FFICM Study Guide 2026

Everything you need to pass the FFICM exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 FFICM Exam Format at a Glance

130

Questions

180 min

Time Limit

70.00%

Passing Score

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📚 FFICM Topics to Study (69)

Clinical Procedures and Protocols · 7 cards Clinical Procedures and Protocols · 7 cards Clinical Procedures and Protocols · 7 cards Clinical Procedures and Protocols · 7 cards Clinical Standards and Guidelines · 7 cards Clinical Standards and Guidelines · 7 cards Clinical Standards and Guidelines · 7 cards Clinical Standards and Guidelines · 7 cards Documentation and Record Keeping · 7 cards Documentation and Record Keeping · 7 cards Documentation and Record Keeping · 7 cards Documentation and Record Keeping · 7 cards Education and Training · 7 cards Education and Training · 7 cards Education and Training · 7 cards Education and Training · 7 cards Emergency Response Procedures · 7 cards Emergency Response Procedures · 7 cards Emergency Response Procedures · 7 cards Emergency Response Procedures · 7 cards Evaluations · 7 cards Evaluations · 7 cards Evaluations · 7 cards Evaluations · 7 cards Patient Assessment and Evaluation · 7 cards Patient Assessment and Evaluation · 7 cards Patient Assessment and Evaluation · 7 cards Patient Assessment and Evaluation · 7 cards Patient Communication Skills · 7 cards Patient Communication Skills · 7 cards

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✍️ Sample FFICM Questions & Answers

1. During a hospital surge in disaster conditions, Crisis Standards of Care (CSC) allow ICU teams to do which of the following that would be unacceptable under normal conditions?

✓ Reallocate a ventilator from a patient unlikely to survive to one with better prognosis

Crisis Standards of Care permit ventilator reallocation using pre-established triage protocols when supply is critically exceeded, with oversight by an independent triage team, not the bedside clinician.

2. The Emax model of pharmacodynamics predicts that doubling the dose above the EC90 will:

✓ Yield minimal additional effect as the response approaches the maximum

The sigmoidal Emax model plateaus near the maximum effect; above EC90, the dose–response curve is nearly flat and large dose increases produce little additional benefit.

3. A researcher calculates the number needed to treat (NNT) from a trial where 30% of controls and 20% of treatment patients died. What is the NNT?

✓ 10

NNT = 1 / absolute risk reduction = 1 / (0.30 − 0.20) = 1 / 0.10 = 10.

4. A patient in the ICU lacks capacity and has no advance directive. Their adult children disagree about withdrawing life-sustaining treatment. What is the most appropriate next step?

✓ Convene a formal family meeting facilitated by the clinical team and consider ethics consultation

When families disagree, a structured family meeting with potential ethics consultation is the recommended approach before escalating to legal proceedings.

5. According to the Surviving Sepsis Campaign guidelines, what is the recommended duration for the initial resuscitation bundle in septic shock?

✓ 1 hour

The 2018 Surviving Sepsis Campaign updated the bundle to a 1-hour bundle emphasizing immediate blood cultures, antibiotics, and fluid resuscitation.

6. What is the primary pathophysiology of Type 1 hepatorenal syndrome (HRS-AKI)?

✓ Severe renal vasoconstriction from portal hypertension-driven splanchnic vasodilation

HRS-AKI results from extreme renal vasoconstriction triggered by compensatory neurohormonal activation in response to effective arterial underfilling from splanchnic vasodilation in cirrhosis.

🎯 Free FFICM Practice Tests

Education and Training · 7 questions Clinical Standards and Guidelines · 7 questions Education and Training · 7 questions Education and Training · 7 questions Respiratory Management and Mechanical Ventilation · 7 questions Clinical Standards and Guidelines · 7 questions Respiratory Management and Mechanical Ventilation · 7 questions Education and Training · 7 questions Respiratory Management and Mechanical Ventilation · 7 questions Clinical Standards and Guidelines · 7 questions

📖 FFICM Guides & Articles

Your FFICM Study Path

1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

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