MRCPI GM Part II Written case studies
MRCPI GM Part II Written · Put your knowledge to work in context.
The MRCPI Part II Written Examination is one component of the Membership examination of the Royal College of Physicians of Ireland. Candidates are typically doctors in basic specialist training in general (internal) medicine who need to demonstrate the breadth and depth of knowledge expected of a physician before progressing to higher specialist training. The MRCPI GM Part II Written case studies are 5 cases and about 3,686 words.
1Drowsiness after a fall in an older woman with profound hyponatraemia
A 74-year-old woman is brought to the emergency department after her daughter found her drowsy on the bedroom floor; she had fallen and could not get up for an unknown period. She has hypertension, depression and osteoarthritis.
797 words, about 4 min2Haematemesis in a patient anticoagulated with apixaban
A 68-year-old man presents with two episodes of haematemesis and black tarry stools since yesterday. He has atrial fibrillation, hypertension and osteoarthritis.
702 words, about 4 min3Agitation on day three after hip fracture surgery
An 84-year-old woman is on day three after a cemented hemiarthroplasty for a displaced neck of femur fracture. She was previously independent with a stick and lived alone.
769 words, about 4 min4Palpitations in a young man: broad-complex irregular tachycardia
A 26-year-old man attends with sudden-onset palpitations and light-headedness that began 90 minutes ago while watching television. He has had three shorter episodes in the past year, each lasting 10 to 20 minutes, and was told previously that he had panic attacks.
697 words, about 3 min5Fever and back pain: Staphylococcus aureus bacteraemia with discitis
A 58-year-old man with type 2 diabetes treated with metformin and gliclazide presents with a five-day history of fever, rigors and severe low back pain that is worse on movement. Two weeks earlier he had cellulitis of the left leg and a peripheral cannula was inserted for intravenous antibiotics.
721 words, about 4 min