An overall written pass rate of 53% is reported for the October sitting of 2013, roughly on par with previous years.
Unfortunately, this time the college did not favour us with any record of the specific pass rate or highest mark for each question.
The examiners had this to say for the survivors of this paper:
"Fourteen of the thirty questions had an overall pass rate of less than 50%. Topics covered by questions with a pass rate of less than 40% related to data interpretation, the role of early goal directed therapy in septic shock, hypotension in pancreatitis, metabolic changes in stress and starvation and the management of iron poisoning. Candidates who failed questions did so for one or more of the following reasons:
Omission of all or part of the question It was noted that some answers relating to discussion or critical evaluation of a topic were not at the required level in terms of synthesis of information and depth of discussion. It also appears that candidates do not always read the questions carefully and thoroughly. Candidates are advised to include in their answer only information that is relevant to the question and to write legibly. Candidates who failed the written section passed an average of 12/30 questions compared with candidates scoring >50% and gaining an invitation to the oral section, passing an average of 20/30 questions. "
| Question 1 |
(Cardiothoracic Surgical Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 2 | Monitoring for vasospasm following SAH: advantages and disadvantages of diagnostic options (Neurological Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 3.1 | Lithium toxicity featuring a negative anion gap (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 3.2 |
(Neurological Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 3.3 | Citrate toxicity: high anion gap acidosis and a high total : ionised calcium ratio. (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 3.4 | Normal anion gap metabolic acidosis with a negative urinary anion gap. (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 4 |
(Neurological Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 5 | Meta-analysis: advantages and disadvantages. Also, publication bias. (Research and Evidence-Based Practice) - Angoff score ; ? highest mark ? . |
| Question 6 | Delirium in the ICU define it and "describe your management approach". (Neurological Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 7.1 | Ketoacidosis: particularly, its various causes. (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 7.2 | Normal anion gap metabolic acidosis in a Scotsman with an Addisonian crisis (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 7.3 | Hypoosmolar hyponatremia (water intoxication due to bowel prep) (Electrolyte Disorders) - Angoff score ; ? highest mark ? . |
| Question 8 | Iron poisoning - clinical features and a detailed discussion of management (Environmental Injuries and Toxicology) - Angoff score ; ? highest mark ? . |
| Question 9 | Hypercalcemia and hypocalcemia: causes and treatments (Electrolyte Disorders) - Angoff score ; ? highest mark ? . |
| Question 10.1 | Horner's Syndrome, and other features of a lateral medullary syndrome (Neurological Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 10.2 |
(Cardiothoracic Surgical Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 10.3 | Rheumatoid arthritis: physical signs in the hands, and characteristic X-ray features. (Immunology and Rheumatology) - Angoff score ; ? highest mark ? . |
| Question 11 | Clearance of the C-spine in the unconscious patient; complications of the hard collar. (Trauma Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 12 | Tetanus! Specific management of tetanus. (Sepsis and Infections) - Angoff score ; ? highest mark ? . |
| Question 13.1 | "What's Wrong With These Coags?" - Dilutional coagulopathy plus/minus DIC (Haematology and Oncology) - Angoff score ; ? highest mark ? . |
| Question 13.2 | Heparin resistance, and risk factors for pulmonary embolism. (Haematology and Oncology) - Angoff score ; ? highest mark ? . |
| Question 13.3 |
(Gastrointestinal Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 14 | A critique of selective digestive tract decontamination (SDD) (Structure and Process) - Angoff score ; ? highest mark ? . |
| Question 15.1 |
(Sepsis and Infections) - Angoff score ; ? highest mark ? . |
| Question 15.2 | Antibiotic dosing in renal failure (for patients who are not on dialysis) (Sepsis and Infections) - Angoff score ; ? highest mark ? . |
| Question 16 |
(Sepsis and Infections) - Angoff score ; ? highest mark ? . |
| Question 17 | What are the different causes of shock (in this pancreatitis patient)? (Cardiovascular Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 18.1 | Organophosphate poisoning: clinical features, antidotes, cholinesterase mixing studies. (Environmental Injuries and Toxicology) - Angoff score ; ? highest mark ? . |
| Question 18.2 | Normal anion gap metabolic acidosis due to a toluene-induced Type 1 (distal) RTA. (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 18.3 |
(Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 19 | Mass casualty disaster management: what's your plan for the influenza pandemic? (Intensive Care Administration) - Angoff score ; ? highest mark ? . |
| Question 20 | Radiology in trauma: merits of CT in blunt abdominal trauma (Radiology in Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 21.1 | Analysis of ventilator waveforms: bronchospasm and gas trapping (Respiratory Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 21.2 | Interpretation of formal pulmonary function tests (Respiratory Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 22 | Critically evaluate the role of vasopressin in resuscitation of septic shock. (Sepsis and Infections) - Angoff score ; ? highest mark ? . |
| Question 23 | High anion gap metabolic acidosis due to lactic acidosis. (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 24 | Physiotherapy in the ICU: its role, broadly (Structure and Process) - Angoff score ; ? highest mark ? . |
| Question 25 | Sick euthyroid syndrome, effect of drugs on thyroid, and management of thyrotoxicosis (Endocrine Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 26.1 | Metabolic alkalosis following the resolution of a respiratory acidosis. (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 26.2 | High anion gap metabolic acidosis: diabetic ketoacidosis with HONK (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 26.3 | High anion gap metabolic acidosis in the context of rhabdomyolysis. (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 26.4 | Causes of lactic acidosis (red cell transketolase comes up) (Acid-Base Disorders) - Angoff score ; ? highest mark ? . |
| Question 27 | Metabolic changes in starvation; and the metabolic adaptations of the stress response (Gastrointestinal Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 28 | Differential diagnosis of liver failure in pregnancy (Obstetric Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 29 |
(Cardiothoracic Surgical Intensive Care) - Angoff score ; ? highest mark ? . |
| Question 30.1 | Endotracheal tube: list six design features which improve its safety. (Intensive Care Procedures) - Angoff score ; ? highest mark ? . |
| Question 30.2 |
(Intensive Care Procedures) - Angoff score ; ? highest mark ? . |
| Question 30.3 |
(Decision Making) - Angoff score ; ? highest mark ? . |