67-year-old male, day 2 ICU post elective low anterior resection.Clinical findings included obesity, haemodynamic instability with high dose inotropic support, atrial fibrillation, aortic stenosis and low urine output, bibasal collapse and a fresh midline incision with a viable stoma.
Candidates were directed to examine him and determine the cause for his haemodynamic instability and failure to wean.