Viva 7

Radiology station:  7 X-rays were shown. The X-rays included chest Xrays of thoracic trauma, pneumonia, COPD  with respiratory failure and  the CT scans included  that  of brain injury, pericardial tamponade and  free  abdominal gas contrast extravasation in to the  abdominal cavity.

Areaof weakness identified by examiners:

°     Failure to identifiy common pathologies
°     Diagnosing PE on a CT chest where contrast had not been given.
°     Candidates did not always use the information given to them about each Xray eg CT abdomen post rectal contrast
°     Candidates did not recognise significant free intraperitoneal air on abdo CT.

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.