Phys Vivas · neurological
Subarachnoid Haemorrhage AND Intracranial Haemorrhage — Viva Defence
DCE viva defence for Subarachnoid Haemorrhage AND Intracranial Haemorrhage.
On this page & tools
Target exams
Subarachnoid Haemorrhage AND Intracranial Haemorrhage Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Subarachnoid Haemorrhage AND Intracranial Haemorrhage. 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]Tariq Z, Shahzad F, Jannat NE, Hashmi TM, et al. Radially adjustable Tigertriever demonstrates higher reperfusion compared to self-expanding stent-retrievers during mechanical thrombectomy of large vessel occlusions: a systematic review and meta-analysis Front Neurol, 2026.PMID 42459847
- [2]Tamer C, Ltaif DA, Ghalayini T, El Sardouk O, et al. A novel face-level blast mechanism: CT findings of neuro-ocular injury from a mass-casualty event BMC Med Imaging, 2026.PMID 42443800
- [3]Mistretta F, Russo R, Molinaro S, Gava UA, et al. Management of hemorrhagic isolated pure lenticulostriate artery aneurysms: a systematic review and three illustrative cases Neurosurg Rev, 2026.PMID 42435087
- [4]Vergouwen MDI, Ramos-Pachon A, Terecoasa EO, Willett N, et al. European Stroke Organisation (ESO), European Association of Neurosurgical Societies (EANS) and European Society for Minimally Invasive Neurological Therapy (ESMINT) guideline on aneurysmal subarachnoid haemorrhage Eur Stroke J, 2026.PMID 42095754
- [5]Chan MMY, Nijenhuis T, Galletti F, Figueres L, et al. KDIGO 2025 Clinical Practice Guideline for ADPKD: a commentary on intracranial aneurysms and other vascular manifestations from the ERA Working Group Genes & Kidney Nephrol Dial Transplant, 2026.PMID 42065712
- [6]Nene RV, Simon N, Smith AM, Costantini TW, et al. Impact of aspirin use on the modified brain injury guidelines for the management of mild traumatic intracranial hemorrhage Am J Emerg Med, 2026.PMID 42061202
- [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