“A 37 year old primigravida with Type II Diabetes mellitus and morbid obesity presents to hospital in labour at 36 weeks gestation with known twins. Due to complications, she is taken for an emergency caesarean section (LUSCS).
This is complicated by a significant post-partum haemorrhage and she is then transferred to
ICU for haemodynamic stabilisation. On arrival in ICU, her blood pressure is reported at 170/115 mmHg. What is your differential diagnosis of the hypertension?”
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.