- 29-year-old female day 23 ICU and 10 weeks post bone marrow transplantation for ALL complicated by engraftment syndrome and GVHD. Admitted to ICU following MET call for respiratory distress, managed with HFOV. Candidates were asked to identify causes for her deterioration and discuss the plan for the next 24-48 hours, her overall prognosis and rescue therapies for ARDS.