Clinical case. Material presented included a head CT scan (with subdural haematoma, local mass effect, contusion and hydrocephalus); a blood gas (with an increased A-a gradient, and a non-anion gap metabolic acidosis);  an ECG (with sinus bradycardia, a prolonged QTc, and    inverted  T  waves),  a  CSF  sample  (with  decreased  rbc/wbc  ration),  and  a  short synacthen  test  (with  a  normal  baseline  but  a  blunted  rise  at  30  min  and  60  min). Eighteen out of twenty-two 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.