HKMLE Part III case studies
HKMLE Part III · Put your knowledge to work in context.
The Licensing Examination is administered by the Medical Council of Hong Kong, the statutory body whose stated aim is "Ensuring Justice, Maintaining Professionalism, Protecting the Public". The Council's website lists the Licensing Examination as a standalone section alongside registration matters, the Code of Professional Conduct, CME and disciplinary inquiries, which tells you the exam sits inside a wider registration framework rather than standing alone. The HKMLE Part III case studies are 5 cases and about 2,374 words.
1Elderly hip fracture in a patient taking warfarin
An 82-year-old woman who lives independently falls at home and sustains a displaced left femoral neck fracture. She takes warfarin for permanent atrial fibrillation, bisoprolol, ramipril and atorvastatin.
562 words, about 3 min2Febrile 5-week-old infant in a busy emergency department
A 5-week-old boy is brought to the emergency department at 2 am with a rectal temperature of 38.4°C. He was born at term, had an uncomplicated delivery and has received only the vaccines scheduled at birth.
464 words, about 2 min3Severe pre-eclampsia at 33 weeks
A 34-year-old woman, gravida 2 para 1, is admitted at 33 weeks and 4 days with a blood pressure of 168/112 mmHg, 3+ proteinuria and a severe headache with visual flashes. Her platelets are 88 × 10⁹/L, ALT 120 U/L, creatinine 90 µmol/L and uric acid raised.
485 words, about 2 min4Ascending cholangitis with septic shock
A 72-year-old man presents with a 2-day history of right upper quadrant pain, fever of 39°C and jaundice. He is confused, blood pressure 95/60 mmHg, heart rate 115/min, respiratory rate 24/min and oxygen saturation 94% on air.
413 words, about 2 min5Psychotic man threatening a neighbour: capacity and involuntary assessment
A 28-year-old man with a diagnosis of paranoid schizophrenia is brought to the emergency department by police after he threatened a neighbour with a kitchen knife. He believes the neighbour has been poisoning his food and says he acted to 'defend himself'.
450 words, about 2 min