CICM Second Part Exam Practice SAQs 29112017

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 Lifeinthefastlane.com’s Critical Care Compendium and other FOAM sources:

Q1.

Discuss the use of oxygen saturation targets in the management of intensive care patients. (100%)

Learn more here:

Oxygen saturation targets in critical care

Q2.

A 50-year-old male patient returns to ICU following a laparotomy, splenectomy and partial hepatectomy for intra-abdominal bleeding following a high speed motor vehicle accident with isolated abdominal trauma. He has had a massive transfusion in theatre.

  1. List the complications of massive transfusion (20%)
  2. Describe how to measure intra-abdominal pressure when monitoring for intra-abdominal hypertension (40%)
  3. Outline the specific follow up and management advice that post-splenectomy patients require (40%)

Learn more here:

Massive Transfusion Protocol

Intra-Abdominal Pressure Monitor

Post-Splenectomy Care

Q3.

A 42-year-old male presented with an ischaemic stroke. He was admitted to a general ward with a right- sided hemiplegia, neglect and speech deficits. He was not thrombolysed.

A day post admission, you are called by your registrar from a MET call because the patient has just become drowsy, although wakes to follow commands.  She is at the CT room, where an urgent CT head has shown a large intra-cerebral haemorrhage in the left middle cerebral artery territory.

Outline your approach to the management of this case. (100%)

Learn more here:

intracerebral-haemorrhage


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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