The August/October sitting in 2012 had a written part pass rate of 67%, making it one of the easier papers.
The examiners have provided us with a breakdown of pass rates and highest marks achieved for every individual question.
The following comments were made by the examiners:
Nine of the thirty questions had a pass rate of less than 50%. Topics covered by questions with a pass rate of less than 40% were non-convulsive status epilepticus and the management of the patient post liver transplantation. There was an apparent lack of understanding of basic principles relating to commonly used tests, interpretation of the literature and assessment of the circulation. As in previous exams, candidates who failed did not answer the questions as asked; did not attempt to answer certain questions or parts of questions; and/or were too narrow in their answer. It appears that candidates do not always read the questions carefully and thoroughly. 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 21/30 questions. Candidates are reminded that it is mathematically possible to pass 29/30 questions and still fail the written paper overall.
| Question 1 | ABO blood grouping: "false chimerism" after uncrossmatched transfusion. (Haematology and Oncology) - Angoff score ; 77% highest mark 8.5 . |
| Question 2 |
(Structure and Process) - Angoff score ; 46% highest mark 7.0 . |
| Question 3.1 | Assessment of oxygenation from ABG data: hypoventilation (a normal A-a gradient) (Respiratory Intensive Care) - Angoff score ; 60% highest mark 9.3 . |
| Question 3.2 | Pyroglutamic acidosis, again. (Acid-Base Disorders) - Angoff score ; 60% highest mark 9.3 . |
| Question 3.3 | Meningitis in general; specifically, aseptic meningitis. (Sepsis and Infections) - Angoff score ; 60% highest mark 9.3 . |
| Question 4 |
(Respiratory Intensive Care) - Angoff score ; 48% highest mark 8.5 . |
| Question 5 | Pulmonary embolism: critically evaluate the role of thrombolysis (Respiratory Intensive Care) - Angoff score ; 56% highest mark 9.0 . |
| Question 6.1 | ABG interpretation in pregnancy - respiratory acidosis following a caesarian. (Acid-Base Disorders) - Angoff score ; 84% highest mark 9.3 . |
| Question 6.2 | Rhabdomyolysis following AAA repair (Renal Intensive Care) - Angoff score ; 84% highest mark 9.3 . |
| Question 6.3 | Random uraemia: list of differentials for an electrolyte panel, with zero history. (Renal Intensive Care) - Angoff score ; 84% highest mark 9.3 . |
| Question 7 | Community-acquired pneumonia: evaluation of the non-resolving pneumonia. (Sepsis and Infections) - Angoff score ; 72% highest mark 7.0 . |
| Question 8 | Analysis of clinical trials: overall assessment of quality (Research and Evidence-Based Practice) - Angoff score ; 44% highest mark 8.3 . |
| Question 9 | Logistics of inter-hospital transfer: what issues would you need to consider? (Structure and Process) - Angoff score ; 56% highest mark 8.9 . |
| Question 10 | Salicylate overdose, with a characteristic blood gas (Environmental Injuries and Toxicology) - Angoff score ; 49% highest mark 7.3 . |
| Question 11 |
(Gastrointestinal Intensive Care) - Angoff score ; 39% highest mark 7.0 . |
| Question 12.1 | "What's Wrong With These Coags?" - Antiphospholipid syndrome (Haematology and Oncology) - Angoff score ; 91% highest mark 9.4 . |
| Question 12.2 |
(Haematology and Oncology) - Angoff score ; 91% highest mark 9.4 . |
| Question 12.3 | "What's Wrong With This Blood Film?" - anaemia of blood loss. (Haematology and Oncology) - Angoff score ; 91% highest mark 9.4 . |
