Biochemistry and blood gases.

Data sets provided for interpretation included
a)           a combined  resp acidosis and a metabolic alkalosis in a post operative patient,

b)          an acute respiratory acidosis in a pregnant  lady
c)          a combination of hyponatremia and hyperkalemia and
d)         a patient presenting to the ED whose plasma biochemistry revealed a raised anion and osmolar gaps.

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.