Viva 1

You are called to the Emergency Department. A 50-year-old male has been brought in by ambulance with a systolic blood pressure of 65 mmHg. He is confused and his heart rate is 130 beats per minute.

What are the sources of an inaccurate manual blood pressure reading?

The viva focussed on management of shock states with interpretation of echo images.

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.