CSHK Part 1 MCQ case studies
CSHK Part 1 MCQ · Put your knowledge to work in context.
The Part 1 Examination is the first written component of the Membership Examination of The College of Surgeons of Hong Kong (CSHK). The College's own examination pages place it within a structure of "Membership Examination Part 1 and 2 Examination Part 3 Examination", so Part 1 sits at the entry point of the membership pathway rather than at its end. The CSHK Part 1 MCQ case studies are 5 cases and about 3,540 words.
1Acute cholecystitis in a patient on dual antiplatelet therapy
A 68-year-old man is admitted with a 4-day history of right upper quadrant pain, fever 38.9°C, and vomiting. He has hypertension, type 2 diabetes, BMI 38, and a drug-eluting coronary stent inserted 10 weeks ago; he takes aspirin and clopidogrel.
773 words, about 4 min2Type A aortic dissection with leg malperfusion
A 61-year-old man presents with sudden severe interscapular chest pain that began 2 hours ago while lifting a box. He is clammy and anxious.
727 words, about 4 min3Deteriorating acute subdural haematoma on apixaban
A 76-year-old man is brought to the emergency department after a fall from standing at home. He takes apixaban 5 mg twice daily for atrial fibrillation and had his last dose 12 hours ago.
680 words, about 3 min4Neonate with bilious vomiting and suspected volvulus
A 5-week-old boy is brought by his parents with a 12-hour history of bilious vomiting and poor feeding. He was born at term, weighs 4.2 kg, and had been thriving until today.
690 words, about 3 min5Acute limb ischaemia with a motor deficit
A 79-year-old woman with permanent atrial fibrillation, hypertension, and a 40-pack-year smoking history presents 7 hours after sudden onset of severe left leg pain. She is on apixaban 5 mg twice daily; the last dose was 10 hours ago.
670 words, about 3 min