Salicylate Toxicity Viva

Long Case Viva Defence

Opening statement

"This patient presents with a problem best framed as Salicylate Toxicity. 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]Megaladevi P, Vadassery J Evolutionary trade-offs in plant immunity: prioritizing antiviral priming by herbivore-induced plant volatiles over defense against herbivores J Biosci, 2026.PMID 42345213
[2]Palmer BF, Clegg DJ Pathophysiology of Ketoacidosis: Core Curriculum 2026 Am J Kidney Dis, 2026.PMID 42340294
[3]Rather BA, Mir IR, Mahajan M, Qiao F, et al. Jasmonic acid crosstalk with secondary metabolites and plant growth regulators to maintain redox balance during crop improvement under salt stress Plant Sci, 2026.PMID 42314837
[4]Hoegberg LCG, Gosselin S, Buckley NA, Wood DM, et al. Recommendations from the Clinical Toxicology Recommendations Collaborative on the administration of activated charcoal in acute oral overdose Clin Toxicol (Phila), 2026.PMID 41906697
[5]Villanueva E, Carretero M, Aguirre MA, Negro A, et al. [Specific pharmacological treatment guide for transthyretin amyloid cardiomyopathy, 2021] Medicina (B Aires), 2022.PMID 35417392
[6]Naito C, Yamaguchi T, Katsumi H, Kimura S, et al. Human Induced Pluripotent Stem Cell-Based Skin for Assessing Transdermal Drug Permeability and Irritancy Biol Pharm Bull, 2021.PMID 33390542
[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

Long Case Viva Defence

Opening statement

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]Megaladevi P, Vadassery J Evolutionary trade-offs in plant immunity: prioritizing antiviral priming by herbivore-induced plant volatiles over defense against herbivores J Biosci, 2026.PMID 42345213
[2]Palmer BF, Clegg DJ Pathophysiology of Ketoacidosis: Core Curriculum 2026 Am J Kidney Dis, 2026.PMID 42340294
[3]Rather BA, Mir IR, Mahajan M, Qiao F, et al. Jasmonic acid crosstalk with secondary metabolites and plant growth regulators to maintain redox balance during crop improvement under salt stress Plant Sci, 2026.PMID 42314837
[4]Hoegberg LCG, Gosselin S, Buckley NA, Wood DM, et al. Recommendations from the Clinical Toxicology Recommendations Collaborative on the administration of activated charcoal in acute oral overdose Clin Toxicol (Phila), 2026.PMID 41906697
[5]Villanueva E, Carretero M, Aguirre MA, Negro A, et al. [Specific pharmacological treatment guide for transthyretin amyloid cardiomyopathy, 2021] Medicina (B Aires), 2022.PMID 35417392
[6]Naito C, Yamaguchi T, Katsumi H, Kimura S, et al. Human Induced Pluripotent Stem Cell-Based Skin for Assessing Transdermal Drug Permeability and Irritancy Biol Pharm Bull, 2021.PMID 33390542
[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

Salicylate Toxicity — Viva Defence

Salicylate Toxicity Viva

Long Case Viva Defence

Opening statement

Examiner questions

Short case

References

Salicylate Toxicity — Viva Defence

Salicylate Toxicity Viva

Long Case Viva Defence

Opening statement

Examiner questions

Short case

References