Princess Alexandra Hospital

  • 65 year old man, Day 26 in ICU, admitted with respiratory failure secondary to probable right
    lower lobe pneumonia (nil +ve micro / non infectious causes found) and acute on chronic renal
    failure. Background IHD with stents x 2; HT; left ICA stent

    °  Slow wean
    °  Comment on ongoing respiratory pathology
    °  Management of clopidogrel therapy

    Areas of weakness identified by examiners:  

    °  No coherent approach to a failure to wean case
    °  Poor approach to management of sepsis
    °  Candidates  did not have a rational approach to continuing clopidogrel therapy