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Adaptive MCQ practice mapped to the published FICM curriculum and Final Examination assessment framework — the only comprehensive adaptive FFICM bank.
Full FFICM bank, AI Tutor and timed mocks — $29/month or $99/year. All paid exam banks included.
80 short SBAs (1 mark each) + 50 long SBAs (2 marks each) · 180 marks · 3 hours · remote via TestReach. Pass mark set by Angoff referencing.
13 stations × 7 minutes (12 live + 1 unmarked test) · 4 areas: Data, Equipment, Professionalism, Resuscitation · in person at Royal College of Anaesthetists
4 stations × 14 minutes · 2 examiners per station · 32 marks total · in person at Royal College of Anaesthetists
Two diets per year — typically March and October. Applications for the March 2026 OSCE/SOE closed 6 February 2026. MCQ must be passed before booking OSCE/SOE; a 3-year window applies between MCQ pass and OSCE/SOE completion.
The FFICM curriculum, mapped to end of Stage 2 of the ICM training programme. Both the MCQ and the clinical components draw across all domains.
Source: official Faculty of Intensive Care Medicine (Royal College of Anaesthetists) blueprint
Recurring themes from FICM Board of Examiners reports across 2024–25 diets.
Acid-base balance — described in examiner reports as "mainstream content but not well answered". Know all four primary disorders, all compensatory responses, and clinical interpretation in context.
Sepsis bundle — Surviving Sepsis 2021 timing requirements, fluid responsiveness assessment, vasopressor selection thresholds.
ARDS management — Berlin criteria, low tidal volume ventilation, proning evidence (PROSEVA), driving pressure targets.
Cardiac arrest post-ROSC — targeted temperature management, neuroprognostication timing, coronary angiography indications.
Microbiology and stewardship — antimicrobial de-escalation, source control, MDR organism management.
OSCE and SOE structured answers — using a systematic approach to ECG, radiology and clinical data scores higher than ad-hoc interpretation.
Observations from FICM Chair of Examiners reports published after recent diets. Verify against current curriculum materials.
Candidate-reported and examiner-reported observations — not official guidance.
Adapted from approaches used by recent first-pass FFICM candidates with iatroX as primary MCQ resource.
A live item from the iatroX bank. Try it before launching a full session.
A 58-year-old man with high-grade lymphoma is admitted to ICU 24 hours after chemotherapy. He develops arrhythmias and oliguria. Bloods show potassium 6.4 mmol/L, phosphate 2.9 mmol/L, urate 820 micromol/L, calcium 1.82 mmol/L and creatinine 260 micromol/L. What is the most likely diagnosis?
Why iatroX is built differently for FFICM.
Every iatroX item is tagged to a blueprint topic, so your performance dashboard mirrors the structure of the exam itself.
The engine surfaces your weakest topics first, in real time, instead of marching you through a static syllabus.
Incorrect items return at increasing intervals to interrupt the forgetting curve and lock knowledge into long-term memory.
Timed full-length simulations that mirror the official exam structure under realistic conditions.
One iatroX subscription includes the FFICM bank, the Socratic Tutor inside supported sessions, and every other premium iatroX exam bank.
Cancel anytime · 7-day money-back guarantee on annual
Over 700 MCQs covering applied physiology, pharmacology, microbiology, clinical ICM, ethics and end-of-life care — all mapped to the published FICM curriculum and Final Examination assessment framework.
Per the FICM 2024–25 Annual Report, the FFICM Final MCQ pass rate was 84.23% across 336 candidates. The OSCE/SOE combined pass rate was 62.19% across 402 candidates. Both vary slightly between March and October diets.
Three components. MCQ: 130 SBAs (80 short, 50 long) over 3 hours, remote via TestReach. OSCE: 13 stations × 7 minutes, in person at RCoA. SOE: 4 stations × 14 minutes, in person. Confirm current FICM fees on the official examinations page before booking.
Yes. At first sitting both OSCE and SOE must be booked together. If you pass one but fail the other, you only retake the failed component. If you fail both, both must be retaken together.
Yes. A single iatroX subscription (£29/month or £99/year for UK users; $29/$99 elsewhere) includes the FFICM bank alongside every other premium iatroX exam bank.
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Reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP · Last reviewed 12 May 2026
See our methodology and editorial policy.