FFICM Clinical Procedures and Protocols 2

Question 1

When performing an arterial line insertion via the radial artery, which test is used to assess collateral circulation before cannulation?

Accepted Answer

Allen's test

Answer

Allen's test assesses ulnar collateral flow to the hand before radial artery cannulation, though its predictive value is debated.

Question 2

During central venous catheter insertion via the right internal jugular vein, ultrasound guidance is recommended primarily because it:

Accepted Answer

Reduces arterial puncture and overall complication rates

Answer

NICE guidance and evidence consistently show ultrasound guidance significantly reduces arterial puncture, haematoma, and failed cannulation rates.

Question 3

A patient requires urgent needle decompression for tension pneumothorax. The recommended landmark for needle thoracocentesis is:

Accepted Answer

2nd intercostal space, midclavicular line

Answer

The 2nd intercostal space midclavicular line is the traditional landmark; insertion should be over the superior rib border to avoid neurovascular bundle.

Question 4

During endotracheal intubation in a critically ill patient, which manoeuvre reduces the risk of aspiration of gastric contents?

Accepted Answer

Sellick's manoeuvre (cricoid pressure)

Answer

Cricoid pressure (Sellick's manoeuvre) compresses the oesophagus against the cricoid cartilage to reduce passive regurgitation during RSI.

Question 5

Which ventilator mode delivers a set tidal volume regardless of the airway pressure required?

Accepted Answer

Volume Control Ventilation (VCV)

Answer

Volume Control Ventilation delivers a fixed tidal volume with variable airway pressure, risking barotrauma if compliance decreases.

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

FFICM Clinical Procedures and Protocols 2