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  1. Deranged Physiology
  2. CICM Fellowship Exam
  3. Past papers
2011, Paper 2 SAQs
Question 1
Question 2
Question 3.1
Question 3.2
Question 3.3
Question 4
Question 5.1
Question 5.2
Question 6.1
Question 6.2
Question 6.3
Question 6.4
Question 7
Question 8
Question 9.1
Question 9.2
Question 10
Question 11
Question 12
Question 13
Question 14
Question 15.1
Question 15.2
Question 16
Question 17
Question 18
Question 19
Question 20
Question 21
Question 22.1
Question 22.2
Question 22.3
Question 23
Question 24
Question 25
Question 26.1
Question 26.2
Question 26.3
Question 26.4
Question 27.1
Question 27.2
Question 27.3
Question 28
Question 29.1
Question 29.2
Question 30.1
Question 30.2
Short Answer Questions in Order of Appearance
Question 1

Complications attributed to the cardiopulmonary bypass circuit

(Cardiothoracic Intensive Care) - Pass rate 22%; highest mark 7.2 .

Question 2

Cachexia: a definition, risk factors, and consequences.

(Endocrinology Metabolism and Nutrition) - Pass rate 40%; highest mark 7.5 .

Question 3.1

Pyroglutamic acidosis mixed with a NAGMA.

(Acid-Base Disorders) - Pass rate 96%; highest mark 9.0 .

Question 3.2

Causes of metabolic alkalosis- resolution of a chronic respiratory acidosis.

(Acid-Base Disorders) - Pass rate 96%; highest mark 9.0 .

Question 3.3

Normal anion gap metabolic acidosis  due to a toluene-induced  Type 1 (distal) RTA.

(Acid-Base Disorders) - Pass rate 96%; highest mark 9.0 .

Question 4

Clearance of the C-spine in the unconscious patient

(Neurology and Neurosurgery) - Pass rate 33%; highest mark 7.0 .

Question 5.1

Hypoosmolar hyponatremia: thiazide-associated hyponatremia

(Electrolytes and Fluids) - Pass rate 76%; highest mark 8.0 .

Question 5.2

Managemnt of hyponatremia: osmotic demyelination syndrome

(Electrolytes and Fluids) - Pass rate 76%; highest mark 8.0 .

Question 6.1

Another game of "Name That ECG Abnormality"

(Cardiology) - Pass rate 93%; highest mark 9.7 .

Question 6.2

Another game of "Name That ECG Abnormality"

(Cardiology) - Pass rate 93%; highest mark 9.7 .

Question 6.3

Another game of "Name That ECG Abnormality"

(Cardiology) - Pass rate 93%; highest mark 9.7 .

Question 6.4

Another game of "Name That ECG Abnormality"

(Cardiology) - Pass rate 93%; highest mark 9.7 .

Question 7

Respiratory failure in children

(Neonatal and Paediatric Problems) - Pass rate 58%; highest mark 8.0 .

Question 8

Fire safety in the ICU: specifically, how would you manage an evacuation?

(Administration and Data Management) - Pass rate 67%; highest mark 7.5 .

Question 9.1

Metabolic alkalosis with respiratory compensation.

(Acid-Base Disorders) - Pass rate 85%; highest mark 8.5 .

Question 9.2

ABG interpretation in pregnancy - respiratory acidosis following a caesarian.

(Acid-Base Disorders) - Pass rate 85%; highest mark 8.5 .

Question 10

Cardiac biomarkers: specifically, critically evaluate the use of troponin.

(Cardiology) - Pass rate 44%; highest mark 6.6 .

Question 11

Assessment of extubation readiness: a case of "at-risk" extubation

(Airway Management) - Pass rate 80%; highest mark 9.0 .

Question 12

Enteral vs parenteral nutrition; specifically in the context of pancreatitis

(Endocrinology Metabolism and Nutrition) - Pass rate 56%; highest mark 9.0 .

Question 13

Acute supportive management for stroke in the ICU

(Neurology and Neurosurgery) - Pass rate 56%; highest mark 8.7 .

Question 14

Hypercapneic respiratory failure in a comatose fat man.

(Respiratory Medicine and Mechanical Ventilation) - Pass rate 40%; highest mark 8.0 .

