Phys Vivas · cardiovascular
Aortic Disease — Viva Defence
DCE viva defence for Aortic Disease.
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Target exams
Aortic Disease Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Aortic Disease. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Bækgaard RS, Møller SH, Dall CH, Magnusson SP, et al. The Effect of Exercise on Quality of Life in Patients With Thoracic Aortic Disease Pre- and Post-Surgery: A SCOPING REVIEW J Cardiopulm Rehabil Prev, 2026.PMID 42467937
- [2]Fry AE, Portman MA, Olson AK Novel Quality Metrics for Assessing the Reproducibility and Translational Relevance of Mouse Transverse Aortic Constriction Experiments: A Systematic Review J Am Heart Assoc, 2026.PMID 42466492
- [3]Franchin M, Bertoglio L, Mauri F, Fontana F, et al. Endovascular Septotomy During Thoracic Endovascular Aortic Repair for Chronic Dissection-Related Aneurysm: All That Glitters Is Not Gold Ann Ital Chir, 2026.PMID 42464843
- [4]Sallah YH, Vanderpuye V, Ghebre R, Warfa K, et al. Management of epithelial ovarian cancer in sub-Saharan Africa: a survey of practicing physicians Ecancermedicalscience, 2026.PMID 42428819
- [5]Schunkert H, Li L, Trenkwalder T Clinical utility of polygenic risk scores in cardiovascular disorders Med Genet, 2026.PMID 42416867
- [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962