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  1. Deranged Physiology
  2. CICM Fellowship Exam
  3. Past papers
2009, Paper 1 SAQs
Question 1
Question 2
Question 3.1
Question 3.2
Question 4
Question 5.1
Question 5.2
Question 5.3
Question 5.4
Question 6
Question 7.1
Question 7.2
Question 7.3
Question 8
Question 9
Question 10
Question 11
Question 12
Question 13.1
Question 13.2
Question 14.1
Question 14.2
Question 14.3
Question 14.4
Question 15
Question 16
Question 17.1
Question 17.2
Question 17.3
Question 18
Question 19.1
Question 19.2
Question 19.3
Question 20
Question 21
Question 22
Question 23
Question 24.1
Question 24.2
Question 24.3
Question 24.4
Question 24.5
Question 24.6
Question 25.1
Question 25.2
Question 25.3
Question 26.1
Question 26.2
Question 26.3
Question 27
Question 28
Question 29.1
Question 29.2
Question 30
Short Answer Questions in Order of Appearance
Question 1

Acute management of the drowned patient.

(Trauma, Burns, Drowning) - Pass rate 39%; highest mark ? .

Question 2

Tumour lysis syndrome.

(Haematology and Oncology) - Pass rate 47%; highest mark ? .

Question 3.1

Another game of "Name That ECG Abnormality"- WPW

(Cardiology) - Pass rate 86%; highest mark ? .

Question 3.2

Transthoracic echocardiography in the ICU:  HOCM and LVOTO

(Cardiology) - Pass rate 86%; highest mark ? .

Question 4

Ventilation strategies for ARDS

(Respiratory Medicine and Mechanical Ventilation) - Pass rate 86%; highest mark ? .

Question 5.1

Pre-dilution and post-dilution replacement fluid: advantages of pre-dilution.

(Renal Failure and Dialysis) - Pass rate 39%; highest mark ? .

Question 5.2

 Troubleshooting the dialysis circuit (very negative access pressure alarm)

(Renal Failure and Dialysis) - Pass rate 39%; highest mark ? .

Question 5.3

Troubleshooting the dialysis circuit (blood leak into the effluent)

(Renal Failure and Dialysis) - Pass rate 39%; highest mark ? .

Question 5.4

Strategies to optimise solute clearance

(Renal Failure and Dialysis) - Pass rate 39%; highest mark ? .

Question 6

Assessment and management of bronchiolitis.

(Neonatal and Paediatric Problems) - Pass rate 45%; highest mark ? .

Question 7.1

Calculation of the anion gap to determine "has this ketoacidosis resolved?"

(Acid-Base Disorders) - Pass rate 84%; highest mark ? .

Question 7.2

Metabolic alkalosis and respiratory acidosis

(Acid-Base Disorders) - Pass rate 84%; highest mark ? .

Question 7.3

ABG interpretation in pregnancy - respiratory acidosis following a caesarian.

(Acid-Base Disorders) - Pass rate 84%; highest mark ? .

Question 8

Primary tertiary and secondary survey: diaphragmatic rupture and the utility of a rectal exam.

(Trauma, Burns, Drowning) - Pass rate 78%; highest mark ? .

Question 9

Decompressive craniectomy: indications, complications, influence on outcome.

(Neurology and Neurosurgery) - Pass rate 60%; highest mark ? .

Question 10

 Meta-analysis:  the forest plot. Its anatomy in some detail.

(Statistics and Interpretation of Evidence) - Pass rate 60%; highest mark ? .

Question 11

Illness severity scoring systems

(Administration and Data Management) - Pass rate 13%; highest mark ? .

Question 12

Prevention of contrast-induced nephropathy

(Renal Failure and Dialysis) - Pass rate 42%; highest mark ? .

Question 13.1

Bleeding complications following coronary artery bypass grafting

(Cardiothoracic Intensive Care) - Pass rate 86%; highest mark ? .

Question 13.2

Antiplatelet agents: pharmacokinetics and pharmacodynamics.

(Haematology and Oncology) - Pass rate 86%; highest mark ? .

Question 14.1

Causes of raised plasma catecholamine levels: its not always phaeochromocytoma

(Endocrinology Metabolism and Nutrition) - Pass rate 68%; highest mark ? .

Question 14.2

Causes of hypercalcemia, and correction of a dangerously raised calcium 

(Electrolytes and Fluids) - Pass rate 68%; highest mark ? .

Question 14.3

Hypoosmolar hyponatremia (beer potomania)

(Electrolytes and Fluids) - Pass rate 68%; highest mark ? .

Question 14.4

Hypoosmolar hyponatremia with a focus on SIADH and calculation of the sodium deficit

(Electrolytes and Fluids) - Pass rate 68%; highest mark ? .

