Viva 6

Cardiovascular

“A 50 year old woman presents one hour following the sudden onset of a severe tearing interscapular pain.
Her blood pressure is 180/110 heart rate 95/min. She is conscious, but in severe pain.
She has no respiratory distress and her SpO2 is 97% (on air).
Her past medical history includes steroid dependent brittle asthma. What do you think the likely diagnosis is?”

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.