CICM SAQ 2013.1 Q3
Questions
For each set of the following biochemical and arterial blood gas parameters:
- a) Describe the abnormalities.
- b) Give one example of an associated clinical scenario.
Any reasonable scenario accepted that was both biochemically correct AND clinically likely.
Answers
Answer and interpretation
3.1
- Increased anion gap and normal anion gap metabolic acidosis with appropriate respiratory
compensation. - Clinical scenario – diabetic ketoacidosis with ketonuria or DKA with N saline resuscitation.
3.2
- Increased anion gap, metabolic alkalosis and respiratory alkalosis.
- Clinical scenario – salicylate overdose.
3.3
- Increased anion gap metabolic acidosis and metabolic alkalosis.
- Clinical scenario – acute renal failure with vomiting .
3.4
- Acute respiratory acidosis with metabolic alkalosis.
- Clinical scenario – acute respiratory failure in COAD (Acute on chronic respiratory failure.
3.5
- Acute respiratory alkalosis.
- Clinical scenario – Psychogenic hyperventilation.
Examination Library
CICM
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
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