Clinical case.  Material presented included a CXR showing cardiomegaly, pulmonary oedema, a pneumothorax, and a malpositioned pulmonary artery catheter; an ECG showing a new LBBB; blood abnormalities secondary to beta-adrenergic stimulation and the effects of cardiopulmonary bypass/heparin; evidence of pulsus alternans, tricuspid regurgitation and hypotension; and PAWP > PADP, with a wrongly calculated SVRI. Ten out of twenty-three candidates passed this section

Disclaimer: the viva stem above may be an original CICM stem, acquired from their publicly available past papers. Or, perhaps it is a slightly altered version of the original CICM stem. Or, it is a completely original viva stem, concocted by the monstrously amoral author of Deranged Physiology for nothing more than his own personal amusement. In either case, because the college do not make the main viva text or marking criteria available, almost everything here has been confabulated. It might sound like a plausible viva and it could be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.