The aim of the medical viva is to test the ability of candidates to assess a specific medical condition to a standard appropriate for a pre-anaesthesia consultation. It does not address other anaesthesia related issues.


  • HISTORY: including relevant negatives, risk factors where relevant, family and social history (where relevant to risk)
  • Elicit PHYSICAL SIGNS – in the absence of clinical signs on the day of examination, the candidate should demonstrate seeking those signs that might be expected for the condition
  • Determination of FUNCTIONAL STATUS
  • INTERPRETATION of investigations relevant to the assessment of patients for anaesthesia or anticipating perioperative complications
  • SYNTHESIS of the history, examination and risk factors in the presentation of findings. The candidate should not simply repeat what occurred in the history/examination room. This might include comment on natural history of the disorder and where the patient fits in that continuum, evaluation of the risk of surgery and anaesthesia, analgesia and the peri-operative period on the disease state, management of the condition.
  • PROFESSIONAL ATTITUDE and communication

Here are some videos of medical examinations. Please contact me for passwords.


The MED viva requirements are stated above.


Pulm HT is a very current topic…


This video “iRespire” demonstrates the important elements of a Respiratory medical viva – it should be obvious that a detailed knowledge of respiratory conditions and how those conditions are monitored will be required.


Although this one is not a medical viva, this short (7 minute) viva goes through the risks, benefits and complications of EPIDURALS AND SPINALS in language appropriate for a layperson or parturient. The structure of the presentation is also important. Presentation of material in some sort of ranked order (for epidural complications in terms of frequency/ gravity/ timing {early/late}) also sends a message regarding the ability  to organise and rank  information in a meaningful way.


A rapid-fire set of questions for the written exams (useful for the other sections too!).

All sections of the exam require quick thinking. Quick thinking is enabled by having a sound knowledge base…where or how do you acquire that?
You can study anyplace, anytime: particularly in the operating rooms, while reading through notes or checking results.
Answer all questions formally, in an orderly and systematic way. Develop constructs to apply where they will help.
The aim is to reinforce life-long learning for an organised mind that will be able to incorporate new knowledge as it emerges.


Investigations will come up in all exam sections.

Excellent sites include


CXR approach

Lines + tubes

There are cases with congenital and acquired pathology and pacemakers on that page.


This is a free complete source for clinical endocrinology.

A lot of patients have endocrine conditions…


Your comments/ criticisms and questions are welcome via the contact field.

More soon!