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.
Discuss the use of oxygen saturation targets in the management of intensive care patients. (100%)
Learn more here:
http://lifeinthefastlane.com/ccc/oxygen-saturation-targets-critical-care/
Q2.
A 50-year-old male patient returns to ICU following a laparotomy, splenectomy and partial hepatectomy for intra-abdominal bleeding following a high speed motor vehicle accident with isolated abdominal trauma. He has had a massive transfusion in theatre.
- List the complications of massive transfusion (20%)
- Describe how to measure intra-abdominal pressure when monitoring for intra-abdominal hypertension (40%)
- Outline the specific follow up and management advice that post-splenectomy patients require (40%)
Learn more here:
https://lifeinthefastlane.com/ccc/massive-transfusion-protocol/
https://lifeinthefastlane.com/ccc/intra-abdominal-pressure-monitor/
https://lifeinthefastlane.com/ccc/post-splenectomy-care/
Q3.
A 42-year-old male presented with an ischaemic stroke. He was admitted to a general ward with a right- sided hemiplegia, neglect and speech deficits. He was not thrombolysed.
A day post admission, you are called by your registrar from a MET call because the patient has just become drowsy, although wakes to follow commands. She is at the CT room, where an urgent CT head has shown a large intra-cerebral haemorrhage in the left middle cerebral artery territory.
Outline your approach to the management of this case. (100%)
Learn more here:
http://lifeinthefastlane.com/ccc/intracerebral-haemorrhage/
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