Afghanistan Comprehensive Specialization Exam case studies
Afghanistan Comprehensive Specialization Exam · Put your knowledge to work in context.
This examination is a comprehensive, postgraduate-level assessment intended for physicians in Afghanistan who are moving from general practice into recognised specialty training, or who must demonstrate specialty-level knowledge to a training hospital or licensing authority. It is organised around seven content domains: basic and clinical sciences foundations; internal medicine and its subspecialties; surgery and surgical subspecialties; paediatrics and child health; obstetrics and gynaecology; public health, epidemiology and health services management; and medical ethics, professionalism and health law. Items are multiple choice and are written to test applied clinical reasoning rather than recall of isolated facts, so the strongest preparation combines structured revision with case-based practice. Preparation should be active and spaced. The Afghanistan Comprehensive Specialization Exam case studies are 5 cases and about 2,518 words.
1Dyspnea, Calf Swelling, and a Delayed CT Scan
A 68-year-old man with COPD (FEV1 45% predicted) presents at 22:00 with 3 days of worsening dyspnea, purulent sputum, and fever 38.6°C. RR 28, SpO2 86% on room air, HR 112, BP 128/76.
571 words, about 3 min2Blunt Abdominal Trauma Without a Trauma Center
A 24-year-old man arrives at a district hospital 2 hours after a motorcycle crash. BP 80/50, HR 132, RR 30, GCS 14.
489 words, about 2 min3Neonatal Jaundice in a Clinic Without a Bilirubinometer
A 5-day-old girl is brought to a rural clinic with jaundice extending to the umbilicus, poor feeding, and sleepiness. She was born at home at an uncertain gestational age, weighed 2.8 kg at birth, and now weighs 2.55 kg (9% loss).
498 words, about 2 min4Postpartum Hemorrhage With No Blood Bank or Balloon
A 28-year-old G3P2 delivers vaginally at a district hospital. Thirty minutes later she is bleeding heavily.
461 words, about 2 min5Measles Outbreak in a Displaced-Persons Camp
A displaced-persons camp of 12,000 people has 8 laboratory-confirmed measles cases and 40 suspected cases. The camp has two health workers, no rapid diagnostic tests, and 1,500 doses of measles vaccine.
499 words, about 2 min