FFICM Clinical Standards and Guidelines 3

Question 1

Under the Mental Capacity Act 2005 (England and Wales), when a critically ill patient lacks capacity, treatment decisions must be made in whose best interests?

Accepted Answer

The patient, based on all available evidence of their values and wishes

Answer

The next of kin, who has legal authority to consent

Answer

The senior consultant alone

Answer

The hospital ethics committee

Question 2

The BTS/ICS guidelines on weaning from mechanical ventilation recommend that a spontaneous breathing trial (SBT) be attempted when FiO₂ is at or below what level?

Accepted Answer

0.4

Answer

0.3

Answer

0.5

Answer

0.6

Question 3

Which international guideline specifically recommends against routine use of pulmonary artery catheters (PAC) in general ICU management due to lack of mortality benefit?

Accepted Answer

Both A and C

Answer

Surviving Sepsis Campaign 2021

Answer

NICE guideline CG50 (acutely ill adults)

Answer

ESICM PAC consensus statement

Question 4

According to FICM/ICS guidelines on organ donation, a 'Specialist Nurse for Organ Donation' (SNOD) should be involved at what stage of the end-of-life process?

Accepted Answer

Early, alongside end-of-life discussions, before family approach

Answer

Only after the family has agreed to donation

Answer

After death is confirmed

Answer

Only in DCD cases, not DBD

Question 5

The ARDS Network low tidal volume strategy uses a target tidal volume based on which measurement?

Accepted Answer

Ideal body weight (IBW)

Answer

Actual body weight

Answer

Lean body mass

Answer

Measured functional residual capacity

Question 6

Which NICE guideline covers the management of sepsis in adults and recommends starting IV antibiotics within how many minutes of recognising sepsis?

Accepted Answer

60 minutes

Answer

30 minutes

Answer

90 minutes

Answer

120 minutes

Question 7

The 2021 ESPEN guidelines on nutrition in ICU recommend initiating enteral nutrition within what timeframe for haemodynamically stable ICU patients?

Accepted Answer

Within 24–48 hours

Answer

Within 6 hours

Answer

Within 72 hours

Answer

Only after gastric residual volumes are confirmed <200 mL