CICM Second Part Exam Practice SAQs 12042017

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’s Critical Care Compendium and other FOAM sources:


You note that a 50-year-old man in the emergency department with severe pneumonia has trismus. He requires intubation and mechanical ventilation for type I respiratory failure.

  1. List the important causes of trismus (30%)
  2. Describe how you clinically assess the severity of trismus (20%)
  3. Discuss the implications of trismus for airway management and the options available (50%)

Learn more here:

Trismus and Restricted Mouth Opening

Q2. (from CICM Second Part Exam 2016.2)

You are asked to head a working party to establish a Rapid Response System (RRS) in your hospital.

Outline the steps you will take to do this.

Learn more here:

Rapid Response Systems


A 45-year-old man required urgent intubation at a MET call for rapid deterioration resulting in severe hypoxia. He had been admitted to hospital two days previously with bilateral infiltrates on his chest x-ray. You are told that his sputum PCR is positive for Pneumocystis jirovecii.

Outline the key issues and your approach to the assessment and management of this patient.

Learn more here:

Pneumocystis pneumonia

You can access all the previous practice questions since 2014 here:
See this link on INTENSIVE for exam resources:

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