Question 15.1

"What's Wrong With These Coags?" - Reversal of warfarin anticoagulation

(Haematology and Oncology) - Pass rate 91%; highest mark 9.7 .

Question 15.2

Thrombotic thrombocytopenic purpura or the differential diagnosis thereof

(Haematology and Oncology) - Pass rate 91%; highest mark 9.7 .

Question 16

Indications for dialysis in the ICU; strategies to optimise solute clearance.

(Renal Failure and Dialysis) - Pass rate 96%; highest mark 9.5 .

Question 17

Causes of respiratory failure: differential diagnosis of ARDS

(Respiratory Medicine and Mechanical Ventilation) - Pass rate 38%; highest mark 7.4 .

Question 18

Which antibiotic choice would be appropriate (abdominal catastrophe)

(Infectious Disease Antibiotics and Sepsis) - Pass rate 87%; highest mark 8.7 .

Question 19

Fluid resuscitation for septic shock

(Infectious Disease Antibiotics and Sepsis) - Pass rate 29%; highest mark 8.0 .

Question 20

Causes of shock in a trauma patient. Also, use of TTE in assessment of shock states.

(Trauma, Burns, Drowning) - Pass rate 60%; highest mark 8.2 .

Question 21

The Thrombophilic Screen: Factor V Leiden

(Haematology and Oncology) - Pass rate 58%; highest mark 8.7 .

Question 22.1

Polyuria following traumatic brain injury. What has caused it?

(Neurology and Neurosurgery) - Pass rate 100%; highest mark 9.6 .

Question 22.2

Causes of lactic acidosis in sepsis

(Acid-Base Disorders) - Pass rate 100%; highest mark 9.6 .

Question 22.3

Causes of metabolic acidosis - toxic alcohol ingestion

(Acid-Base Disorders) - Pass rate 100%; highest mark 96 .

Question 23

Definitions: Risk ratio, NNT, P-value and confidence interval.

(Statistics and Interpretation of Evidence) - Pass rate 71%; highest mark 9.7 .

Question 24

Supportive management of the cardiac arrest survivor

(Cardiac Arrest and Resuscitation) - Pass rate 71%; highest mark 9.0 .

Question 25

Malaria: diagnosis, management and complications

(Infectious Disease Antibiotics and Sepsis) - Pass rate 82%; highest mark 9.2 .

Question 26.1

Physical signs of cerebellar disease: only head signs, please.

(Neurology and Neurosurgery) - Pass rate 84%; highest mark 9.7 .

Question 26.2

Examination of the cranial nerves: localisation of a midbrain lesion by CN III palsy.

(Neurology and Neurosurgery) - Pass rate 84%; highest mark 9.7 .

Question 26.3

Cardiovascular physical examination:  4 causes of an apical diastolic murmur

(Cardiology) - Pass rate 84%; highest mark 9.7 .

Question 26.4

Care for the post-pneumonectomy patient: differentials of a silent hemithorax.

(Cardiothoracic Intensive Care) - Pass rate 84%; highest mark 9.7 .

Question 27.1

The heat and moisture exchange filter (HME)

(Equipment and Procedures) - Pass rate 38%; highest mark 7.0 .

Question 27.2

Dual lumen endotracheal tube - indications for use.

(Equipment and Procedures) - Pass rate 38%; highest mark 7.0 .

Question 27.3

The Passy-Muir Valve- contraindications to its use.

(Equipment and Procedures) - Pass rate 38%; highest mark 7.0 .

Question 28

Management of raised intracranial pressure. Also, risk factors for post-traumatic seizures.

(Neurology and Neurosurgery) - Pass rate 34%; highest mark 7.0 .

Question 29.1

"What's Wrong With These Coags?" - DIC following postpartum haemorrhage.

(Haematology and Oncology) - Pass rate 84%; highest mark 8.7 .

Question 29.2

Interpretation of deranged LFTs (or, "why is this alcoholic unconscious?")

(Gastroenterology and Hepatology) - Pass rate 84%; highest mark 8.7 .

Question 30.1

Base of skull fracture

(Trauma, Burns, Drowning) - Pass rate 93%; highest mark 9.0 .

Question 30.2

Clinical signs of fat embolism

(Trauma, Burns, Drowning) - Pass rate 93%; highest mark 9.0 .

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