| Viva 1 | The ICU patient with weakness: myasthenia gravis (Neurology and Neurosurgery) - Pass rate ; highest mark . |
| Viva 2 | The focus of this viva is Evidence Based Medicine. Please read this modified abstract. High-Flow Nasal Oxygen vs Noninvasive Positive Airway Pressure in Hypoxemic Patients After Cardiothoracic Surgery OBJECTIVE: To determine whether high-flow nasal oxygen therapy (HFNO2) was not inferior to BiPAP for preventing or resolving acute respiratory failure after cardiothoracic surgery. DESIGN: Multicenter, randomized, non-inferiority trial PARTICIPANTS: 830 of 3217 eligible patients who had undergone cardiothoracic surgery with acute respiratory failure (failure of a spontaneous breathing trial or successful breathing trial but failed extubation) or were deemed at risk for respiratory failure after extubation due to preexisting risk factors. INTERVENTIONS: Patients were randomly assigned to receive HFNO2 delivered continuously (flow 50 L/min, FiO2 0.5) or BiPAP delivered with a full-face mask for at least 4 hours per day (PSV 8 cm H2O, PEEP 4 cm H2O, FiO2 0.5) (Statistics and Interpretation of Evidence) - Pass rate ; highest mark . |
| Viva 3 | You are working as a Locum Intensive Care Specialist in a regional hospital with no tertiary paediatric service. You are called as part of the trauma team to the Emergency Department to assist with the management of an 8 year old child with burns. The paramedics report the child was found semi-conscious and breathing in the downstairs hallway of a home on fire less than an hour ago. Describe your initial assessment and monitoring priorities for this child. (Trauma, Burns, Drowning) - Pass rate ; highest mark . |
| Viva 4 | Differential diagnosis of and ventilation strategies for ARDS (Respiratory Medicine and Mechanical Ventilation) - Pass rate ; highest mark . |
| Viva 5 | A 50-year-old farmer with a history of alcohol abuse and depression is brought to the Emergency Department having been found collapsed in his garage. He is semi-conscious and unable to move. What is your differential diagnosis?
(Pharmacology and Toxicology) - Pass rate ; highest mark . |
| Viva 6 | Ventilation for a patient with COPD and bronchospasm (Respiratory Medicine and Mechanical Ventilation) - Pass rate ; highest mark . |
| Viva 7 | This station contained 8 cases in total: 4 individual X-Rays and 4 CT scans displayed as a PowerPoint slide show. Candidates spend the two-minute reading time reviewing the images as they wish. (Radiology) - Pass rate ; highest mark . |
| Viva 8 | Zachary is a previously well 19-year-old male admitted to your ICU three days ago with refractory status epilepticus. No infective cause has been found and the working diagnosis is auto-immune encephalitis. Zachary has been intubated and sedated. He continues to have frequent seizures despite adequate treatment with phenytoin, midazolam and levetiracetam and so propofol sedation has been increased to induce burst-suppression on continuous EEG monitoring. The neurologist responsible for Zachary is considering immunosuppressive therapy, which you agree is appropriate treatment for this condition. Zachary’s parent has asked to meet with you, the Intensivist on duty. This is your first meeting with them. The nurse caring for Zachary has already been told by his parent that he will only receive immunosuppressive therapy “over my dead body!” (Communication and Ethics) - Pass rate ; highest mark . |