CICM Second Part Exam Practice SAQs 14122016

As prepared by Chris Nickson, 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 and other FOAM sources:

Q1.

A 35 year-old man, originally from South-East Asia, was admitted to ICU following intubation for hypoxaemic respiratory failure. He has been diagnosed with tuberculosis and commenced on anti-tuberculosis therapy (isoniazid, rifampicin, pyrazinamide and ethambutol).

  1. List 5 life-threatening tuberculosis emergencies (other than respiratory failure) (20%)
  2. Outline the important adverse effects of his anti-tuberculosis medications (30%)
  3. Which patients with active tuberculosis are treated with adjunctive corticosteroid therapy? (20%)
  4. What infection control measures are required for tuberculosis patients in the ICU environment? (30%)

Learn more here:

Tuberculosis

http://lifeinthefastlane.com/ccc/tuberculosis/embed/#?secret=EKeubAff9T

Q2. 

Discuss the related concepts of chronic critical illness and persistent critical illness, including their possible implications for patient care in the ICU.

Learn more here:

Persistent and Chronic Critical Illness

http://lifeinthefastlane.com/ccc/persistent-and-chronic-critical-illness/embed/#?secret=ZxHcAFH0E4

Q3.

A 40 year-old woman is admitted to ICU with severe acute pancreatitis as a result of an impacted gallstone. She had no pre-existing comorbidities.

  1. List the important local complications of severe acute pancreatitis (20%)
  2. What indications for antimicrobial therapy may be relevant in this case? (30%)
  3. Describe your general approach to nutritional therapy in this situation (20%)
  4. Outline the potential role of invasive interventions (e.g. surgery) in the management of this patient (30%)

Learn more here:

Pancreatitis

http://lifeinthefastlane.com/ccc/pancreatitis/embed/#?secret=BYo92tlYeZ


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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