FCPS Part-1 case studies
FCPS Part-1 · Put your knowledge to work in context.
FCPS Part-I is the first examination stage in the Fellowship programme of the College of Physicians and Surgeons Pakistan (CPSP), a postgraduate medical college that awards fellowships across medical, surgical and dental disciplines. Part-I is the entry gate: candidates sit it before progressing into structured specialty training, so it is intended for medical graduates who have chosen a specialty faculty and are working toward Fellowship status. The FCPS Part-1 case studies are 5 cases and about 3,393 words.
1Neonatal Jaundice at 36 Hours: When to Escalate Before the Numbers Look Alarming
A term male infant, birth weight 3.1 kg, is seen in the community clinic at 36 hours of life for a routine newborn check. He was born by spontaneous vaginal delivery after an uncomplicated pregnancy; mother is blood group O negative, baby is A positive, direct Coombs is positive on cord blood.
638 words, about 3 min2Chest Pain in a 58-Year-Old With a Normal Initial Troponin
A 58-year-old man with a 25 pack-year smoking history and treated hypertension presents to the emergency department at 02:00 with 40 minutes of central crushing chest pain radiating to the left jaw, associated with nausea and sweating. On arrival he is pain-free after one sublingual nitrate.
618 words, about 3 min3Recurrent Hypoglycaemia in a Patient With Type 2 Diabetes and Declining Renal Function
A 72-year-old woman with a 14-year history of type 2 diabetes attends for review. Her medications are metformin 1 g twice daily, gliclazide modified-release 60 mg each morning, ramipril 5 mg, atorvastatin 20 mg and aspirin 75 mg.
722 words, about 4 min4A 6-Year-Old With Wheeze That Does Not Respond: Reassessing the Diagnosis
A 6-year-old girl is brought to the clinic with a 5-month history of episodic cough and wheeze, worse at night and after running. She has been treated with a salbutamol inhaler via spacer as needed and a low-dose inhaled corticosteroid for 4 months, with reported poor response.
671 words, about 3 min5Postoperative Confusion in an 82-Year-Old After Hip Fracture Surgery
An 82-year-old woman is admitted with a displaced femoral neck fracture after a fall at home. She lives alone, manages her own affairs, and her daughter says she is 'sharp as a pin' and has never been confused.
744 words, about 4 min