CICM First Part Exam Practice Vivas 07032016

Here are the practice questions from the viva practice session today at The Alfred ICU, with recommended reading from’s Critical Care Compendium and other sources.

Viva 1

Q1. Describe the structure of the cell membrane.

Q2. Please outline the mechanisms by which substances are transported across cell membranes.

Q3. How are substances exchanged between capillaries and the interstitial space?

Q4. What are Starling Forces?

Q5. How do Starling Forces determine the flow of fluid across the capillary membrane?

Q6. What is the Gibbs-Donnan Effect?

Q7. What is the difference between osmolarity and osmolality?

Q8. What are the colligative properties of a solution?

Q9. Define Raoult’s Law.

Q10. What is Gelofusine and how is it produced?

Learn more here: – Cellular Physiology – Cardiovascular Physics & Measurement – Fluids & Electrolytes

Braun – Gelofusine PI – Fluids & Electrolytes 3

Physics, Pharmacology & Physiology for Anaesthetists, 2nd Ed. ME Cross, EVE Plunkett. Cambridge University Press 2014.

Viva 2

Q1. Describe the physiological changes, affecting the respiratory and cardiovascular systems, associated with pregnancy.

Q2. What are the functions of the placenta?

Q3. Explain the mechanisms by which substances cross the placenta.

Q4. Describe the factors involved in fetal oxygen delivery.

Q5. Explain the double Haldane effect.

Q6. Describe the cardiovascular changes in the fetus that occur at birth.

Q7. Describe the differences between the paediatric and adult airway.

Learn more here:

LITFL – Physiology of Pregnancy

Griffiths SK, Campbell JP. Placental structure, function and drug transfer. Contin Educ Anaesth Crit Care Pain (2015) 15 (2): 84-89.

Murphy PJ. The fetal circulation. Contin Educ Anaesth Crit Care Pain (August 2005) 5 (4): 107-112.

LITFL – Paediatric Airway

You can access all the previous practice questions since 2015 here:
See this link on INTENSIVE for exam resources:


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