Tropical, Endemic & Toxicological Emergencies — WACS Viva & Clinical Scenarios (Medicine)

Exam-style tropical, endemic & toxicological emergencies viva scenarios with examiner probes and model answers for ANAESTHESIA fellowship candidates.

Scenarios covered

• SCENARIO 1: A 16-year-old male with severe falciparum malaria presenting with cerebral malaria, severe lactic acidosis, and acute renal failure.
• SCENARIO 2: A 28-year-old farmer presenting with severe organophosphate poisoning, copious bronchorrhoea, pinpoint pupils, and extreme bradycardia.
• SCENARIO 3: A 34-year-old construction worker presenting with Grade III generalised tetanus, severe trismus, and autonomic storming.
• SCENARIO 4: A 12-year-old boy presenting with a carpet viper (Echis ocellatus) bite, complete incoagulability on 20WBCT, and extensive limb haematoma.
• SCENARIO 5: A 22-year-old female presenting with acute methanol poisoning, profound high-anion-gap metabolic acidosis, and visual failure.