Here are the practice questions from this week’s written exam practice at The Alfred ICU, with recommended reading from Lifeinthefastlane.com’s Critical Care Compendium:
Q1. (from the 2015.1 exam)
Regarding regional citrate anticoagulation for continuous renal replacement therapy (CRRT):
a) What is the mechanism by which citrate provides anticoagulation? (20%)
b) What is the metabolic fate of the citrate? (20%)
c) What are the features of citrate toxicity? (20%)
d) What conditions may increase the risk of citrate toxicity? (20%)
e) What alternative(s) to citrate could you use in a patient with severe HITS? (20%)
Learn more here:
- http://lifeinthefastlane.com/cicm-saq-2015-1-q22/
- http://lifeinthefastlane.com/ccc/regional-citrate-anticoagulation/
- http://lifeinthefastlane.com/ccc/citrate-toxicity/
Q2.
Discuss the role of apnoeic oxygenation in the management of critically ill patients
Learn more here:
Q3.
The image below shows an EZ-IO device:
a) List indications and contra-indications for intraosseous (IO) access (25%)
b) Describe how IO access is obtained using EZ-IO (25%)
c) List 5 complications of IO access (25%)
d) List 5 laboratory tests that are unreliable from IO samples (25%)
Learn more here:
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