CSHK Part 2 EMQ case studies
CSHK Part 2 EMQ · Put your knowledge to work in context.
The Membership Examination of The College of Surgeons of Hong Kong is structured as a Part 1 and 2 Examination followed by a Part 3 Examination, and the College's site lists it as a distinct examination pathway alongside the Fellowship Examination in the surgical subspecialties. Part 2 is the stage candidates typically meet after clearing the written Part 1, and it is delivered in the Extended Matching Question format together with multiple choice items. The CSHK Part 2 EMQ case studies are 5 cases and about 3,565 words.
1Elective right hemicolectomy in a patient with diabetes, steroids and anaemia
A 64-year-old man is listed for an elective laparoscopic-assisted right hemicolectomy for a 4.5 cm caecal adenocarcinoma; staging CT shows no metastases. He has a BMI of 36 kg/m², type 2 diabetes with HbA1c 9.1%, and continues to smoke 25 cigarettes daily (45 pack-years).
745 words, about 4 min2Acute pancreatitis with hypertriglyceridaemia and early organ dysfunction
A 38-year-old man presents 36 hours after the onset of severe epigastric pain radiating to the back, with vomiting and distension. He drinks about 35 units of alcohol weekly and has a BMI of 33 kg/m²; he takes no regular medication.
757 words, about 4 min3Day 3 critical care after Hartmann's procedure: vasoplegia, fluid overload and abdominal hypertension
A 71-year-old man is in the intensive care unit on day 3 after emergency laparotomy and Hartmann's procedure for perforated sigmoid diverticulitis with faecal peritonitis. He remains ventilated and sedated.
696 words, about 3 min4Unstable pelvic fracture with positive FAST and no CT scanner
A 34-year-old motorcyclist is brought in 40 minutes after a high-speed collision with a truck. He is awake, confused, and complaining of pelvic and right thigh pain.
704 words, about 4 min5Small bowel obstruction with a closed loop and reduced mural enhancement
A 70-year-old woman presents with 2 days of colicky abdominal pain, vomiting, and absolute constipation. She had an open appendicectomy 30 years ago and a total abdominal hysterectomy 12 years ago.
663 words, about 3 min