PACES · CONSULTANT CHALLENGE LAB

Make the decision.
Then defend it.

Twelve source-linked viva challenges. Speak for 90 seconds before revealing the response map.

CHALLENGE 1 · RESPIRATORY

Systemic sclerosis and breathlessness

1:30
NEW INFORMATION

Echo reports a high probability of pulmonary hypertension with right-ventricular impairment. HRCT shows only limited stable fibrosis.

The patient asks for sildenafil instead of catheterisation. Give your recommendation and defend it.

  • Lead with your recommendation.
  • Name the evidence that changes the decision.
  • State the unsafe alternative and the next accountable action.

Answer aloud. Do not read ahead.