable (84 to 79), and diastolic pressure moved from 6 to 69. Systolic pressure ranged 19-177 and ended at 112, and SpO2 recovered to 89 after a low of 96 around hour 31.4. Respiratory rate ended at 26; the available labs showed white count rose from 12.2 to 13.7, creatinine rose from 0.7 to 1, lactate fell from 2.5 to 1.4, and urine output fell from 325 to 79.
D. Over the available measurements, the heart rate fell from 96 to 84, MAP was roughly stable (76 to 72), and diastolic pressure moved from 8 to 60. Systolic pressure ranged 15-122 and ended at 112, and SpO2 recovered to 98 after a low of 91 around hour 25.9. Respiratory rate ended at 30; the available labs showed white count was roughly stable (8.1 to 11), creatinine rose from 1.0 to 1.2, lactate fell from 2.0 to 1.8, and urine output fell from 350 to 70.

Answer: A


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

Options:
A. Over the available measurements, the heart rate was roughly stable (66 to 61), while MAP was roughly stable (80 to 81). Systolic pressure was labile, ranging 87-123, with the lowest value around hour 12.7. SpO2 briefly dipped to 88 around hour 1.6 before recovering to 97, while respiratory rate peaked at 24 and later settled at 14. The associated labs and urine output showed that white count was 5.1 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output was roughly stable (320 to 350), with recorded outputs ranging 63-480.
B. Over the available measurements, the heart rate was roughly stable (61 to 66), while MAP was roughly stable (75 to 76). Systolic pressure was labile, ranging 92-158, with the lowest value around hour 10.1. SpO2 briefly dipped to 83 around hour 0.5 before recovering to 98, while respiratory rate peaked at 21 and later settled at 11. The associated labs and urine output showed that white count was 6.0 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 285 to 415, with recorded outputs ranging 110-515.
C. Over the available measurements, the heart rate was roughly stable (63 to 64), while MAP was roughly stable (77 to 78). Systolic pressure was labile, ranging 90-143, with the lowest value around hour 11.2. SpO2 briefly dipped to 85 around hour 0.6 before recovering to 100, while respiratory rate peaked at 22 and later settled at 12. The associated labs and urine output showed that white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400, with recorded outputs ranging 60-500.
D. Over the available measurements, the heart rate was roughly stable (58 to 68), while MAP was roughly stable (72 to 74). Systolic pressure was labile, ranging 94-173, with the lowest value around hour 8.9. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 96, while respiratory rate peaked at 24 and later settled at 10. The associated labs and urine output showed that white count was 6.3 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 270 to 430, with recorded outputs ranging 56-530.

Answer: C


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

Options:
A. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (80 to 75), diastolic pressure was roughly stable (60 to 64), and heart rate was roughly stable (60 to 67). The lowest MAP was about 58 around hour 25.8, and the lowest valid SpO2 was 88 around hour 0; respiratory rate rose as high as 24 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.7-34.6 C, white count was 6.1 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 320 to 420.
B. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (75 to 80), diastolic pressure was roughly stable (55 to 59), and heart rate was roughly stable (65 to 62). The lowest MAP was about 53 around hour 28.4, and the lowest valid SpO2 was 83 around hour 0.7; respiratory rate rose as high as 24 but ended at 11. The lower-frequency data fit that summary: temperature stayed around 39.0-39.9 C, white count was 5.2 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 285 to 450.
C. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (81 to 74), diastolic pressure was roughly stable (61 to 58), and heart rate was roughly stable (59 to 68). The lowest MAP was about 58 around hour 28.3, and the lowest valid SpO2 was 89 around hour 0.5; respiratory rate rose as high as 24 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 33.0-33.9 C, white count was 6.2 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 325 to 425.
D. Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 78), diastolic pressure was roughly stable (57 to 61), and heart rate was roughly stable (63 to 64). The lowest MAP was about 55 around hour 27.3, and the lowest valid SpO2 was 85 around hour 0.6; respiratory rate rose as high as 22 but ended at 12. The lower-frequency data fit that summary: temperature stayed around 36.7-37.6 C, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.

Answer: D

Taken together, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP was roughly stable (77 to 78), diastolic pressure was roughly stable (57 to 61), and heart rate was roughly stable (63 to 64). The lowest MAP was about 55 around hour 27.3, and the lowest valid SpO2 was 85 around hour 0.6; respiratory rate rose as high as 22 but ended at 12. The lower-frequency data fit that summary: temperature ranged from 0 to 99.7, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.


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

Options:
A. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 143, MAP was roughly stable (77 to 78), and heart rate was roughly stable (63 to 64). SpO2 started at 100, ended at 100, and fell as low as 85 around hour 0.6; respiratory rate ranged 7-22. For labs and output, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.
B. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 128, MAP was roughly stable (79 to 76), and heart rate was roughly stable (61 to 67). SpO2 started at 98, ended at 98, and fell as low as 83 around hour 0.5; respiratory rate ranged 7-24. For labs and output, white count was 5.2 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 285 to 385.
C. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure stayed around 168, MAP was roughly stable (73 to 82), and heart rate was roughly stable (60 to 60). SpO2 started at 96, ended at 96, and fell as low as 89 around hour 0.7; respiratory rate ranged 6-20. For labs and output, white count was 6.2 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output was roughly stable (350 to 425)
D. Across the recorded window, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (113 to 139), MAP was roughly stable (77 to 81), and heart rate was roughly stable (63 to 64). SpO2 started at 96, ended at 100, and fell as low as 84 around hour 0.6; respiratory rate ranged 7-22. For labs and output, white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.

