39-year-old male, day 6 in the ICU, who presented following a head injury while intoxicated. He was slow to recover neurological function post-operatively. Clinical findings included invasive ventilatory suport, temperature of 38 degrees, right hemiplegia, brisk reflexes in left leg, bilateral upgoing plantars, normal brainstem reflexes, signs of left sided pneumonia. His CT showed an acute extradural haematoma.
Candidates were asked to assess the patient with regards to potentially reversible factors that may be contributing to his slow neurological recovery.