Phys Vivas · respiratory
Pulmonary Vascular Disease AND COR Pulmonale — Viva Defence
DCE viva defence for Pulmonary Vascular Disease AND COR Pulmonale.
On this page & tools
Target exams
Pulmonary Vascular Disease AND COR Pulmonale Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Pulmonary Vascular Disease AND COR Pulmonale. 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]Jimenez D, Bikdeli B, Tapson V, Becattini C, et al. Systematic review of prognostic scores and individual predictor variables for short-term mortality after acute pulmonary embolism Pulmonology, 2026.PMID 42461710
- [2]Alfonso DM, Sy JC, Palabrica MC The Apelin-APJ Axis in Heart Failure: Mechanistic Insights, Clinical Evidence, and Translational Challenges Cardiovasc Drugs Ther, 2026.PMID 42455245
- [3]Almaimani M, Alamri SA Finerenone Beyond Diabetic Kidney Disease: Emerging Evidence and Potential Systemic Implications J Clin Med, 2026.PMID 42452314
- [4]Larsen TB, Flyckt RNH, Henriksen MB, Brasen CL, et al. Cardiovascular risk after cancer in patients with ischemic heart disease or peripheral artery disease Cardiooncology, 2026.PMID 42387666
- [5]Cabré F, Cascante M Present and Future Options for Pharmacotherapy in Cardiovascular Disease: Hemodynamic and Mechanistic Therapeutic Targets Med Sci (Basel), 2026.PMID 42346870
- [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