84-year-old man, Day 2 ICU. Background of traumatic brain injury following a fall. Currently agitated, requiring restraints. Clinical signs included a GCS score of 6, left hemiparesis, left facial haematoma, left basal bronchial breathing and a soft systolic murmur.
Candidates were informed the patient had been admitted to ICU 2 days previously having been found at the bottom of his stairs with a GCS of 3. They were asked to examine his neurological system as well as any other systems they thought appropriate and give an overview of his present condition.