2000, Paper 2 Vivas

Chest  X-rays  including   bibasal   atelectasis,   tension   pneumoperitoneum,  pericardial effusion, PAC in aberrant SVC and pneumonia. A list of abnormal findings and further investigations was often requested.

Chest X-rays including  hyperinflated  lungs, pulmonary oedema,  pericardial effusion and ruptured thoracic aorta.

Miscellaneous  Equipment  including   an   underwater   seal drainage   system,   pads  for pacing/defibrillation,  activated charcoal with sorbitol, and a heat & moisture exchanger. Roles, advantages and disadvantages were requested.

Communication with an actor.This involved explanation  to the  mother of a young girl who has suffered a severe head injury and has just been found to have absent brainstem reflexes.

ECGs including torsades de pointes, pulmonary embolism, VT and VF.

Procedure station involved practical management of cardiorespiratory  arrest secondary to upper airway obstruction.

General radiology including  a  CT of  a thoracic  aortic  aneurysm,  degenerative  cervical spine in a patient after MVA, and a normal CT  head in a patient  with severe  headache. Abnormal findings and further investigations were requested

Paediatric investigations including  gastric  dilatation  after MVA,  widened  mediastinum after  horse  kick,  pleural  effusion  and  pneumothorax.  and  subdural  baematoma  on  CT associated with limb fractures in a drowsy infant.

Management of hypoxic brain injury after heroin OD

Management of a 32 week pregnant woman with staph. Pneumonia and infective endocarditis

Renal failure in a post-partum patient with known scleroderma

Ventilatory management of severe asthma

ICU management of a patient with severe pancreatitis and its complications

Management of shock after major trauma.