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.
Critically evaluate the role of mechanical CPR devices in the management of cardiac arrest. (100%)
Learn more here:
https://lifeinthefastlane.com/ccc/mechanical-cardiopulmonary-resuscitation-mcpr/
Q2. (from (FCICM Second Part Exam 2013.2 SAQ 29)
A patient in the Intensive Care Unit develops complete heart block with hypotension and has a temporary transvenous pacing wire inserted.
- a) Define the pacing threshold and describe how you would test and set it. (25%)
- b) Describe how you would check the pacing sensitivity. (25%)
- c) What is the purpose of setting the pacing sensitivity? (25%)
The bedside nurse informs you that the output has been increased markedly over the course of his shift to maintain capture.
- d) What reversible factors might cause this problem? (25%)
Learn more here:
http://lifeinthefastlane.com/cicm-saq-2014-1-q29/
Q3.
Compare and contrast these three toxidromes: serotonin syndrome, neuroleptic malignant syndrome, and anticholinergic delirium. (100%)
Learn more here:
https://lifeinthefastlane.com/ccc/hyperthermia-associated-toxidromes/
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:
https://intensiveblog.com/resources/#3