CICM Second Part Exam Practice SAQs 13012016

Here are the practice questions from today’s written exam practice session at The Alfred ICU, with recommended reading from Lifeinthefastlane.com’s Critical Care Compendium:

Q1.

A 65 year-old male arrives in ICU following CAGS x4 with an open chest.

a) What are the possible indications for open chest management and delayed sternal closure in this case? (30%)

b) Explain the rationale for this approach and the implications for management in the ICU (70%)

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Q2.

A 50 year-old man has had a third MET call in 24 hours for fever and tachycardia. He is 8 days post-induction chemotherapy for acute myeloid leukaemia and has a neutrophil count of 0.1 x 10E9/L. He has no comorbidities. His observations at present are T39C (axillary), P150/min, BP 90/55 mmHg, RR 25/min, SpO2 95%OA. He is alert and orientated with no focal neurological deficits.

Outline your approach to management of this case over the next 24 hours.

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Q3.

Regarding transthoracic echocardiography of critically ill patients:

a) Describe how imaging of the inferior vena cava (IVC) can be used to estimate central venous pressure during spontaneous breathing (30%)

b) Describe the differences in echocardiographic appearance of a “pressure-loaded” right ventricle and a “volume-loaded” right ventricle (30%)

c) List the echocardiographic features of pericardial tamponade (40%)

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You can access all the previous practice questions since 2014 here:
https://docs.google.com/document/d/1_Ta8IvVaVtc5Il7-kJwj6qKGu54OmifJGRUWCXud8dY/edit
See this link on INTENSIVE for exam resources:
http://intensiveblog.com/resources/#3

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