As prepared by Chris Nickson, here are the practice written questions from this week’s CICM Second Part exam practice session at The Alfred ICU, with recommended reading from LITF.com’s Critical Care Compendium and other FOAM sources:
Q1.
You review a 60 year-old man who was involved in a motor vehicle crash. He sustained thoracic trauma and has a flail chest.
- Define flail chest and describe the pathophysiology (20%)
- Describe the clinical features of flail chest (20%)
- Outline your approach to the management of flail chest (60%)
Learn more here:
https://lifeinthefastlane.com/ccc/thoracic-trauma/
Q2.
Discuss endovascular coiling and surgical clipping as treatment options for aneurysmal subarachnoid haemorrhage. (100%)
Learn more here:
https://lifeinthefastlane.com/ccc/coiling-versus-clipping-in-subarachnoid-haemorrhage/
Q3.
You are reviewing a 50-year-old woman in the emergency department who presented with frank haemetemesis and is actively vomiting.
She has a history of chronic liver disease due to Hepatitis C acquired from a blood transfusion 10 years ago and is known to have oesophageal and gastric varices.
She is alert and her vital signs are HR 130/min, BP 90/60 mmHg, SpO2 97% on air, RR 25/min, T 36.5C.
Outline your approach to management in the first 24 hours.
Learn more here:
https://lifeinthefastlane.com/ccc/gi-haemorrhage/
https://lifeinthefastlane.com/ccc/intubation-in-upper-gastrointestinal-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:
https://intensiveblog.com/resources/#3