Clinical case: Material presented regarding management of a man with a past history of diabetes, ischaemic heart disease and chronic lymphatic leukemia who presented with hours of severe abdominal and back pain and hypotension: biochemistry (pseudohyperkalaemia), microbiology (oxidase positive non lactose fermenting Gram negative rod), haemodynamics (wrongly calculated SVRI), CXR (ARDS and tension pneumothorax).

Twelve out of twenty-eight 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.