Phys Vivas · respiratory
Lung Transplantation — Viva Defence
DCE viva defence for Lung Transplantation.
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Target exams
Lung Transplantation Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Lung Transplantation. 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]Zhou P, Jiang X, Zhang H, Jiang S, et al. Gut-lung axis in radiation-induced lung injury: mechanisms and interventions Front Immunol, 2026.PMID 42465768
- [2]Mugnai G, Genovese D, De Michieli L, Marchi G, et al. Fabry disease cardiomyopathy: Time for a closer heart rhythm monitoring? Heart Fail Rev, 2026.PMID 42458121
- [3]Maccio A, Neri M, Vallerino V, Nemolato S, et al. Extended and Repeated Cytoreductive Surgery in Recurrent Uterine Leiomyosarcoma: A Narrative Review Cancers (Basel), 2026.PMID 42449606
- [4]Rankin NM, Zosel R, Whop LJ, Maddox R, et al. Program Guidelines for the National Lung Cancer Screening Program: Targeted Lung Cancer Screening in High-Risk Individuals in Australia Med J Aust, 2026.PMID 42438375
- [5]Das BB Advances and unmet needs in pharmacologic therapy for pediatric heart failure: Insights from the 2025 International Society for Heart and Lung Transplantation Guidelines Ann Pediatr Cardiol, 2026.PMID 42404509
- [6]De Angelis A, Comellini V, Gramegna A, Battaglia S, et al. Evaluating current bronchiectasis care in Italy according to the 2025 European respiratory society recommendations Ther Adv Respir Dis, 2026.PMID 42400276
- [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