Viva 1

Gastrointestinal

Scenario: Mr CJ is a 45 year old man involved in a motor vehicle accident. He sustained:  

  • Bilateral pulmonary contusions
  • Multiple rib fractures
    Ruptured spleen
  • Liver lacerations
  • Fractured pelvis

He was taken directly from Emergency to theatre for surgery.  He now returns to your Intensive
Care Unit post operatively.

Introductory question: Describe your approach to stress ulcer prophylaxis in this patient.

Fifteen 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.