27-year-old man, day 5 ICU. Post op evacuation of left parietal extradural haematoma. Clinical findings included a craniotomy scar, fever, decreased air entry at the left base and bronchial breath sounds at the right.
Candidates were informed the patient had been found wandering the streets in an agitated state, and on arrival at the hospital had dropped his GCS from 13 to 7. They were asked to begin by examining the patient’s neurology.