MRCPI GM Part I case studies
MRCPI GM Part I · Put your knowledge to work in context.
The MRCPI General Medicine Part I - formally Membership of the Royal College of Physicians of Ireland, General Medicine, Part I - is the first written component of RCPI's membership pathway in adult internal medicine. It is intended for doctors in basic specialist training, or equivalent hospital posts, who already have practical ward experience and are now consolidating the knowledge base they will need for higher specialist training. The MRCPI GM Part I case studies are 5 cases and about 3,706 words.
1Falls, frailty and atrial fibrillation: deciding on anticoagulation
A 78-year-old woman with permanent atrial fibrillation attends the falls clinic after two unwitnessed falls in six months, both while hurrying to the bathroom; neither caused injury. She lives alone, walks with a stick indoors and has troublesome daytime urinary urgency.
718 words, about 4 min2Suspected pulmonary embolism in advanced chronic kidney disease
A 58-year-old man presents with three days of progressive breathlessness and sharp right-sided pleuritic pain. He returned from a three-week trip to Australia three weeks ago.
726 words, about 4 min3Fever and ascites in decompensated cirrhosis
A 52-year-old man with alcohol-related cirrhosis (Child–Pugh class C, MELD 22) is admitted with two days of fever, diffuse abdominal discomfort and increasing girth. He has had three large-volume paracenteses in the past two months.
713 words, about 4 min4Recurrent hypoglycaemia in an older woman with advancing kidney disease
A 76-year-old woman with type 2 diabetes for 18 years, ischaemic cardiomyopathy (LVEF 32%) and CKD stage 4 attends with her daughter. HbA1c is 71 mmol/mol (8.7%).
753 words, about 4 min5A high INR after a common prescribing cascade
A 71-year-old man with atrial fibrillation, hypertension and COPD has taken warfarin for eight years with stable INRs between 2.2 and 3.0. He is on day 10 of a 14-day course of fluconazole 100 mg daily for oesophageal candidiasis.
796 words, about 4 min