ECOM-CR Medical Licensure case studies
ECOM-CR Medical Licensure · Put your knowledge to work in context.
ECOM-CR Medical Licensure is a multiple-choice licensure-style examination for physicians and medical graduates who need to demonstrate broad clinical competence before or during independent practice. It is used by candidates preparing for entry into supervised practice, postgraduate training, or registration pathways, and by those who must evidence a current, general medical knowledge base. The ECOM-CR Medical Licensure case studies are 5 cases and about 3,455 words.
1Confusion and Hyponatraemia Three Weeks After Starting a Thiazide
A 74-year-old woman is brought to the emergency department after falling at home. Her daughter reports three days of worsening confusion and lethargy.
692 words, about 3 min2Acute Cholecystitis in a Patient on Apixaban: Timing Surgery Against Bleeding Risk
A 71-year-old man with atrial fibrillation, hypertension and type 2 diabetes presents with 36 hours of right upper quadrant pain, fever of 38.6 C and nausea. He takes apixaban 5 mg twice daily and his last dose was 14 hours ago.
691 words, about 3 min3A Five-Week-Old with Jaundice and Pale Stools
A 5-week-old boy is brought to clinic because his mother thinks his colour has deepened. He was born at term weighing 3.4 kg and now weighs 3.9 kg, is exclusively breastfed and feeds avidly.
679 words, about 3 min4Severe Preeclampsia at 33 Weeks with an Unfavourable Cervix
A 33-year-old woman, gravida 2 para 1, at 33 weeks and 4 days by a confirmed first-trimester scan, presents with a two-day frontal headache and flashing lights. Blood pressure is 168/112 mmHg and, on repeat after four hours of rest, 172/108 mmHg.
676 words, about 3 min5Refusal of Food and Dialysis-Level Dehydration in a Depressed Patient
A 68-year-old retired teacher with bipolar I disorder, currently in a severe depressive episode with psychotic features, has eaten almost nothing for three weeks. He has lost 9 kg over two months and now weighs 48 kg at 1.72 m (BMI 16.2).
717 words, about 4 min