Phys Vivas · cardiovascular
Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease — Viva Defence
DCE viva defence for Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease.
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Target exams
Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Cardiac Tumours AND Systemic Manifestations OF Cardiac 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]Chen Z, Zheng M, Li Y, Zhang X, et al. Immune Checkpoint Inhibitor-Associated Cardiovascular Toxicity: Mechanisms, Clinical Manifestations, and Clinical Impact Cardiovasc Toxicol, 2026.PMID 42162235
- [2]Kebede LM, Woldeamanuel AM, Mehammed FM, Girma HG, et al. Unmasking multiple myeloma first presentation as pericardial effusion with tamponade physiology: a case report J Med Case Rep, 2026.PMID 41549254
- [3]Pálla S, Metyovinyi Z, Meznerics FA, Mirzahosseini A, et al. Dermatologic Features of Endocrine Tumor Syndromes-Systematic Review and Meta-Analysis Int J Dermatol, 2026.PMID 41165034
- [4]Wasserman JD, Schneider KW, Achatz MI, Nakano Y, et al. Updated Recommendations for Pediatric Surveillance in Hereditary Endocrine Neoplasia Syndromes: Multiple Endocrine Neoplasias, Hyperparathyroidism-Jaw Tumor Syndrome, and Carney Complex Clin Cancer Res, 2025.PMID 40560659
- [5]Schmitz KH, Prosnitz RG, Schwartz AL, Carver JR Prospective surveillance and management of cardiac toxicity and health in breast cancer survivors Cancer, 2012.PMID 22488701
- [6]Yoneda S, Koyama M, Matsubara T, Toyama S Electrocardiographic studies in acute pericarditis with specific reference to ventricular involvement of non-specific pericarditis Acta Cardiol, 1977.PMID 304653
- [7]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
- [8]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