Arab Board Internal Medicine Part 1 case studies
Arab Board Internal Medicine Part 1 · Put your knowledge to work in context.
The Arab Board of Internal Medicine Part 1 is the written, computer-based examination that candidates sit before progressing to the clinical and final stages of training in internal medicine under the Arab Board of Health Specializations. It is aimed at physicians who have completed their internship and are entering or partway through structured internal medicine residency programmes in Arab countries, and it functions as a knowledge gate rather than a test of bedside skill. The Arab Board Internal Medicine Part 1 case studies are 5 cases and about 4,416 words.
1Chest pain with discordant troponin and ECG after recent GI bleed
A 68-year-old man with hypertension, type 2 diabetes, and a duodenal ulcer bleed 3 weeks ago (hemoglobin nadir 7.8 g/dL, transfused 2 units, currently on omeprazole only) presents with 90 minutes of substernal pressure radiating to the left jaw, diaphoresis, and nausea. BP 158/92, HR 96, SpO2 96% on room air.
879 words, about 4 min2Hyperkalemia in advanced CKD with a misleading ECG
A 74-year-old woman with diabetic kidney disease (baseline creatinine 2.6 mg/dL, eGFR 18 mL/min/1.73 m²) is admitted with 3 days of vomiting and reduced oral intake. She takes ramipril 10 mg daily, spironolactone 25 mg daily, and metformin 1 g twice daily.
910 words, about 5 min3Newly diagnosed diabetes with weight loss and a normal-looking glucose on paper
A 52-year-old man presents with 3 months of polyuria, polydipsia, and 8 kg unintentional weight loss. Fasting glucose 7.4 mmol/L (133 mg/dL), HbA1c 6.3%, random glucose 11.8 mmol/L (212 mg/dL).
828 words, about 4 min4Fever and rash in a returned traveler with thrombocytopenia
A 29-year-old woman returns from 3 weeks in rural Thailand and Cambodia. She has 4 days of high fever, severe retro-orbital headache, myalgia, and a diffuse blanching maculopapular rash over the trunk and limbs.
895 words, about 4 min5Recurrent falls in an older adult with polypharmacy and cognitive change
An 82-year-old woman is brought by her daughter after two falls in 3 weeks, neither with loss of consciousness. She lives alone, has hypertension, atrial fibrillation, osteoarthritis, and mild cognitive impairment.
904 words, about 5 min