Scenario: A fifteen (15) year old female is admitted to your Intensive Care Unit following a laparotomy for perforated appendix and drainage of pelvic abscess. She has developed septic shock necessitating mechanical ventilation and inotropic support.
She has an intercurrent history of anorexia nervosa, for which she was attending counselling and was poorly compliant to follow up.
Her weight is 34 kg, she is 165 cm tall.
Introductory question: Describe how you will manage this patient in the acute stage of her intensive care stay?
Fourteen out of twenty-three candidates passed this section.
Disclaimer: the viva stem above may be an original CICM stem, acquired from their publicly available past papers. Or, perhaps it is a slightly altered version of the original CICM stem. Or, it is a completely original viva stem, concocted by the monstrously amoral author of Deranged Physiology for nothing more than his own personal amusement. In either case, because the college do not make the main viva text or marking criteria available, almost everything here has been confabulated. It might sound like a plausible viva and it could be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.