A 67 year old man with a history of heavy alcohol use was found collapsed, unresponsive, and smelling of alcohol. On admission he was noted to have abdominal distention with thin, gaunt facies and cachexia. In the Emergency Department he had a massive haematemesis  requiring  resuscitation.  A  gastroscopy  was  performed  with  banding  of several oesophageal varices. He subsequently arrives in your ICU intubated and ventilated and haemodynamically stable.

1. Comment on this patient’s likely nutritional status.

The rest of the viva focussed on assessment of nutritional status and enteral nutrition.

Disclaimer: the viva stem above is the original CICM stem, acquired from their publicly available past papers. However, because the college do not make the rest of the viva text or marking criteria available, the rest has been confabulated. It sounds like a plausible viva and it can be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.