Answer: A


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

Options:
A. Viewed chronologically, the heart rate was roughly stable (66 to 67), MAP was roughly stable (80 to 81), and diastolic pressure moved from 54 to 58. Systolic pressure ranged 93-163 and ended at 163, and SpO2 recovered to 97 after a low of 88 around hour 0.7. Respiratory rate ended at 10; the available labs showed white count was 6.1 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output rose from 280 to 420.
B. Viewed chronologically, the heart rate was roughly stable (63 to 64), MAP was roughly stable (77 to 78), and diastolic pressure moved from 57 to 61. Systolic pressure ranged 90-143 and ended at 143, and SpO2 recovered to 100 after a low of 85 around hour 0.6. Respiratory rate ended at 12; the available labs showed white count was 5.6 on its only check, creatinine was 0.8 on its only check, lactate was not available, and urine output rose from 300 to 400.
C. Viewed chronologically, the heart rate was roughly stable (67 to 60), MAP was roughly stable (81 to 82), and diastolic pressure moved from 53 to 65. Systolic pressure ranged 94-168 and ended at 168, and SpO2 recovered to 96 after a low of 84 around hour 0.7. Respiratory rate ended at 10; the available labs showed white count was 6.2 on its only check, creatinine was 0.9 on its only check, lactate was not available, and urine output was roughly stable (350 to 425)
D. Viewed chronologically, the heart rate was roughly stable (58 to 68), MAP was roughly stable (72 to 81), and diastolic pressure moved from 62 to 56. Systolic pressure ranged 86-113 and ended at 139, and SpO2 recovered to 96 after a low of 80 around hour 1.6. Respiratory rate ended at 14; the available labs showed white count was 4.8 on its only check, creatinine was 0.7 on its only check, lactate was not available, and urine output rose from 330 to 370.

Answer: B


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

Options:
A. Viewed chronologically, the heart rate rose from 63 to 67, while MAP fell from 164 to 81. Systolic pressure was labile, ranging 107-172, with the lowest value around hour 36.2. SpO2 briefly dipped to 88 around hour 0.3 before recovering to 92, while respiratory rate peaked at 30 and later settled at 20. The associated labs and urine output showed that white count was roughly stable (8.2 to 8.8), creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 255 to 150, with recorded outputs ranging 26-370.
B. Viewed chronologically, the heart rate rose from 58 to 72, while MAP fell from 129 to 81. Systolic pressure was labile, ranging 105-207, with the lowest value around hour 31.0. SpO2 briefly dipped to 83 around hour 1.2 before recovering to 97, while respiratory rate peaked at 27 and later settled at 18. The associated labs and urine output showed that white count was roughly stable (9.1 to 7.9), creatinine was 0.7 on its only check, lactate was not available, and urine output fell from 290 to 80, with recorded outputs ranging 24-335.
C. Viewed chronologically, the heart rate rose from 64 to 66, while MAP fell from 169 to 82. Systolic pressure was labile, ranging 99-167, with the lowest value around hour 37.0. SpO2 briefly dipped to 89 around hour 0.3 before recovering to 91, while respiratory rate peaked at 30 and later settled at 21. The associated labs and urine output showed that white count fell from 8.1 to 7.5, creatinine was 0.9 on its only check, lactate was not available, and urine output fell from 250 to 155, with recorded outputs ranging 75-375.
D. Viewed chronologically, the heart rate rose from 60 to 70, while MAP fell from 144 to 78. Systolic pressure was labile, ranging 103-192, with the lowest value around hour 33.2. SpO2 briefly dipped to 85 around hour 0.2 before recovering to 95, while respiratory rate peaked at 28 and later settled at 19. The associated labs and urine output showed that white count was roughly stable (8.7 to 8.3), creatinine was 0.8 on its only check, lactate was not available, and urine output fell from 275 to 130, with recorded outputs ranging 25-350.

Answer: D


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

Options:
A. Overall, the heart rate was roughly stable (50 to 48), while MAP fell from 89 to 31. Systolic pressure was labile, ranging 44-155, with the lowest value around hour 62. SpO2 briefly dipped to 69 around hour 61.9 before recovering to 69, while respiratory rate peaked at 34 and later settled at 24. The associated labs and urine output showed that white count rose from 6 to 20.5, creatinine fell from 5.5 to 2.8, lactate stayed broadly stable from 5.4 to 5.5, and urine output was roughly stable (50 to 5), with recorded outputs ranging 0-75.
B. Overall, the heart rate was roughly stable (48 to 50), while MAP fell from 87 to 34. Systolic pressure was labile, ranging 46-170, with the lowest value around hour 60. SpO2 briefly dipped to 67 around hour 62.9 before recovering to 71, while respiratory rate peaked at 32 and later settled at 23. The associated labs and urine output showed that white count rose from 6 to 19.4, creatinine fell from 5.1 to 2.9, lactate stayed broadly stable from 5.0 to 5.1, and urine output was roughly stable (52 to 0), with recorded outputs ranging 0-73.
C. Overall, the heart rate was roughly stable (54 to 44), while MAP fell from 93 to 35. Systolic pressure was labile, ranging 40-130, with the lowest value around hour 66. SpO2 briefly dipped to 73 around hour 65.7 before recovering to 65, while respiratory rate peaked at 38 and later settled at 26. The associated labs and urine output showed that white count rose from 5 to 19.7, creatinine fell from 6.1 to 2.9, lactate stayed broadly stable from 6.0 to 6.1, and urine output was roughly stable (46 to 6), with recorded outputs ranging 5-79.
D. Overall, the heart rate was roughly stable (46 to 52), while MAP fell from 84 to 26. Systolic pressure was labile, ranging 48-185, with the lowest value around hour 58. SpO2 briefly dipped to 64 around hour 57.4 before recovering to 74, while respiratory rate peaked at 30 and later settled at 22. The associated labs and urine output showed that white count rose from 7 to 18.2, creatinine fell from 4.8 to 3.1, lactate stayed broadly stable from 4.7 to 4.8, and urine output was roughly stable (54 to 0), with recorded outputs ranging 0-70.

Answer: A


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

Options:
A. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 142 to 41, MAP fell from 92 to 34, and heart rate was roughly stable (47 to 51). SpO2 started at 85, ended at 72, and fell as low as 72 around hour 58.9; respiratory rate ranged 18-31. For labs and output, white count rose from 6 to 22.0, creatinine fell from 6.0 to 2.9, lactate stayed broadly stable from 5.6 to 6.0, and urine output was roughly stable (47 to 6)
B. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 107 to 46, MAP fell from 87 to 29, and heart rate was roughly stable (52 to 51). SpO2 started at 90, ended at 67, and fell as low as 67 around hour 64.2; respiratory rate ranged 15-36. For labs and output, white count rose from 6 to 19.7, creatinine fell from 5.1 to 2.9, lactate stayed broadly stable from 5.0 to 5.1, and urine output was roughly stable (52 to 5)
C. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 122 to 44, MAP fell from 89 to 31, and heart rate was roughly stable (50 to 48). SpO2 started at 88, ended at 69, and fell as low as 69 around hour 61.9; respiratory rate ranged 16-34. For labs and output, white count rose from 6 to 20.5, creatinine fell from 5.5 to 2.8, lactate stayed broadly stable from 5.4 to 5.5, and urine output was roughly stable (50 to 5)
D. Over the available measurements, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 92 to 40, MAP fell from 84 to 34, and heart rate was roughly stable (54 to 44). SpO2 started at 92, ended at 64, and fell as low as 68 around hour 66.4; respiratory rate ranged 14-38. For labs and output, white count rose from 7 to 18.2, creatinine fell from 4.8 to 3.1, lactate stayed broadly stable from 4.7 to 4.8, and urine output was roughly stable (54 to 4)

