CICM Second Part Exam Practice SAQs 12072017

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’s Critical Care Compendium and other FOAM sources:


Regarding the elderly in ICU:

  1. Define frailty (10%)
  2. What are the prognostic implications of frailty in the ICU?  (20%)
  3. List the pathophysiological changes that occur in the elderly (70%)

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A 28-year-old Australian aid worker, returns from a flood disaster in the and is subsequently admitted to your ICU via the Emergency Department. Twelve days following her return she developed fevers, headaches and severe myalgias. This continued for a week, and then improved. Despite feeling weak she remained well for 3 days before deteriorating again and presenting to ED.

On clinical examination the following is evident:

  • She appears unwell, respiratory rate 24 breaths/min, bibasal crackles on auscultation, Heart Rate 102 beats/min
  • Blood Pressure 92/45 mmHg, cool peripheries, conjunctival suffusion, and mild meningism.
  • She is confused but with no focal neurology.
  • She has no rash and moderate hepato-splenomegaly.
  1. a) What is your differential diagnosis? (30%)
  2. b) What clinical features and investigations would suggest leptospirosis as the cause? (50%)
  3. c) Name 2 antibiotics that can be used to treat leptospirosis (20%)

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Compare and contrast the different types of renal tubular acidosis (Type 1, Type 2 and Type 4). (100%)

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

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