CICM Second Part Exam Practice SAQs 23082017

As prepared by Chris Nickson, here are the practice written questions from a recent CICM Second Part exam practice session at The Alfred ICU, with recommended reading from’s Critical Care Compendium and other FOAM sources:


Regarding this ECG from a 60-year-old man 2 days post-coronary artery bypass graft (CABG) surgery:

ECG for Q1

Click to enlarge

  1. Describe the important ECG finding(s) (20%)
  2. What are the potential harmful consequences? (20%)
  3. Outline your approach to the key management issues (60%)

Learn more here:

Atrial Fibrillation

(LITFL ECG Library)

Atrial Fibrillation



Regarding community acquired pneumonia (CAP):

  1. What features indicate that a patient with CAP is responding appropriately to treatment? (20%)
  2. Outline the factors that contribute to delayed resolution of presumed CAP (40%)
  3. Outline your approach to a patient who is not improving despite receiving appropriate empiric IV antibiotics for presumed severe CAP (40%)

Learn more here:

Nonresolving or Progressive Pneumonia


Critically evaluate the role of corticosteroids as a therapy in septic shock (100%)


Learn more here:

Corticosteroids in Refractory Shock

You can access all the previous practice questions since 2014 here:
See this link on INTENSIVE for exam resources:

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