CICM Second Part Exam Practice SAQs 25112015

Here are the practice questions from this week’s written exam practice at The Alfred ICU, with recommended reading from’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%)

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Discuss the role of apnoeic oxygenation in the management of critically ill patients

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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%)

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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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