Answer: C


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

Options:
A. For handoff, the heart rate rose from 60 to 102, while MAP was roughly stable (90 to 86). Systolic pressure was labile, ranging 108-180, with the lowest value around hour 57.5. SpO2 briefly dipped to 88 around hour 1.3 before recovering to 92, while respiratory rate peaked at 28 and later settled at 18. The associated labs and urine output showed that white count fell from 24 to 16.3, creatinine rose from 1.3 to 49, lactate fell from 203 to 1.3, and urine output fell from 92 to 0, with recorded outputs ranging 0-320.
B. For handoff, the heart rate rose from 55 to 107, while MAP was roughly stable (85 to 81). Systolic pressure was labile, ranging 113-215, with the lowest value around hour 52.2. SpO2 briefly dipped to 83 around hour 0.2 before recovering to 97, while respiratory rate peaked at 25 and later settled at 16. The associated labs and urine output showed that white count fell from 27 to 14, creatinine rose from 1.0 to 52.1, lactate fell from 168 to 1.0, and urine output was roughly stable (97 to 28), with recorded outputs ranging 30-285.
C. For handoff, the heart rate rose from 61 to 101, while MAP was roughly stable (91 to 87). Systolic pressure was labile, ranging 115-175, with the lowest value around hour 58.2. SpO2 briefly dipped to 86 around hour 0.4 before recovering to 91, while respiratory rate peaked at 28 and later settled at 19. The associated labs and urine output showed that white count fell from 24 to 16.7, creatinine rose from 1.4 to 48, lactate fell from 208 to 1.4, and urine output was roughly stable (91 to 34), with recorded outputs ranging 12-325.
D. For handoff, the heart rate rose from 57 to 105, while MAP was roughly stable (87 to 83). Systolic pressure was labile, ranging 111-200, with the lowest value around hour 54.5. SpO2 briefly dipped to 85 around hour 0.3 before recovering to 95, while respiratory rate peaked at 26 and later settled at 17. The associated labs and urine output showed that white count fell from 26 to 14.8, creatinine rose from 1.1 to 52, lactate fell from 183 to 1.1, and urine output was roughly stable (95 to 30), with recorded outputs ranging 10-300.

Answer: D


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

Options:
A. Across the recorded window, the heart rate rose from 60 to 108, MAP was roughly stable (90 to 86), and diastolic pressure moved from 63 to 56. Systolic pressure ranged 114-220 and ended at 168, and SpO2 recovered to 92 after a low of 88 around hour 0.4. Respiratory rate ended at 16; the available labs showed white count fell from 28 to 16.3, creatinine rose from 0.9 to 55, lactate fell from 203 to 0.9, and urine output was roughly stable (98 to 33)
B. Across the recorded window, the heart rate rose from 55 to 107, MAP was roughly stable (85 to 86), and diastolic pressure moved from 68 to 57. Systolic pressure ranged 109-185 and ended at 144, and SpO2 recovered to 97 after a low of 83 around hour 1.3. Respiratory rate ended at 18; the available labs showed white count fell from 25 to 13.7, creatinine rose from 1.2 to 50, lactate fell from 168 to 1.2, and urine output was roughly stable (93 to 28)
C. Across the recorded window, the heart rate rose from 57 to 105, MAP was roughly stable (87 to 83), and diastolic pressure moved from 66 to 59. Systolic pressure ranged 111-200 and ended at 148, and SpO2 recovered to 95 after a low of 85 around hour 0.3. Respiratory rate ended at 17; the available labs showed white count fell from 26 to 14.8, creatinine rose from 1.1 to 52, lactate fell from 183 to 1.1, and urine output was roughly stable (95 to 30)
D. Across the recorded window, the heart rate rose from 52 to 110, MAP was roughly stable (82 to 78), and diastolic pressure moved from 70 to 54. Systolic pressure ranged 106-170 and ended at 118, and SpO2 recovered to 100 after a low of 84 around hour 0.1. Respiratory rate ended at 19; the available labs showed white count fell from 24 to 14, creatinine rose from 1.4 to 48, lactate fell from 153 to 1.4, and urine output fell from 145 to 26.

Answer: C


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

Options:
A. Over the available measurements, the heart rate rose from 60 to 87, MAP rose from 61 to 89, and diastolic pressure moved from 20 to 74. Systolic pressure ranged 25-158 and ended at 140, and SpO2 recovered to 92 after a low of 77 around hour 60.8. Respiratory rate ended at 13; the available labs showed white count rose from 7.1 to 8.7, creatinine stayed around 0.8, lactate stayed broadly stable from 1.5 to 0.9, and urine output rose from 100 to 300.
B. Over the available measurements, the heart rate rose from 58 to 90, MAP rose from 59 to 87, and diastolic pressure moved from 21 to 71. Systolic pressure ranged 24-143 and ended at 125, and SpO2 recovered to 94 after a low of 75 around hour 58.5. Respiratory rate ended at 14; the available labs showed white count rose from 6.7 to 8.3, creatinine stayed around 0.9, lactate stayed broadly stable from 1.4 to 0.8, and urine output rose from 98 to 285.
C. Over the available measurements, the heart rate rose from 64 to 83, MAP rose from 65 to 92, and diastolic pressure moved from 18 to 78. Systolic pressure ranged 27-183 and ended at 136, and SpO2 recovered to 88 after a low of 81 around hour 61.8. Respiratory rate ended at 11; the available labs showed white count rose from 7.7 to 9.3, creatinine stayed around 0.7, lactate stayed broadly stable from 1.8 to 1.0, and urine output rose from 96 to 325.
D. Over the available measurements, the heart rate rose from 56 to 92, MAP rose from 56 to 84, and diastolic pressure moved from 22 to 70. Systolic pressure ranged 23-128 and ended at 110, and SpO2 recovered to 96 after a low of 76 around hour 56.3. Respiratory rate ended at 15; the available labs showed white count was roughly stable (6.3 to 7.9), creatinine stayed around 1.0, lactate stayed broadly stable from 1.2 to 0.8, and urine output rose from 150 to 270.

