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 is the original CICM stem, acquired from their publicly available past papers. However, because the college do not make the rest of the viva text or marking criteria available, the rest has been confabulated. It sounds like a plausible viva and it can be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.