The pass rate for this paper was 63%, which is roughly average. The examiners have made the following helpful comments:
Seven of the thirty questions had a pass rate of less than 50%. Topics covered by questions with a pass rate of less than 15% included the RIFLE classification of acute kidney injury, evaluation of the Glasgow Coma Score and obesity and nutritional status. There was an apparent lack of understanding of basic principles relating to commonly used tests, scoring systems and items of equipment. 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 14/30 questions compared with candidates scoring > 50% and gaining an invitation to the oral section, passing an average of 23/30 questions.
Weirdly, this time the college reported a pass rate for each individual question, but not the highest mark.
| Question 1 |
(Organ and Tissue Donation) - Angoff score ; 56% highest mark ?... . |
| Question 2 | Causes of haemoptysis, and emergency management thereof. (Respiratory Intensive Care) - Angoff score ; 85% highest mark ?... . |
| Question 3 | Clostridium difficile; what causes "infective diarrhoea" in the critically ill? (Gastrointestinal Intensive Care) - Angoff score ; 66% highest mark ?... . |
| Question 4 |
(Paediatrics) - Angoff score ; 75.6% highest mark ?... . |
| Question 5.1 | Analysis of ventilator waveforms: secretions or rain-out condensation (Respiratory Intensive Care) - Angoff score ; 88% highest mark ?... . |
| Question 5.2 | Interpretation of the arterial pressure waveform: "swing" with respiration. (Intensive Care Procedures) - Angoff score ; 88% highest mark ?... . |
| Question 5.3 | What's wrong with this abnormal IABP waveform? (Cardiovascular Intensive Care) - Angoff score ; 88% highest mark ?... . |
| Question 6 | Haemoptysis in an abattoir worker; another game of "Name That Microbe". (Sepsis and Infections) - Angoff score ; 49% highest mark ?... . |
| Question 7 |
(Structure and Process) - Angoff score ; 46% highest mark ?... . |
| Question 8.1 | Causes of lactic acidosis in sepsis; a triple acid-base disorder (Acid-Base Disorders) - Angoff score ; 88% highest mark ?... . |
| Question 8.2 |
(Acid-Base Disorders) - Angoff score ; 88% highest mark ?... . |
| Question 8.3 | HAGMA: diabetic ketoacidosis with HONK and respiratory acidosis. (Acid-Base Disorders) - Angoff score ; 88% highest mark ?... . |
| Question 9 |
(Decision Making) - Angoff score ; 61% highest mark ?... . |
| Question 10 |
(Respiratory Intensive Care) - Angoff score ; 73% highest mark ?... . |
| Question 11.1 | Carcinoid syndrome; specifically, clinical features, and diagnostic biochemistry. (Endocrine Intensive Care) - Angoff score ; 10% highest mark ?... . |
| Question 11.2 | Autoimmune haemolytic anaemia; smudge cells on a blood film. (Haematology and Oncology) - Angoff score ; 10% highest mark ?... . |
| Question 11.3 | Thrombocytopenia with evidence of peripheral destruction (Haematology and Oncology) - Angoff score ; 10% highest mark ?... . |
| Question 12 | A critique of the RIFLE classification system. (Renal Intensive Care) - Angoff score ; 2% highest mark ?... . |
| Question 13 |
(Cardiothoracic Surgical Intensive Care) - Angoff score ; 76% highest mark ?... . |
| Question 14 | Atrial fibrillation: management of AF in the ICU (Cardiovascular Intensive Care) - Angoff score ; 42% highest mark ?... . |
| Question 15.1 | The intraosseous needle, again. (Intensive Care Procedures) - Angoff score ; 80% highest mark ?... . |
| Question 15.2 | Self-adhesive cutaneous defibrillator pads : indications and precautions. (Intensive Care Procedures) - Angoff score ; 80% highest mark ?... . |
| Question 15.3 | Non-rebreather oxygen mask: how does it work? (Intensive Care Procedures) - Angoff score ; 80% highest mark ?... . |
| Question 16 |
(Intensive Care Procedures) - Angoff score ; 76% highest mark ?... . |
| Question 17 |
(Research and Evidence-Based Practice) - Angoff score ; 71% highest mark ?... . |
| Question 18 | Community-acquired pneumonia: prognosis, organisms, empiric treatment. (Sepsis and Infections) - Angoff score ; 85% highest mark ?... . |
| Question 19 |
(Cardiovascular Intensive Care) - Angoff score ; 78% highest mark ?... . |
| Question 20 | Differentials for pre-eclampsia and eclampsia (Obstetric Intensive Care) - Angoff score ; 78% highest mark ?... . |
| Question 21 |
(Trauma Intensive Care) - Angoff score ; 93% highest mark ?... . |
| Question 22 | The Glasgow Coma Scale in the assessment of consciousness: its utility and its limitations. (Neurological Intensive Care) - Angoff score ; 15% highest mark ?... . |
| Question 23.1 |
(Cardiovascular Intensive Care) - Angoff score ; 83% highest mark ?... . |
| Question 23.2 |
(Cardiovascular Intensive Care) - Angoff score ; 83% highest mark ?... . |
| Question 23.3 | Another game of "Name That ECG Abnormality". (Cardiovascular Intensive Care) - Angoff score ; 83% highest mark ?... . |
| Question 24 | Nutrition for the morbidly obese ICU patient. Also, effects of obesity on metabolism. (Gastrointestinal Intensive Care) - Angoff score ; 5% highest mark ?... . |
| Question 25 |
(Neurological Intensive Care) - Angoff score ; 71% highest mark ?... . |
| Question 26 | Physiologic consequences of burns: specifically, the effects on ventilation and gas exchange. (Environmental Injuries and Toxicology) - Angoff score ; 83% highest mark ?... . |
| Question 27 |
(Gastrointestinal Intensive Care) - Angoff score ; 83% highest mark ?... . |
| Question 28 | Clinical features of scleroderma. Also, .. for some reason, acute bowel ischaemia (Immunology and Rheumatology) - Angoff score ; 73% highest mark ?... . |
| Question 29 |
(Environmental Injuries and Toxicology) - Angoff score ; 66% highest mark ?... . |
| Question 30 |
(Structure and Process) - Angoff score ; 63% highest mark ?... . |