Clinical Case History: The following case history was provided:

A previously healthy 34 year old woman is transferred to your hospital with a history of a prolonged generalized tonic-clonic convulsion.She is intubated and ventilated. By the time she arrives she is no longer convulsing but she is deeply unconscious with a GCS of3, fixed dilated pupils, absent tendon reflexes and bilateral up-going plantar reflexes. She has received no drugs. Blood samples have been collected for a full blood count, biochemistry and a coagulation profile. The results are awaited.

Candidates were required to answer questions relating to the differential diagnoses, CT appearances and comment on a blood picture report and the role of an EEG

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.