CICM Second Part Exam Practice SAQs 10012019

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

Q1.

A 64-year-old woman underwent an uneventful Ivor Lewis esophagogastrectomy for esophageal adenocarcinoma of the gastroesophageal junction. On postoperative day 1, high chylous output is noted from the left chest tube.

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

Learn more here:

Chylothorax

Q2. 

A 62-year-old woman has been admitted to hospital for investigation, giving a history of episodic facial flushing and diarrhoea, and fatigue. You are called to review her on the ward because she is hypotensive. Your examination shows features of right heart failure, with a tricuspid regurgitant murmur.

  1. What is the most likely diagnosis? (10%)
  2. List 2 biochemical laboratory investigations that help confirm the diagnosis. (10%)
  3. What hepatic abnormalities are likely to be present? (30%)
  4. Outline the therapies specific to her condition that may be indicated. (50%)

Learn more here:

It might be carcinoid…

Carcinoid Syndrome

Right Ventricular Failure

Q3. 

Critically evaluate the role of proton pump inhibitors for stress ulcer prophylaxis in the ICU. (100%)

Learn more here:

Stress Ulcer Prophylaxis

PulmCrit- SUP-ICU: Is pantoprazole the elixir of life? Should it be?

The Bottom Line — SUP-ICU


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:
//intensiveblog.com/resources/#3

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.