CICM Second Part Exam Practice SAQs 09092015

Here are the practice questions from this week’s written exam practice at The Alfred ICU, with recommended reading from Lifeinthefastlane.com’s Critical Care Compendium:

Q1.

A MET call is called for a 35 year-old male with a history of intravenous drug use. He has a blood pressure of 85/55 mmHg, heart rate 130/min, temperature 38.5C and SpO2 96% on air. You suspect infectious endocarditis as he has a newly identified pan-systolic murmur and peripheral oedema.

  1. Which valve is most likely to be affected? (10%)
  2. List the clinical features of infectious endocarditis (50%)
  3. Outline the specific therapies for infectious endocarditis that are appropriate in this case (40%)

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Q2.

Compare and contrast the use of propofol, midazolam and dexmedetomdine for sedation of mechanically ventilated patients.

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Q3.

Regarding airway management:

  1. Explain the physiological basis for prolonged safe apnea times from administration of 15 L/min oxygen via nasal prongs to an apnoeic patient (40%)
  2. Discuss the use of ketamine as an induction agent for emergency intubation of critically ill patients (60%)

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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

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