- 51-year-old female, day 2 ICU, with large retroperitoneal bleed and resolved haemorrhagic shock related to dual anticoagulation for right lower leg DVT and arterial occlusion. Clinical findings included bronchial breath sounds at the left base, ischaemic right leg and abdominal bruising. Candidates were asked to assess her suitability for extubation. Discussion points included interpretation of imaging and management of her coagulation status.