Phys · Vivas

Vivas

22 units across 8 domains — Structured oral examination scripts for DCE viva defence.

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Physician Medicine Vivas — Plate — physMedVellum Press

22Units

8Domains

general-medicine cardiovascular infectious respiratory renal haematological gastrointestinal hepatic

Domain

general-medicine

Anaphylaxis — Viva Defence

Structured DCE viva for anaphylaxis: long-case defence of recurrent idiopathic anaphylaxis — trigger reconstruction, mast-cell screening, autoinjector training and safety-net building, with probing questions and first-person model answers.

Open

Domain

cardiovascular

Anticoagulation and Antiplatelet Therapy — Viva Defence

Structured DCE viva: defending anticoagulation in an elderly patient with atrial fibrillation, recurrent falls and chronic kidney disease — risk quantification, agent choice, and the probing questions examiners actually ask.

Open

Arrhythmias and Conduction Disease — Viva Defence

Structured DCE viva for arrhythmias: long-case defence of an elderly patient with persistent AF, CKD and fall risk — anticoagulation, rate/rhythm strategy, and monitoring — with probing questions and model answers.

Open

Cardiovascular Prevention and Rehabilitation — Viva Defence

Structured DCE viva for cardiovascular prevention: long-case defence of a 62-year-old post-NSTEMI patient with statin-associated muscle symptoms — the secondary prevention bundle defended, the SAMS protocol, and rehabilitation adherence.

Open

Domain

infectious

Bloodstream Infections and Infective Endocarditis — Viva Defence

Structured DCE viva for bloodstream infection and endocarditis: long-case defence of prosthetic-valve endocarditis with an embolic stroke — treatment duration, the surgery decision, and the anticoagulation dilemma.

Open

CNS Infections — Viva Defence

Structured DCE viva for CNS infections: long-case defence of post-pneumococcal meningitis follow-up plus probing questions on sequencing, steroids, and special populations.

Open

Tuberculosis — Viva Defence

Structured DCE viva for tuberculosis: long-case defence of a migrant patient with smear-positive pulmonary TB and a new HIV diagnosis — regimen construction, ART timing, IRIS, contact tracing and adherence architecture.

Open

Viral Hepatitis — Viva Defence

Structured DCE viva for infectious-diseases viral hepatitis: long-case defence of a 45-year-old with chronic hepatitis B and fluctuating ALT — phase assignment, treat-versus-watch, antiviral selection, HCC surveillance, family screening and stigma.

Open

Domain

respiratory

Diffuse Alveolar Haemorrhage — Viva Defence

Structured DCE viva for diffuse alveolar haemorrhage: long-case defence of granulomatosis with polyangiitis presenting with alveolar haemorrhage and dialysis-dependent renal disease — induction, plasma exchange reasoning, maintenance and relapse monitoring.

Open

Lung Cancer — Viva Defence

Structured DCE viva for lung cancer: long-case defence of a never-smoker with stage IV EGFR-mutant NSCLC — targeted-therapy sequencing, resistance management, and the conversations that evolve as options narrow.

Open

Respiratory Failure and Non-Invasive Ventilation — Viva Defence

Structured DCE viva for respiratory failure and NIV: long-case defence of severe COPD with a second acidotic exacerbation this year — acute NIV, ceilings of care, domiciliary oxygen/NIV selection and advance care planning.

Open

Respiratory Investigation — Viva Defence

Structured DCE viva for respiratory investigation: defending the investigation chain in progressive dyspnoea with crackles — HRCT, pulmonary function tests, and the BAL/biopsy decision in suspected interstitial lung disease.

Open

Solitary Pulmonary Nodule — Viva Defence

Structured DCE viva for the solitary pulmonary nodule: defence of an incidental 11 mm spiculated nodule in an ex-smoker with emphysema and cardiac comorbidity — surveillance versus biopsy, fitness for surgery, and the multidisciplinary decision.

Open

Domain

renal

Electrolyte Disorders (Calcium, Magnesium, Phosphate) — Viva Defence

Structured DCE viva for divalent ion disorders: long-case defence of asymptomatic hypercalcaemia with inappropriately normal PTH on a thiazide — the operate-or-monitor discussion in primary hyperparathyroidism, with the thiazide and FHH confounders.

Open

Hypertensive Nephrosclerosis and Renovascular Disease — Viva Defence

Structured DCE viva: long-case defence of a 66-year-old with resistant hypertension, GFR decline on dual therapy and a 70% renal artery stenosis — the CORAL defence of medical therapy, with probing first-person answers.

Open

Polycystic Kidney Disease (ADPKD) — Viva Defence

Structured DCE viva: long-case defence of a 40-year-old woman with Mayo 1D ADPKD, eGFR 52 and a sister with a cerebral aneurysm — the tolvaptan decision, selective aneurysm screening and family implications, with probing first-person answers.

Open

Renal Replacement Therapy (Haemodialysis, Peritoneal Dialysis) — Viva Defence

Structured DCE viva: long-case defence of a 67-year-old woman with cardiac disease and frailty approaching end-stage kidney disease — modality reasoning, access timing, the cardiovascular burden and the goals-of-care defence, with probing first-person answers.

Open

Tubulointerstitial Disease — Viva Defence

Structured DCE viva for acute interstitial nephritis: long-case defence of biopsy-proven PPI-induced AIN in a polypharmacy patient — deprescribing, the steroid decision with observational evidence, and recovery counselling.

Open

Domain

haematological

Iron Deficiency — Viva Defence

Structured DCE viva for iron deficiency: long-case defence of a postmenopausal woman with iron-deficiency anaemia — malignancy workup, iron replacement strategy, and the ferritin-in-inflammation and treatment-failure probes.

Open

Transfusion Medicine — Viva Defence

Structured DCE viva for transfusion medicine: long-case defence of a transfusion-dependent myelodysplasia patient plus short-case anaemia discussion, covering thresholds, reactions, chelation and consent.

Open

Domain

gastrointestinal

Oesophageal Disorders — Viva Defence

Structured DCE viva for oesophageal disorders: long-case defence of a 70-year-old with Barrett's oesophagus and confirmed low-grade dysplasia against a background of cardiac comorbidity — the ablate-versus-survey decision.

Open

Domain

hepatic

Viral Hepatitis — Viva Defence

Structured DCE viva for viral hepatitis: long-case defence and short-case discussion covering HBV serology, phases of chronic infection, antiviral selection, HCV DAA therapy, HDV superinfection, perinatal transmission prevention, and abdominal examination in chronic liver disease.

Open