Question 15

Assessment of extubation readiness

(Respiratory Medicine and Mechanical Ventilation) - Pass rate 63%; highest mark ? .

Question 16

Indications for intracranial pressure monitoring

(Neurology and Neurosurgery) - Pass rate 44%; highest mark ? .

Question 17.1

"What's Wrong With These Coags?" - an isolated APTT elevation.

(Haematology and Oncology) - Pass rate 84%; highest mark ? .

Question 17.2

"What's Wrong With These Coags?" - causes of a raised anti-Xa level.

(Haematology and Oncology) - Pass rate 84%; highest mark ? .

Question 17.3

"What's Wrong With These Coags?" - too much heparin, that's your problem.

(Haematology and Oncology) - Pass rate 84%; highest mark ? .

Question 18

Severe asthma in pregnancy

(Pregnancy, Obstetrics and Gynaecology) - Pass rate 16%; highest mark ? .

Question 19.1

Toxicological uses of dialysis and haemoperfusion

(Pharmacology and Toxicology) - Pass rate 68%; highest mark ? .

Question 19.2

Toxins which cause a raised osmolar gap as well as a raised anion gap.

(Acid-Base Disorders) - Pass rate 68%; highest mark ? .

Question 19.3

The "oxygen saturation gap" in toxcology - a question about co-oximetry.

(Equipment and Procedures) - Pass rate 68%; highest mark ? .

Question 20

Ideal body weight, and the influence of morbid obesity on pharmacokinetics.

(Pharmacology and Toxicology) - Pass rate 68%; highest mark ? .

Question 21

Noradrenaline in resuscitation of septic shock; also calculation of the SVR.

(Infectious Disease Antibiotics and Sepsis) - Pass rate 81%; highest mark ? .

Question 22

Sepsis in the heart-lung transplant recipient; also, complications of this transplant.

(Infectious Disease Antibiotics and Sepsis) - Pass rate 26%; highest mark ? .

Question 23

Severe pancreatitis in ICU: causes, complications, role of antibiotic prophylaxis.

(Gastroenterology and Hepatology) - Pass rate 26%; highest mark ? .

Question 24.1

List 2 causes of clubbing (apart from cardiovascular and respiratory causes)

(Miscellaneous Topics) - Pass rate 66%; highest mark ? .

Question 24.2

Cardiovascular physical examination: signs of pulmonary hypertension

(Cardiology) - Pass rate 66%; highest mark ? .

Question 24.3

List 3 causes of a massive splenomegaly.

(Haematology and Oncology) - Pass rate 66%; highest mark ? .

Question 24.4

Examination of eye movements: Causes of a persistent right-sided conjugate gaze deviation.

(Neurology and Neurosurgery) - Pass rate 66%; highest mark ? .

Question 24.5

Causes of neck stiffness

(Neurology and Neurosurgery) - Pass rate 66%; highest mark ? .

Question 24.6

Cardiovascular physical examination:  causes of an apical diastolic murmur

(Cardiology) - Pass rate 66%; highest mark ? .

Question 25.1

Necrotising fasciitis of the abdominal wall.

(Infectious Disease Antibiotics and Sepsis) - Pass rate 82%; highest mark ? .

Question 25.2

Acronymous organisms: ESCAPPM and HACEK

(Infectious Disease Antibiotics and Sepsis) - Pass rate 82%; highest mark ? .

Question 25.3

Pharmacokinetics of Antibiotics in Critical Illness

(Infectious Disease Antibiotics and Sepsis) - Pass rate 82%; highest mark ? .

Question 26.1

Underwater seal chest drain system: draw a labelled diagram

(Equipment and Procedures) - Pass rate 89%; highest mark ? .

Question 26.2

Laryngoscopy devices: McCoy laryngoscope blade

(Equipment and Procedures) - Pass rate 89%; highest mark ? .

Question 26.3

Laryngoscopy devices: a videolaryngoscope

(Equipment and Procedures) - Pass rate 89%; highest mark ? .

Question 27

Buffer therapies: sodium bicarbonate, Carbicarb and THAM

(Electrolytes and Fluids) - Pass rate 66%; highest mark ? .

Question 28

Preconditions to brain death testing; also radiological diagnosis of brain death.

(Cardiac Arrest and Resuscitation) - Pass rate 66%; highest mark ? .

Question 29.1

"Name That Rash" - Varicella zoster virus and VZV pneumonia.

(Infectious Disease Antibiotics and Sepsis) - Pass rate 68%; highest mark ? .

Question 29.2

Pressure area care prevention and management in the ICU

(Miscellaneous Topics) - Pass rate 68%; highest mark ? .

Question 30

Functional status and outcome in ICU. Tools to assess functional status of survivors.

(Miscellaneous Topics) - Pass rate 55%; highest mark ? .

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© Alex Yartsev 
2013-2018
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