CICM Second Part Exam Practice SAQs 24082016

As prepared by Chris Nickson, here are the practice questions from today’s written exam practice session at The Alfred ICU, with recommended reading from’s Critical Care Compendium and other FOAM sources:


You receive a referral from the emergency department. A 50kg female pharmacy student has presented with bradycardia and hypotension 2 hours after deliberately ingesting 2g propanolol.Outline your management over the first 24 hours.

Outline your management over the first 24 hours.


Learn more here:

Beta-blocker & Calcium-channel blocker toxicity

Massive Propranolol Overdose



Compare and contrast the acute coagulopathy of trauma with the coagulopathy of liver dysfunction.

Learn more here:

Acute Coagulopathy of Trauma

Coagulopathy in Liver Dysfunction


An 80 year-old man fell off a ladder sustaining a cervical spine injury, confirmed on MRI. He was intubated at the scene for reduced GCS. He had a normal CT brain and follows commands (e.g. pokes out tongue) but has no limb movements. He breathes spontaneously with low tidal volumes on pressure support ventilation and has a weak cough. Following discussion with the trauma team and the spinal surgeon it is determined that surgical intervention will not be of benefit and that no meaningful recovery will occur.

Outline your approach to his ongoing management.

Learn more here:

Acute Traumatic Spinal Cord Injury

Palliative Care

Medical futility

Breaking Bad News to Relatives

Capacity and Competence

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

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