Clinical Case 2.

Case presented required interpretation of investigations and management of a patient with multiple injuries (including ruptured spleen, tension pneumothorax, meningitis and hypernatraemia).

 Introductory material and initial question was:

“A 67 year old male driver involved in high speed motor vehicle accident arrives in the
Emergency Department. He has been intubated at the scene and undergoes radiological investigations before being transferred to the Intensive Care Unit. He has multiple injuries identified including a closed head injury.

Examine this CT abdomen and list 5 abnormalities.”

Sixteen 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.