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