Answer: A


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

Options:
A. Over the available measurements, the heart rate rose from 83 to 99, while MAP rose from 60 to 89. Systolic pressure was labile, ranging 66-102, with the lowest value around hour 4. SpO2 briefly dipped to 86 around hour 12.8 before recovering to 97, while respiratory rate peaked at 31 and later settled at 18. The associated labs and urine output showed that white count stayed around 6.6, creatinine was roughly stable (2.3 to 1.4), lactate fell from 229 to 208, and urine output rose from 53 to 205, with recorded outputs ranging 53-230.
B. Over the available measurements, the heart rate rose from 78 to 104, while MAP rose from 55 to 89. Systolic pressure was labile, ranging 64-137, with the lowest value around hour 4. SpO2 briefly dipped to 83 around hour 12.3 before recovering to 98, while respiratory rate peaked at 28 and later settled at 15. The associated labs and urine output showed that white count stayed around 7.5, creatinine was roughly stable (2.0 to 1.0), lactate fell from 264 to 173, and urine output rose from 48 to 175, with recorded outputs ranging 48-265.
C. Over the available measurements, the heart rate rose from 80 to 102, while MAP rose from 57 to 86. Systolic pressure was labile, ranging 62-122, with the lowest value around hour 4. SpO2 briefly dipped to 85 around hour 11.3 before recovering to 100, while respiratory rate peaked at 29 and later settled at 16. The associated labs and urine output showed that white count stayed around 7.1, creatinine was roughly stable (2.1 to 1.2), lactate fell from 249 to 188, and urine output rose from 50 to 225, with recorded outputs ranging 50-250.
D. Over the available measurements, the heart rate rose from 76 to 106, while MAP rose from 52 to 82. Systolic pressure was labile, ranging 66-152, with the lowest value around hour 3. SpO2 briefly dipped to 80 around hour 9.1 before recovering to 96, while respiratory rate peaked at 27 and later settled at 14. The associated labs and urine output showed that white count was roughly stable (7.8 to 6.3), creatinine was roughly stable (2.1 to 1.3), lactate fell from 249 to 188, and urine output rose from 50 to 225, with recorded outputs ranging 50-250.

Answer: C


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

Options:
A. Viewed chronologically, the heart rate rose from 42 to 73, while MAP rose from 62 to 67. Systolic pressure was labile, ranging 26-131, with the lowest value around hour 6.6. SpO2 briefly dipped to 88 around hour 2.3 before recovering to 94, while respiratory rate peaked at 26 and later settled at 24. The associated labs and urine output showed that white count rose from 17.2 to 22.7, creatinine fell from 1 to 0.7, lactate was checked once at 4, and urine output was roughly stable (33 to 0), with recorded outputs ranging 0-430.
B. Viewed chronologically, the heart rate rose from 37 to 78, while MAP was roughly stable (57 to 62). Systolic pressure was labile, ranging 32-166, with the lowest value around hour 5.7. SpO2 briefly dipped to 86 around hour 1.1 before recovering to 99, while respiratory rate peaked at 26 and later settled at 22. The associated labs and urine output showed that white count rose from 19.8 to 20.1, creatinine fell from 1 to 0.9, lactate was checked once at 4, and urine output was roughly stable (28 to 26), with recorded outputs ranging 24-465.
C. Viewed chronologically, the heart rate rose from 43 to 72, while MAP was roughly stable (63 to 68). Systolic pressure was labile, ranging 26-126, with the lowest value around hour 6.7. SpO2 briefly dipped to 89 around hour 1.6 before recovering to 93, while respiratory rate peaked at 26 and later settled at 25. The associated labs and urine output showed that white count rose from 16.8 to 20.4, creatinine was roughly stable (1 to 0.9), lactate was checked once at 5, and urine output was roughly stable (34 to 23), with recorded outputs ranging 27-425.
D. Viewed chronologically, the heart rate rose from 39 to 76, while MAP was roughly stable (59 to 64). Systolic pressure was labile, ranging 28-151, with the lowest value around hour 6.1. SpO2 briefly dipped to 85 around hour 1.3 before recovering to 97, while respiratory rate peaked at 24 and later settled at 23. The associated labs and urine output showed that white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25), with recorded outputs ranging 25-450.

Answer: D


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

Options:
A. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 41 to 126, MAP rose from 62 to 67, and heart rate rose from 36 to 79. SpO2 started at 91, ended at 100, and fell as low as 84 around hour 1.1; respiratory rate ranged 16-22. For labs and output, white count rose from 17.2 to 22.7, creatinine fell from 1 to 0.7, lactate was checked once at 4, and urine output was roughly stable (33 to 24)
B. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 38 to 130, MAP was roughly stable (59 to 64), and heart rate rose from 39 to 76. SpO2 started at 94, ended at 97, and fell as low as 85 around hour 1.3; respiratory rate ranged 14-24. For labs and output, white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25)
C. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 42 to 105, MAP was roughly stable (63 to 68), and heart rate rose from 35 to 80. SpO2 started at 90, ended at 100, and fell as low as 89 around hour 1.1; respiratory rate ranged 16-22. For labs and output, white count rose from 16.8 to 23.1, creatinine was roughly stable (1 to 0.9), lactate was checked once at 4.2, and urine output was roughly stable (34 to 23)
D. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 34 to 160, MAP was roughly stable (54 to 60), and heart rate rose from 44 to 79. SpO2 started at 98, ended at 92, and fell as low as 80 around hour 1.6; respiratory rate ranged 12-26. For labs and output, white count rose from 20.9 to 22.4, creatinine fell from 1 to 0.8, lactate was checked once at 3, and urine output was roughly stable (26 to 27)

