43-year-old male, admitted to ICU one week earlier with septic shock and respiratory failure, intubated 2 days later and developed seizures. Background included active IV drug use. Clinical findings included sedated and intubated, splinter haemorrhages, Janeway lesions, injection sites in the groin and mitral regurgitant murmur.
Candidates were directed to examine him to determine the cause of his septic shock. Discussion points included antibiotic therapy, contra-indications to surgery and prognosis.