OSCE 3

CT Scans.

Candidates were asked to describe the X-ray findings, list possible aetiologies, and suggest relevant further investigations or treatment.

Introductory questions included:

“This is the abdominal CT scan of an 86 year old lady who presented with sepsis and metabolic acidosis. She is complaining of abdominal pain and tenderness.
List two clinical diagnoses based upon the CT scan provided which may explain the clinical presentation.”

“This is the CT Scan of a 38 year old male following a motor vehicle accident. Describe the abnormalities.”

“This is the CT Scan of a 65 year old female with chronic lung disease who presents with chest pain and shortness of breath.
What are the diagnostic findings (site and nature) on this CT scan?”

Examples included cholecystitis, cervical spine subluxation, and pulmonary emboli.

Five out of twenty-two candidates passed this station

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.