26 - year - old male day 4 ICU following fall from roof. He had sustained a severe head injury with extradural haematoma, contrecoup inju ry, SAH and temporal bone fracture extending to carotid canal. On examination there was a craniotomy scar and a pack in his left ear and he was waking up, localising with both upper limbs.
Candidates were asked to examine him with a view to assessing the severity of his head injury, and any other associated injuries likely to affect his recovery.