FFICM Clinical Standards and Guidelines 4

Question 1

According to the FICM Core Standards for Intensive Care Units, what is the minimum requirement for consultant-led ICU ward rounds per day?

Accepted Answer

Two consultant-led rounds per day

Answer

One round per day

Answer

One round per day with telephone availability overnight

Answer

Rounds only on weekdays with registrar cover on weekends

Question 2

The NICE guideline on delirium in ICU (CG103) recommends which non-pharmacological bundle as the first-line intervention for prevention?

Accepted Answer

Orientation, cognitive stimulation, sleep hygiene, and early mobilisation

Answer

Routine haloperidol prophylaxis

Answer

Sedation with midazolam to reduce agitation

Answer

Physical restraints to prevent falls

Question 3

Under the Health and Safety at Work Act 1974, ICU consultants have a duty to ensure which of the following regarding staff wellbeing?

Accepted Answer

A safe working environment is maintained, including adequate staffing and risk assessments

Answer

Staff only report injuries if they result in >3 days absence

Answer

Locum and agency staff are exempt from health and safety protections

Answer

Mental health support is optional and not a legal requirement

Question 4

The 2022 ESICM/SCCM PADIS guidelines recommend targeting which level of sedation for most mechanically ventilated ICU patients?

Accepted Answer

Light sedation (RASS 0 to -2) unless specific indications for deeper sedation exist

Answer

Deep sedation (RASS -4 to -5) to prevent recall

Answer

No sedation protocols — titrate by nursing assessment only

Answer

Fixed midazolam infusion based on weight

Question 5

Which scoring system, recommended in NICE acute kidney injury guidance (AKI), is used to stage AKI severity in critically ill patients?

Accepted Answer

KDIGO staging criteria

Answer

APACHE II

Answer

SOFA score renal component only

Answer

AKIN criteria superseded by Murray score

Question 6

According to the Faculty of Intensive Care Medicine's standards, how frequently should ICUs undertake formal external peer review?

Accepted Answer

Every 5 years

Answer

Every 2 years

Answer

Annually

Answer

Only when triggered by an adverse incident

Question 7

The 2021 AHA/ACC and European Resuscitation Council guidelines recommend which target for post-cardiac arrest targeted temperature management (TTM) in comatose survivors?

Accepted Answer

Preventing fever (>37.7°C) while avoiding active cooling below 36°C

Answer

32–34°C for 24 hours

Answer

A constant temperature of 36°C for 24 hours

Answer

Active cooling to 28–30°C for 48 hours