We continue in the same vein as previous examples depicting common intercollegiate viva topics. Often questions start with a clinical scenario, but equally pictures may be presented to you either in the form of a print or on a laptop depicting various clinical signs. Since each viva lasts 30mins, 15 mins are allocated to each of the two examiners. On average 3 topics are covered by each examiner. Initial questions are always straight forward and aim to get you settled and more relaxed. Competency questions are always asked looking to see that you are safe in your thinking and management. You must answer these correctly. The examples given are only a guide to viva technique, but it is important to practice and to develop a system that you are comfortable with.