Arab Board Internal Medicine Clinical Exam case studies
Arab Board Internal Medicine Clinical Exam · Put your knowledge to work in context.
The Arab Board of Health Specializations Internal Medicine Clinical Examination is the clinical component of the Arab Board certification pathway in internal medicine. It is designed for physicians who have completed accredited internal medicine residency training and are seeking a recognised specialty credential for hospital practice, academic posts, or further subspecialty training. The Arab Board Internal Medicine Clinical Exam case studies are 5 cases and about 3,011 words.
1Chest pain with a misleading initial ECG in a young smoker
A 34-year-old man with a 15 pack-year smoking history and no prior cardiac history presents at 02:00 with 90 minutes of central crushing chest pain radiating to the left jaw, associated with sweating and nausea. He took a sildenafil 50 mg tablet approximately 3 hours ago.
584 words, about 3 min2Hyperglycaemia and volume depletion in a patient on multiple diabetic agents
A 58-year-old woman with type 2 diabetes (HbA1c 9.8%), hypertension, and stage 3b CKD (eGFR 38 mL/min/1.73 m²) is admitted with 3 days of vomiting, polyuria, and confusion. Medications: metformin 1 g twice daily, gliclazide 80 mg twice daily, empagliflozin 25 mg daily, ramipril 10 mg daily, and furosemide 40 mg daily.
628 words, about 3 min3A breathless patient with a normal chest radiograph and a history of heart failure
A 72-year-old man with ischaemic cardiomyopathy (LVEF 30%) and hypertension presents with 5 days of progressive exertional breathlessness and a dry cough. He is on bisoprolol, sacubitril/valsartan, spironolactone, and furosemide.
607 words, about 3 min4Fever and rash after a new antibiotic in a patient with renal impairment
A 45-year-old woman is admitted with 4 days of fever, a widespread maculopapular rash, and painful oral ulcers. She was started on allopurinol 300 mg daily 3 weeks ago for gout and also received a course of co-trimoxazole for a urinary tract infection 10 days ago.
578 words, about 3 min5Falls and polypharmacy in an older patient with a recent fracture
An 84-year-old woman is admitted after a mechanical fall at home, sustaining a distal radius fracture. She lives alone, has mild cognitive impairment (MMSE 24/30), hypertension, atrial fibrillation, osteoporosis, and osteoarthritis.
614 words, about 3 min