CICM Second Part Exam Practice SAQs 16052019

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:


Critically evaluate the use of vasopressin in septic shock (100%)

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Critically Evaluate Template


a) Outline the factors that affecting the performance of complex tasks in crisis situations (50%)
b) List the key principles of crisis resource management (50%)

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Crisis Resource Management (CRM)


A 24 year-old woman presents to the emergency department (ED) after waking with generalised weakness.

Her VBG shows:

pH 7.14
pCO2 (mmHg) 40
pO2 (mmHg) 20
Bicarbonate (mmol/L) 13
Hb (g/L) 157
Na (mmol/L) 141
K (mmol/L) 1.4
Cl (mmol/L) 116
Glucose (mmol/L) 7.0
Lactate (mmol/L) 1.2
iCa (mmol/L) 1.20

a) Interpret the VBG findings (40%)

This is her urine pH and electrolytes:

Urine pH and electrolytes
pH 7
Na (mmol/L) 20
K (mmol/L) 18
Cl (mmol/L) 35
Ca (mmol/L) 1.46

b) Interpret the urine pH and electrolytes (30%)
c) What is the likely diagnosis? (10%)
d) What is the specific therapy for this diagnosis? (20%)

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Weakness? Look at the gas…

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

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