Phys Vivas · geriatric
Orthogeriatrics AND Perioperative Medicine IN Older Adults — Viva Defence
DCE viva defence for Orthogeriatrics AND Perioperative Medicine IN Older Adults.
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Target exams
Orthogeriatrics AND Perioperative Medicine IN Older Adults Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Orthogeriatrics AND Perioperative Medicine IN Older Adults. 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]Xu X, Wang Z, Zhao C, Fan H, et al. Perioperative Anemia and Transfusion Management in Older Adults with Osteoporotic Hip Fractures: A Narrative Review of Current Evidence and Emerging Strategies Clin Interv Aging, 2026.PMID 42445619
- [2]Rao H, Luo L, Cheng J, Wu G, et al. Management of hip fracture in older adults with cognitive impairment: a narrative review Front Public Health, 2026.PMID 42145490
- [3]Ferrara MC, Remelli F, Trevisan C, Triolo F, et al. Association of pre- and postoperative delirium with functional status at discharge after hip fracture: findings from the Gruppo Italiano di Ortogeriatria (GIOG 2.0) study Eur Geriatr Med, 2026.PMID 41824264
- [4]Smolka V, Olotu C, Modreker M, Drebenstedt C, et al. Pain management in the perioperative orthogeriatric setting: Recommendations of the special interest group Orthogeriatrics of the German Geriatrics Society Z Gerontol Geriatr, 2026.PMID 41706125
- [5]Sacks B, Mughal HN, Ahluwalia A, Rudran B, et al. The BOAST recommendations for care of the older or frail orthopaedic trauma patient Br J Hosp Med (Lond), 2020.PMID 32730158
- [6]Lems WF, Dreinhöfer KE, Bischoff-Ferrari H, Blauth M, et al. EULAR/EFORT recommendations for management of patients older than 50 years with a fragility fracture and prevention of subsequent fractures Ann Rheum Dis, 2017.PMID 28007756
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922