45-year-old man, day 13 ICU. Admitted with SCC tongue, necrotising pneumonia, neutropenic sepsis and multi organ failure. Clinical findings included bilateral wheeze, crepitations at the right lung base, and portacath in situ.
Candidates were informed the patient had a background of intravenous drug use and hepatitis C, and had been admitted with respiratory failure. They were asked to examine and provide a differential diagnosis.