Answer: B


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

Options:
A. Overall, the heart rate rose from 42 to 73, MAP was roughly stable (62 to 67), and diastolic pressure moved from 18 to 54. Systolic pressure ranged 30-171 and ended at 150, and SpO2 recovered to 94 after a low of 84 around hour 1.5. Respiratory rate ended at 22; the available labs showed white count rose from 20.2 to 20.4, creatinine fell from 1 to 0.9, lactate was checked once at 4, and urine output was roughly stable (80 to 26)
B. Overall, the heart rate rose from 37 to 79, MAP was roughly stable (57 to 62), and diastolic pressure moved from 21 to 48. Systolic pressure ranged 27-136 and ended at 115, and SpO2 recovered to 99 after a low of 83 around hour 1.1. Respiratory rate ended at 24; the available labs showed white count rose from 17.6 to 20.1, creatinine fell from 1 to 0.7, lactate was checked once at 4, and urine output was roughly stable (32 to 24)
C. Overall, the heart rate rose from 39 to 76, MAP was roughly stable (59 to 64), and diastolic pressure moved from 20 to 51. Systolic pressure ranged 28-151 and ended at 130, and SpO2 recovered to 97 after a low of 85 around hour 1.3. Respiratory rate ended at 23; the available labs showed white count rose from 18.7 to 21.2, creatinine fell from 1 to 0.8, lactate was checked once at 4, and urine output was roughly stable (30 to 25)
D. Overall, the heart rate rose from 34 to 80, MAP rose from 54 to 67, and diastolic pressure moved from 22 to 46. Systolic pressure ranged 26-121 and ended at 126, and SpO2 recovered to 100 after a low of 80 around hour 2.3. Respiratory rate ended at 25; the available labs showed white count rose from 16.4 to 18.9, creatinine fell from 1 to 0.7, lactate was checked once at 3, and urine output was roughly stable (34 to 23)

Answer: C


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

Options:
A. Taken together, the heart rate fell from 143 to 94, MAP fell from 88 to 74, and diastolic pressure moved from 65 to 57. Systolic pressure ranged 115-176 and ended at 122, and SpO2 recovered to 87 after a low of 84 around hour 2. Respiratory rate ended at 22; the available labs showed white count fell from 10.4 to 6.3, creatinine stayed around 0.6, lactate fell from 1.4 to 0.9, and urine output fell from 210 to 43.
B. Taken together, the heart rate fell from 108 to 100, MAP fell from 83 to 69, and diastolic pressure moved from 70 to 51. Systolic pressure ranged 110-141 and ended at 117, and SpO2 recovered to 92 after a low of 83 around hour 0. Respiratory rate ended at 25; the available labs showed white count fell from 9.5 to 6.7, creatinine stayed around 0.8, lactate fell from 1.0 to 0.7, and urine output fell from 175 to 38.
C. Taken together, the heart rate fell from 148 to 93, MAP fell from 89 to 74, and diastolic pressure moved from 64 to 58. Systolic pressure ranged 116-181 and ended at 115, and SpO2 recovered to 86 after a low of 89 around hour 1. Respiratory rate ended at 22; the available labs showed white count fell from 10.5 to 7.7, creatinine stayed around 0.6, lactate fell from 1.4 to 0.9, and urine output fell from 135 to 44.
D. Taken together, the heart rate fell from 123 to 97, MAP fell from 85 to 71, and diastolic pressure moved from 68 to 54. Systolic pressure ranged 112-156 and ended at 119, and SpO2 recovered to 90 after a low of 85 around hour 0. Respiratory rate ended at 24; the available labs showed white count fell from 9.9 to 7.1, creatinine stayed around 0.7, lactate fell from 1.2 to 0.8, and urine output fell from 160 to 40.

Answer: D


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

Options:
A. Taken together, the heart rate fell from 108 to 91, while MAP fell from 110 to 86. Systolic pressure was labile, ranging 106-148, with the lowest value around hour 22.9. SpO2 briefly dipped to 88 around hour 4.5 before recovering to 96, while respiratory rate peaked at 26 and later settled at 16. The associated labs and urine output showed that white count fell from 5.7 to 5.1, creatinine was roughly stable (1.3 to 1.0), lactate was checked once at 212, and urine output fell from 220 to 75, with recorded outputs ranging 75-330.
B. Taken together, the heart rate fell from 105 to 94, while MAP fell from 107 to 83. Systolic pressure was labile, ranging 109-168, with the lowest value around hour 21.4. SpO2 briefly dipped to 85 around hour 3.5 before recovering to 99, while respiratory rate peaked at 25 and later settled at 15. The associated labs and urine output showed that white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125), with recorded outputs ranging 85-350.
C. Taken together, the heart rate fell from 109 to 90, while MAP fell from 111 to 87. Systolic pressure was labile, ranging 113-143, with the lowest value around hour 23.3. SpO2 briefly dipped to 86 around hour 4.1 before recovering to 95, while respiratory rate peaked at 27 and later settled at 17. The associated labs and urine output showed that white count fell from 5.6 to 5.2, creatinine was roughly stable (1.4 to 0.9), lactate was checked once at 217, and urine output was roughly stable (225 to 100), with recorded outputs ranging 89-325.
D. Taken together, the heart rate fell from 100 to 98, while MAP fell from 102 to 78. Systolic pressure was labile, ranging 114-198, with the lowest value around hour 19.1. SpO2 briefly dipped to 80 around hour 2.8 before recovering to 100, while respiratory rate peaked at 23 and later settled at 13. The associated labs and urine output showed that white count fell from 7.0 to 3.8, creatinine rose from 0.8 to 1.3, lactate was checked once at 162, and urine output was roughly stable (170 to 155), with recorded outputs ranging 125-380.

Answer: B


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

Options:
A. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 188 to 123, MAP fell from 110 to 86, and heart rate fell from 102 to 97. SpO2 started at 97, ended at 100, and fell as low as 84 around hour 3.0; respiratory rate ranged 12-24. For labs and output, white count fell from 5.7 to 5.1, creatinine was roughly stable (1.3 to 1.0), lactate was checked once at 212, and urine output was roughly stable (220 to 105)
B. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 153 to 142, MAP fell from 105 to 81, and heart rate fell from 107 to 97. SpO2 started at 98, ended at 97, and fell as low as 83 around hour 3.9; respiratory rate ranged 10-27. For labs and output, white count fell from 6.6 to 3.8, creatinine was roughly stable (1.0 to 1.4), lactate was checked once at 177, and urine output was roughly stable (185 to 140)
C. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 193 to 102, MAP fell from 111 to 87, and heart rate fell from 101 to 98. SpO2 started at 96, ended at 100, and fell as low as 89 around hour 2.9; respiratory rate ranged 13-23. For labs and output, white count fell from 7 to 5.2, creatinine rose from 1.4 to 1.6, lactate was checked once at 192.2, and urine output was roughly stable (225 to 100)
D. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure fell from 168 to 127, MAP fell from 107 to 83, and heart rate fell from 105 to 94. SpO2 started at 100, ended at 99, and fell as low as 85 around hour 3.5; respiratory rate ranged 11-25. For labs and output, white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125)

