CICM Second Part Exam Practice SAQs 20012016

Here are the practice questions from today’s written exam practice session at The Alfred ICU, with recommended reading from’s Critical Care Compendium:


Regarding preoxygenation for emergency intubation:

a) Outline the rationale and physiological basis for preoxygenation (40%)

b) Discuss the challenges faced when preoxygenating critically ill patients in the intensive care unit and the different approaches that can be used to achieve preoxygenation (60%)

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Regarding antibiotics:

a) What are the pros and cons of using minimum inhibitory concentrations (MICs) to guide antimicrobial therapy (50%)

b) For each of the following antibiotics state how dosing differs in a critically ill patient with septic shock (with unknown source) compared to appropriate dosing in a non-critically ill patient. Assume normal renal function in both patients. (50%)

  1. piperacillin/tazobactam
  2. initial dose of gentamicin
  3. initial dose of vancomycin
  4. flucloxacillin
  5. ceftriaxone

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Regarding paracetamol overdose:

  1. Describe the biochemical mechanism that results in paracetamol-induced hepatoxicity (30%)
  2. List the specific indications for N-acetylcysteine therapy following a paracetamol overdose (35%)
  3. Describe the King’s College Criteria for liver transplant following paracetamol overdose (35%)

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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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