Neurological Emergencies & Altered Consciousness — WACS Viva & Clinical Scenarios (Medicine)

Exam-style neurological emergencies & altered consciousness viva scenarios with examiner probes and model answers for ANAESTHESIA fellowship candidates.

Scenarios covered

• SCENARIO 1: A 24-year-old male with known epilepsy presenting in continuous generalized convulsive status epilepticus lasting 45 minutes
• SCENARIO 2: A 56-year-old hypertensive female presenting with acute severe headache, vomiting, GCS 7, and a massive left basal ganglia haemorrhage
• SCENARIO 3: A 30-year-old male presenting with fever, severe neck stiffness, altered sensorium, and signs of acute raised intracranial pressure
• SCENARIO 4: A 62-year-old male with acute ischaemic stroke within the 4.5-hour thrombolysis window requiring blood pressure optimization and airway protection
• SCENARIO 5: A 40-year-old comatose patient with suspected non-traumatic brain death requiring a formal apnea test and brainstem reflex examination