Answer: D


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

Options:
A. In broad terms, the heart rate fell from 105 to 94, MAP fell from 107 to 83, and diastolic pressure moved from 86 to 68. Systolic pressure ranged 109-168 and ended at 127, and SpO2 recovered to 99 after a low of 85 around hour 3.5. Respiratory rate ended at 15; the available labs showed white count fell from 6.2 to 4.6, creatinine was roughly stable (1.1 to 1.2), lactate was checked once at 192, and urine output was roughly stable (200 to 125)
B. In broad terms, the heart rate fell from 103 to 96, MAP fell from 105 to 81, and diastolic pressure moved from 88 to 66. Systolic pressure ranged 107-153 and ended at 112, and SpO2 recovered to 100 after a low of 84 around hour 3.1. Respiratory rate ended at 16; the available labs showed white count fell from 5.8 to 3.8, creatinine was roughly stable (1.2 to 1.0), lactate was checked once at 177, and urine output fell from 250 to 110.
C. In broad terms, the heart rate fell from 109 to 90, MAP fell from 111 to 86, and diastolic pressure moved from 82 to 72. Systolic pressure ranged 113-193 and ended at 123, and SpO2 recovered to 95 after a low of 89 around hour 4.5. Respiratory rate ended at 13; the available labs showed white count fell from 6.8 to 5.2, creatinine was roughly stable (0.9 to 1.4), lactate was checked once at 217, and urine output was roughly stable (175 to 150)
D. In broad terms, the heart rate fell from 100 to 97, MAP fell from 102 to 78, and diastolic pressure moved from 90 to 65. Systolic pressure ranged 104-138 and ended at 97, and SpO2 recovered to 100 after a low of 80 around hour 2.8. Respiratory rate ended at 17; the available labs showed white count fell from 5.5 to 3.8, creatinine was roughly stable (1.4 to 0.9), lactate was checked once at 162, and urine output was roughly stable (230 to 95)

Answer: A


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

Options:
A. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 118 to 148, MAP rose from 57 to 66, and heart rate rose from 50 to 70. SpO2 started at 88, ended at 97, and fell as low as 85 around hour 11; respiratory rate ranged 13-32. For labs and output, white count fell from 15.3 to 10.6, creatinine was roughly stable (1.2 to 1.1), lactate was not available, and urine output was roughly stable (120 to 120)
B. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 116 to 163, MAP rose from 55 to 64, and heart rate rose from 52 to 68. SpO2 started at 90, ended at 95, and fell as low as 83 around hour 12; respiratory rate ranged 12-34. For labs and output, white count fell from 16.4 to 9.5, creatinine stayed around 1.0, lactate was not available, and urine output was roughly stable (120 to 70)
C. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 122 to 123, MAP rose from 61 to 70, and heart rate rose from 46 to 73. SpO2 started at 84, ended at 100, and fell as low as 89 around hour 9; respiratory rate ranged 15-34. For labs and output, white count fell from 13.4 to 9.8, creatinine was roughly stable (1.4 to 0.9), lactate was not available, and urine output was roughly stable (145 to 145)
D. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 114 to 144, MAP rose from 52 to 69, and heart rate rose from 54 to 66. SpO2 started at 92, ended at 92, and fell as low as 84 around hour 13; respiratory rate ranged 11-36. For labs and output, white count fell from 17.6 to 8.3, creatinine was roughly stable (0.9 to 1.4), lactate was not available, and urine output was roughly stable (90 to 90)

Answer: A


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

Options:
A. Clinically, the heart rate rose from 58 to 70, MAP rose from 62 to 68, and diastolic pressure moved from 53 to 61. Systolic pressure ranged 76-122 and ended at 87, and SpO2 recovered to 94 after a low of 88 around hour 5.6. Respiratory rate ended at 22; the available labs showed white count rose from 18 to 21.6, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (320 to 395)
B. Clinically, the heart rate rose from 53 to 75, MAP rose from 57 to 63, and diastolic pressure moved from 58 to 56. Systolic pressure ranged 71-117 and ended at 89, and SpO2 recovered to 99 after a low of 84 around hour 4.2. Respiratory rate ended at 24; the available labs showed white count rose from 16 to 19.3, creatinine stayed around 0.9, lactate was not available, and urine output was roughly stable (350 to 360)
C. Clinically, the heart rate rose from 59 to 76, MAP rose from 63 to 69, and diastolic pressure moved from 52 to 55. Systolic pressure ranged 77-123 and ended at 95, and SpO2 recovered to 93 after a low of 89 around hour 5.2. Respiratory rate ended at 21; the available labs showed white count rose from 19 to 22.0, creatinine stayed around 0.7, lactate was not available, and urine output was roughly stable (325 to 400)
D. Clinically, the heart rate rose from 55 to 73, MAP rose from 59 to 65, and diastolic pressure moved from 56 to 58. Systolic pressure ranged 73-119 and ended at 91, and SpO2 recovered to 97 after a low of 85 around hour 4.6. Respiratory rate ended at 23; the available labs showed white count rose from 17 to 20.1, creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (300 to 375)

Answer: D


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

Options:
A. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 54, diastolic pressure rose from 9 to 43, and heart rate stayed around 75. The lowest MAP was about 43 around hour 14.1, and the lowest valid SpO2 was 85 around hour 1.7; respiratory rate rose as high as 24 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 35.3-38 C, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)
B. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 52, diastolic pressure rose from 9 to 40, and heart rate stayed around 73. The lowest MAP was about 46 around hour 15.1, and the lowest valid SpO2 was 87 around hour 1.5; respiratory rate rose as high as 23 but ended at 17. The lower-frequency data fit that summary: temperature stayed around 33.0-40 C, white count was roughly stable (13.7 to 10.5), creatinine was roughly stable (0.6 to 0.7), lactate was not available, and urine output was roughly stable (43 to 58)
C. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 58, diastolic pressure rose from 8 to 47, and heart rate was roughly stable (79 to 78). The lowest MAP was about 43 around hour 14.1, and the lowest valid SpO2 was 85 around hour 0.7; respiratory rate rose as high as 24 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 35.3-38 C, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)
D. In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 50, diastolic pressure rose from 10 to 38, and heart rate stayed around 70. The lowest MAP was about 48 around hour 11.8, and the lowest valid SpO2 was 90 around hour 1.4; respiratory rate rose as high as 26 but ended at 18. The lower-frequency data fit that summary: temperature stayed around 30.8-42 C, white count was roughly stable (14.8 to 9.3), creatinine stayed around 0.5, lactate was not available, and urine output was roughly stable (45 to 110)

