| Viva 1 | Management of the unsecured aneurysm in subarachnoid haemorrhage (Neurology and Neurosurgery) - Pass rate ; highest mark . |
| Viva 2 | Video loop of real - time US scan showing arterial puncture and post - procedure CXR showing malposition of dialysis catheter . These images were taken during the insertion of a dialysis catheter. What may have happened here? (Equipment and Procedures) - Pass rate ; highest mark . |
| Viva 3 | Differentials for ARDS in a neutropenic host, Aspergillus and lung biopsy. (Respiratory Medicine and Mechanical Ventilation) - Pass rate ; highest mark . |
| Viva 4 | A 27 - year - old female presents to the Emergency Department aft er a collapse at work, followed by a brief tonic - clonic seizure. She is 30 weeks pregnant with no previous pregnancies or other significant medical history. She currently localises bilaterally to painful stimulus but does not open her eyes or vocalise. Her blood pressure is 170/50 mm Hg, her urine analysis is unremarkable, and the CTG is ‘reassuring’. The Emergency Physician and Obstetrician have asked for your assistance with her management. What is your differential diagnosis for her current neurological state? (Pregnancy, Obstetrics and Gynaecology) - Pass rate ; highest mark . |
| Viva 5 | Necrotising fasciitis and streptococcal toxic shock syndrome (Infectious Disease Antibiotics and Sepsis) - Pass rate ; highest mark . |
| Viva 6 | The first few minutes of this viva is a simulated environment. In the scenario, you are the ICU consultant covering the high dependency unit in a small metropolitan hospital. It is early on Saturday morning. You are urgently called from your rounds to the ward to review a 70 year - old man who is day 1 post a total hip replacement. He has been perfectly stable overnight and has just received a single dose of intravenous Cephazolin. He now has obvious stridor at rest with a generalized urticarial rash and evolving swelling of his face and tongue. His BP is 105 systolic and oxygen saturation is 85% in room air . On the ward you have a competent nurse and an inexperienced junior doctor available to help you (the examiners). They will be helpful, but not take initiative. Other senior help is at home and at least 30 minutes away. The operating room is closed a nd the staff is not expected for another hour. There is simple resuscitation equipment on the ward trolley. A range of airway equipment is available in your high dependency unit. Please manage this situation . (Cardiac Arrest and Resuscitation) - Pass rate ; highest mark . |
| Viva 7 | This station contains 8 cases in total: 4 individual X-Rays and 4 CT scans (with a series of slides)
Use the up/down arrows on the keyboard to scroll through the images (Radiology) - Pass rate ; highest mark . |
| Viva 8 | A 30 - year - old haematology inpatient, Donna /David Smith was transferred to your intensive care unit with neutropenic septic shock 4 hours ago. She /he received induction chemotherapy 14 days ago for newly diagnosed Acu te Lymphoblastic Leukaemia. She /he developed left leg pain 24 hours ago, which has rapidly progressed. Overnight she /he was assessed by junior medical staff who prescribed increasing doses of morphine. She /he has now been sedated, intubated and ventila ted for shock requiring high and escalating doses of inotropic and vasopressor support. She /he is coagulopathic and thrombocytopenic. Initial clinical examination in ICU revealed crepitus up to the level of the knee, which has spread rapidly to the lower back. Following surgical assessment in theatre by consultant orthopaedic and plastic surgeons, your anaesthetic colleagues hand over to you that it was agreed that it is too late for operative intervention and the patient is returned to your ICU without debridement. (Communication and Ethics) - Pass rate ; highest mark . |