- A 36 year old lady who has had gastric bypass surgery, and follow up laparotomies for bleeding and failed to thrive. Candidates asked to assess patient, identify ongoing management issues.
- Slow wean
- Enterobacter in abd fluid
- On TPN
- Ongoing temperatures
Areas of weakness identified by examiners:
- Failure to identify multiplicity of problems
- Lack of clear management plan
- Lack of clear antibiotic plan
- Candidates failed to clearly state how they would investigate new sepsis