Management of raised ICP, post-TBI seizure propjhylaxis and decompressive craniectomy
(Neurology and Neurosurgery) - Pass rate ; highest mark .
An 18-year-old male has been involved in a high-speed motor vehicle accident. His initial GCS at the scene was 5 (E2,V2,M1) and he was intubated without any drugs. He has been a primary retrieval from the crash scene to your hospital.
On arrival he is intubated and has a hard collar in place. There is poor chest wall movement on the left side. He has a dilated left pupil and is noted to be bleeding from the left ear and nose. He has an obviously fractured left femur and shortened and externally rotated left leg.
(Trauma, Burns, Drowning) - Pass rate ; highest mark .
Severe acute pancreatitis and abdominal compartment syndrome
(Gastroenterology and Hepatology) - Pass rate ; highest mark .
A 35-year-old woman, gravida 2, para 1, who is 30 weeks pregnant, has been admitted to your ICU with pre-eclampsia. Her blood pressure is 160/100 mmHg treated with hydralazine and metoprolol prior to her admission. IV vasodilators are being considered. She has moderate proteinuria, normal liver function and a platelet count of 120 x 109. There is no evidence of foetal distress. Her significant past history included a Factor V Leiden mutation and a history of proximal vein thrombosis during her first pregnancy.
1. What pharmacological regime would you recommend for DVT prophylaxis and why? The rest of the viva was a discussion on thromboprophylaxis in pregnancy including the
(Haematology and Oncology) - Pass rate ; highest mark .
|Viva 5|| |
You are asked to admit a 48-year-old lady who received ablative chemotherapy and an allogeneic bone marrow transplant two weeks ago for acute myeloid leukaemia. She has become progressively more dyspnoeic in the ward. A chest XRay demonstrates a diffuse pulmonary infiltrate.
The full blood count report from yesterday is at the bedside.