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Opening (30 s)
"Pulmonary Hypertension — give a one-line definition and the single most important immediate risk."
Model: Pulmonary hypertension (PH) is a haemodynamic and pathophysiological syndrome defined as a mean pulmonary arterial pressure (mPAP) above 20 mmHg at rest measured by right heart catheterisation (RHC), confirmed by a pulmonary arterial wedge pressure (PAWP) of 15 mmHg or less in pre-capillary disease and pulmonary vascular resistance (PVR) above 2 Wood units (WU) in pulmonary arterial hypertension (
Station 1 — Pathophysiology (2 min)
Explain the mechanism chain from cause to clinical features and one major complication.
Station 2 — Clinical diagnosis (2 min)
Classic presentation, atypical groups, named bedside signs, and what you examine for red flags.
Red flag cue: Syncope or pre-syncope on exertion in a previously well young or middle-aged adult - think pulmonary arterial hypertension (PAH Group 1); urgent echo and right heart catheterisation
Station 3 — Investigations (2 min)
First-line tests, definitive tests, and any named score with exact components.
Station 4 — Emergency management (3 min)
ABC priorities, first drugs with dose and route, procedures, and when to escalate to ICU/theatre.
Station 5 — Definitive / long-term care (2 min)
Stepwise definitive therapy, monitoring, complications of treatment, follow-up.
Station 6 — Special populations (2 min)
Child / pregnancy / elderly / immunocompromised / renal impairment — what changes.
Station 7 — Evidence & pitfalls (2 min)
Landmark trial or guideline name if standard; three classic exam traps.
Station 8 — Rapid-fire pearls (1 min)
Five high-yield facts a candidate must not forget under time pressure.
Examiner pass criteria
- Speaks in mechanisms and numbers, not vague lists
- Gives at least one exact dose or threshold
- Names escalation criteria
- Avoids dangerous delays (imaging when unstable, etc.)