Answer: A

In broad terms, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP stayed around 54, diastolic pressure rose from 9 to 43, and heart rate stayed around 75. The lowest MAP was about 43 around hour 14.1, and the lowest valid SpO2 was 85 around hour 1.7; respiratory rate rose as high as 24 but ended at 16. The lower-frequency data fit that summary: temperature ranged from 35.3 to 98, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)


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

Options:
A. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 24 to 84, MAP was roughly stable (57 to 57), and heart rate stayed around 75. SpO2 started at 100, ended at 97, and fell as low as 84 around hour 1.7; respiratory rate ranged 10-24. For labs and output, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)
B. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 22 to 88, MAP stayed around 54, and heart rate stayed around 75. SpO2 started at 100, ended at 97, and fell as low as 85 around hour 1.7; respiratory rate ranged 10-24. For labs and output, white count was roughly stable (12.6 to 11.6), creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)
C. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 24 to 84, MAP stayed around 58, and heart rate was roughly stable (79 to 78). SpO2 started at 100, ended at 97, and fell as low as 85 around hour 1.7; respiratory rate ranged 10-26. For labs and output, white count fell from 12.6 to 10.8, creatinine was roughly stable (0.7 to 0.6), lactate was not available, and urine output was roughly stable (45 to 60)
D. Clinically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure rose from 20 to 92, MAP stayed around 50, and heart rate stayed around 70. SpO2 started at 96, ended at 92, and fell as low as 90 around hour 1.4; respiratory rate ranged 8-26. For labs and output, white count was roughly stable (10.3 to 9.3), creatinine stayed around 0.8, lactate was not available, and urine output was roughly stable (45 to 60)

Answer: B


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

Options:
A. Taken together, the heart rate was roughly stable (95 to 85), while MAP rose from 77 to 100. Systolic pressure was labile, ranging 108-135, with the lowest value around hour 9.9. SpO2 briefly dipped to 86 around hour 21.4 before recovering to 96, while respiratory rate peaked at 24 and later settled at 18. The associated labs and urine output showed that white count fell from 4.9 to 3.9, creatinine was 1 on its only check, lactate was not available, and urine output fell from 330 to 180, with recorded outputs ranging 78-420.
B. Taken together, the heart rate was roughly stable (92 to 88), while MAP rose from 74 to 97. Systolic pressure was labile, ranging 104-155, with the lowest value around hour 9.4. SpO2 briefly dipped to 85 around hour 19.9 before recovering to 99, while respiratory rate peaked at 22 and later settled at 17. The associated labs and urine output showed that white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160, with recorded outputs ranging 75-400.
C. Taken together, the heart rate was roughly stable (96 to 84), while MAP rose from 78 to 100. Systolic pressure was labile, ranging 100-130, with the lowest value around hour 10.0. SpO2 briefly dipped to 89 around hour 20.9 before recovering to 95, while respiratory rate peaked at 24 and later settled at 19. The associated labs and urine output showed that white count fell from 4.8 to 4.0, creatinine was 1 on its only check, lactate was not available, and urine output fell from 325 to 110, with recorded outputs ranging 79-425.
D. Taken together, the heart rate was roughly stable (88 to 92), while MAP rose from 70 to 92. Systolic pressure was labile, ranging 108-185, with the lowest value around hour 8.7. SpO2 briefly dipped to 80 around hour 17.6 before recovering to 100, while respiratory rate peaked at 20 and later settled at 15. The associated labs and urine output showed that white count fell from 6.2 to 2.6, creatinine was 1 on its only check, lactate was not available, and urine output fell from 380 to 130, with recorded outputs ranging 125-370.

Answer: B


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

Options:
A. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (113 to 113), MAP rose from 77 to 100, and heart rate was roughly stable (89 to 91). SpO2 started at 96, ended at 100, and fell as low as 88 around hour 18.4; respiratory rate ranged 10-20. For labs and output, white count fell from 4.9 to 3.9, creatinine was 1 on its only check, lactate was not available, and urine output fell from 400 to 180.
B. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (108 to 118), MAP rose from 72 to 95, and heart rate was roughly stable (94 to 91). SpO2 started at 100, ended at 97, and fell as low as 83 around hour 21.0; respiratory rate ranged 9-24. For labs and output, white count fell from 5.8 to 2.6, creatinine was 1 on its only check, lactate was not available, and urine output fell from 365 to 145.
C. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (114 to 112), MAP rose from 78 to 100, and heart rate was roughly stable (88 to 92). SpO2 started at 95, ended at 100, and fell as low as 84 around hour 18.0; respiratory rate ranged 10-20. For labs and output, white count fell from 4.8 to 4.0, creatinine was 1 on its only check, lactate was not available, and urine output fell from 325 to 185.
D. Viewed chronologically, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (110 to 116), MAP rose from 74 to 97, and heart rate was roughly stable (92 to 88). SpO2 started at 99, ended at 99, and fell as low as 85 around hour 19.9; respiratory rate ranged 9-22. For labs and output, white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160.

Answer: D


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

Options:
A. In broad terms, the heart rate was roughly stable (92 to 88), MAP rose from 74 to 97, and diastolic pressure moved from 62 to 91. Systolic pressure ranged 104-155 and ended at 116, and SpO2 recovered to 99 after a low of 85 around hour 19.9. Respiratory rate ended at 17; the available labs showed white count fell from 5.4 to 3.4, creatinine was 1 on its only check, lactate was not available, and urine output fell from 350 to 160.
B. In broad terms, the heart rate was roughly stable (90 to 91), MAP rose from 72 to 95, and diastolic pressure moved from 64 to 88. Systolic pressure ranged 102-140 and ended at 114, and SpO2 recovered to 100 after a low of 83 around hour 18.8. Respiratory rate ended at 18; the available labs showed white count fell from 5.0 to 3.0, creatinine was 1 on its only check, lactate was not available, and urine output fell from 335 to 145.
C. In broad terms, the heart rate was roughly stable (96 to 84), MAP rose from 78 to 100, and diastolic pressure moved from 58 to 95. Systolic pressure ranged 108-180 and ended at 120, and SpO2 recovered to 95 after a low of 84 around hour 21.8. Respiratory rate ended at 15; the available labs showed white count fell from 6.0 to 2.6, creatinine was 1 on its only check, lactate was not available, and urine output fell from 400 to 185.
D. In broad terms, the heart rate was roughly stable (88 to 92), MAP rose from 70 to 100, and diastolic pressure moved from 66 to 86. Systolic pressure ranged 100-125 and ended at 112, and SpO2 recovered to 100 after a low of 80 around hour 20.9. Respiratory rate ended at 19; the available labs showed white count fell from 4.7 to 2.6, creatinine was 1 on its only check, lactate was not available, and urine output fell from 320 to 130.