| Question 12.4 | "What's Wrong With These Coags?" - a total coagulation failure, everything is deranged. (Haematology and Oncology) - Angoff score ; 91% highest mark 9.4 . |
| Question 13.1 |
(Intensive Care Procedures) - Angoff score ; 44% highest mark 8.3 . |
| Question 13.2 | Calculation of the Oxygen extraction ratio (OER) (Intensive Care Procedures) - Angoff score ; 44% highest mark 8.3 . |
| Question 14 | Utility of serum ammonia and BNP (see Cardiac biomarkers) (Gastrointestinal Intensive Care) - Angoff score ; 42% highest mark 9.0 . |
| Question 15.1 |
(Immunology and Rheumatology) - Angoff score ; 79% highest mark 8.0 . |
| Question 15.2 | Causes of respiratory failure in a patient having radiotherapy (Respiratory Intensive Care) - Angoff score ; 79% highest mark 8.0 . |
| Question 15.3 | Fundoscopy: characteristic findings and their correlations with pathology. (Neurological Intensive Care) - Angoff score ; 79% highest mark 8.0 . |
| Question 15.4 | Activated charcoal-induced bowel obstruction (CT image) (Environmental Injuries and Toxicology) - Angoff score ; 79% highest mark 8.0 . |
| Question 16 | The pregnant trauma patient: "management issues" (Trauma Intensive Care) - Angoff score ; 65% highest mark 8.3 . |
| Question 17 | Clinical testing for brain death: technical issues, eg. which cranial nerves, etc (Organ and Tissue Donation) - Angoff score ; 84% highest mark 9.1 . |
| Question 18 | Important clinical features in the management of a burns patient (Environmental Injuries and Toxicology) - Angoff score ; 70% highest mark 8.8 . |
| Question 19 |
(Cardiovascular Intensive Care) - Angoff score ; 77% highest mark 8.5 . |
| Question 20 | Non-convulsive status epilepticus: definition, diagnosis, risk factors, management. (Neurological Intensive Care) - Angoff score ; 0% highest mark 4.75 . |
| Question 21.1 |
(Obstetric Intensive Care) - Angoff score ; 93% highest mark 10 . |
| Question 21.2 | Causes of lactic acidosis (red cell transketolase comes up) (Acid-Base Disorders) - Angoff score ; 93% highest mark 10 . |
| Question 21.3 | High anion gap metabolic acidosis in HONK; also, complications of HONK. (Acid-Base Disorders) - Angoff score ; 93% highest mark 10 . |
| Question 22 |
(Airway Management) - Angoff score ; 53% highest mark 8.5 . |
| Question 23 | Causes of thrombocytopenia. Also, lets talk about the management of HITTS. (Haematology and Oncology) - Angoff score ; 58% highest mark 9.2 . |
| Question 24.1 | Endobronchial blocker: indications, advantages, limitations. (Intensive Care Procedures) - Angoff score ; 56% highest mark 8.5 . |
| Question 24.2 | Underwater seal chest drain system: explain how it works. (Intensive Care Procedures) - Angoff score ; 56% highest mark 8.5 . |
| Question 25 |
(Environmental Injuries and Toxicology) - Angoff score ; 60% highest mark 7.3 . |
| Question 26 |
(Radiology in Intensive Care) - Angoff score ; 44% highest mark 7.1 . |
| Question 27 |
(Respiratory Intensive Care) - Angoff score ; 63% highest mark 8.5 . |
| Question 28 | Causes of lactic acidosis- an abdominal catastrophe. (Acid-Base Disorders) - Angoff score ; 84% highest mark 8.0 . |
| Question 29 | Methaemoglobinaemia due to dapsone (Respiratory Intensive Care) - Angoff score ; 53% highest mark 8.3 . |
| Question 30.1 |
(Cardiovascular Intensive Care) - Angoff score ; 53% highest mark 9.3 . |
| Question 30.2 | Interpretation of Directly measured and derived PA catheter variables (Intensive Care Procedures) - Angoff score ; 53% highest mark 9.3 . |
| Question 30.3 |
(Cardiovascular Intensive Care) - Angoff score ; 53% highest mark 9.3 . |
| Question 30.4 |
(Cardiovascular Intensive Care) - Angoff score ; 53% highest mark 9.3 . |