CICM Second Part Exam Practice SAQs 06032024

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 Critical Care Compendium and other FOAM sources:


You are referred a critically ill patient who has methaemoglobinaemia.

  1. List 6 possible causes (20%)
  2. What are the clinical features of methaemoglobinaemia? (20%)
  3. Outline your approach to management (60%)


Compare cerebral salt wasting (CSW) and syndrome of inappropriate antidiuretic hormone secretion (SIADH). (100%)


Regarding clinical trials in critical care:

  1. What are confounders in clinical trials? (20%)
  2. How can confounding be dealt with when conducting clinical trials? (40%)
  3. The ARDSNet ARMA trial established protective lung ventilation as a standard of practice, but may have been affected by “practice misalignment”. Explain what this means. (20%)
  4. Critical care trials are commonly underpowered due to insufficient sample size. Why is this? (20%)

You can access an extensive set of past practice questions dating back to 2014 here:

See this link on INTENSIVE for exam resources:

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