Answer: A


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 fell from 74 to 60, diastolic pressure was roughly stable (54 to 56), and heart rate rose from 69 to 89. The lowest MAP was about 66 around hour 28, and the lowest valid SpO2 was 88 around hour 2.7; respiratory rate rose as high as 34 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 33.5-34.4 C, white count fell from 15.4 to 11.3, creatinine rose from 0.8 to 1, lactate was checked once at 2.1, and urine output fell from 315 to 80.
B. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 69 to 65, diastolic pressure was roughly stable (49 to 51), and heart rate rose from 74 to 89. The lowest MAP was about 61 around hour 30, and the lowest valid SpO2 was 83 around hour 2.2; respiratory rate rose as high as 30 but ended at 13. The lower-frequency data fit that summary: temperature stayed around 38.8-39.6 C, white count fell from 12.8 to 11.3, creatinine rose from 0.6 to 0.8, lactate was checked once at 2.4, and urine output fell from 280 to 28.
C. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 75 to 59, diastolic pressure was roughly stable (55 to 50), and heart rate rose from 68 to 90. The lowest MAP was about 67 around hour 27, and the lowest valid SpO2 was 89 around hour 2.6; respiratory rate rose as high as 36 but ended at 16. The lower-frequency data fit that summary: temperature stayed around 32.8-33.6 C, white count fell from 15.8 to 10.9, creatinine rose from 0.8 to 1.0, lactate was checked once at 2.1, and urine output fell from 320 to 34.
D. Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 71 to 63, diastolic pressure was roughly stable (51 to 53), and heart rate rose from 72 to 86. The lowest MAP was about 63 around hour 29, and the lowest valid SpO2 was 85 around hour 3.2; respiratory rate rose as high as 32 but ended at 14. The lower-frequency data fit that summary: temperature stayed around 36.5-37.4 C, white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.

Answer: D

Clinically, this reads as a mixed hemodynamic course, not just an isolated respiratory issue: MAP fell from 71 to 63, diastolic pressure was roughly stable (51 to 53), and heart rate rose from 72 to 86. The lowest MAP was about 63 around hour 29, and the lowest valid SpO2 was 85 around hour 3.2; respiratory rate rose as high as 32 but ended at 14. The lower-frequency data fit that summary: temperature ranged from 97.7 to 99.4, white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.


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 was roughly stable (104 to 103), MAP fell from 71 to 63, and heart rate rose from 72 to 86. SpO2 started at 100, ended at 95, and fell as low as 85 around hour 3.2; respiratory rate ranged 10-32. For labs and output, white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.
B. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (102 to 105), MAP fell from 69 to 61, and heart rate rose from 74 to 84. SpO2 started at 98, ended at 93, and fell as low as 83 around hour 3.6; respiratory rate ranged 9-34. For labs and output, white count fell from 15.0 to 11.7, creatinine rose from 0.6 to 1, lactate was checked once at 2.5, and urine output fell from 280 to 32.
C. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (108 to 99), MAP fell from 75 to 67, and heart rate rose from 68 to 89. SpO2 started at 96, ended at 99, and fell as low as 89 around hour 2.6; respiratory rate ranged 12-34. For labs and output, white count fell from 12.0 to 10, creatinine rose from 0.8 to 0.9, lactate was checked once at 2.5, and urine output fell from 320 to 26.
D. Overall, the main signal is labile hemodynamics with a brief oxygenation drop: systolic pressure was roughly stable (100 to 99), MAP was roughly stable (66 to 66), and heart rate rose from 76 to 82. SpO2 started at 96, ended at 90, and fell as low as 84 around hour 4.0; respiratory rate ranged 8-36. For labs and output, white count fell from 16.1 to 10.6, creatinine rose from 0.5 to 1.1, lactate was checked once at 2.0, and urine output fell from 265 to 34.

Answer: A


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

Options:
A. For handoff, the heart rate rose from 75 to 83, MAP was roughly stable (74 to 66), and diastolic pressure moved from 48 to 56. Systolic pressure ranged 100-202 and ended at 99, and SpO2 recovered to 92 after a low of 88 around hour 4.2. Respiratory rate ended at 12; the available labs showed white count fell from 15.4 to 14.3, creatinine rose from 0.6 to 1.0, lactate was checked once at 2.5, and urine output fell from 275 to 33.
B. For handoff, the heart rate rose from 72 to 86, MAP fell from 71 to 63, and diastolic pressure moved from 51 to 53. Systolic pressure ranged 97-182 and ended at 103, and SpO2 recovered to 95 after a low of 85 around hour 3.2. Respiratory rate ended at 14; the available labs showed white count fell from 13.9 to 12.8, creatinine rose from 0.7 to 0.9, lactate was checked once at 2.3, and urine output fell from 295 to 30.
C. For handoff, the heart rate rose from 76 to 89, MAP fell from 75 to 67, and diastolic pressure moved from 47 to 50. Systolic pressure ranged 100-207 and ended at 107, and SpO2 recovered to 91 after a low of 89 around hour 3.8. Respiratory rate ended at 12; the available labs showed white count fell from 15.8 to 14.7, creatinine rose from 0.6 to 1.0, lactate was checked once at 2.5, and urine output fell from 270 to 34.
D. For handoff, the heart rate rose from 68 to 90, MAP fell from 66 to 58, and diastolic pressure moved from 56 to 48. Systolic pressure ranged 92-152 and ended at 98, and SpO2 recovered to 100 after a low of 84 around hour 2.5. Respiratory rate ended at 16; the available labs showed white count fell from 11.7 to 10, creatinine rose from 0.8 to 0.9, lactate was checked once at 2.0, and urine output fell from 345 to 26.

Answer: B