FMGE case studies
FMGE · Put your knowledge to work in context.
The Foreign Medical Graduate Examination (FMGE), also called the Screening Test, is the licensing gateway for Indian citizens who earned their primary medical qualification abroad and want to register and practise in India. It is a computer-based test of single-best-answer multiple-choice questions delivered in English, and it is set at the standard of the Indian undergraduate medical curriculum rather than at the level of any particular foreign university. The FMGE case studies are 5 cases and about 4,811 words.
1Drowsy 68-Year-Old on a New Thiazide with Sodium 116
A 68-year-old retired schoolteacher is brought to the emergency department by his wife with two days of vomiting, drowsiness, and one episode of confusion at home. He has hypertension and was started on hydrochlorothiazide 25 mg once daily three weeks ago; his only other medicines are amlodipine 5 mg and atorvastatin 10 mg.
895 words, about 4 min2Postpartum Haemorrhage in a Woman with Pre-eclampsia
A 27-year-old woman, G2P1, at 38 weeks' gestation is admitted with a blood pressure of 158/104 mmHg on two readings four hours apart, 3+ proteinuria on dipstick, and a platelet count of 96,000/microlitre; liver enzymes are mildly raised and she has no headache or visual symptoms. Labour is induced with misoprostol and she delivers a 2.9 kg baby spontaneously 14 hours later after an uncomplicated second stage.
918 words, about 5 min3Day-5 Jaundice in a Breastfed Baby with 11% Weight Loss
A 3.1 kg term baby boy, born by normal vaginal delivery to a 28-year-old mother (blood group O positive), is brought at 5 days of age with yellow discoloration noticed since day 3, now extending to the abdomen. He is exclusively breastfed, feeds for 10 minutes every 3–4 hours, and has passed 4 pale-yellow stools and 5 wet nappies in the last 24 hours.
1,053 words, about 5 min4Reynolds Pentad at 9 pm in a District Hospital
A 58-year-old woman with a 4-year history of intermittent right upper quadrant colic presents with three days of continuous right upper quadrant pain, rigors, and jaundice. Temperature 39.2 degrees C, pulse 124/min, BP 86/52 mmHg after 500 mL of crystalloid, respiratory rate 24/min, and she is confused.
966 words, about 5 min5Jaundice Six Weeks into Antitubercular Therapy
A 42-year-old shopkeeper weighing 58 kg was diagnosed with sputum smear-positive pulmonary tuberculosis six weeks ago and started isoniazid 300 mg, rifampicin 450 mg, pyrazinamide 1500 mg and ethambutol 800 mg daily. He takes no other regular medicines but drinks 60–90 mL of country liquor most evenings.
979 words, about 5 min