Iran Specialty Board - Internal Medicine case studies
Iran Specialty Board - Internal Medicine · Put your knowledge to work in context.
The Iran Specialty Board Examination in Internal Medicine (بورد تخصصی داخلی) is the national certifying assessment that internal medicine residents sit near the end of their training to practise as internists in Iran. It is aimed at residents completing the Iranian internal medicine residency, and it is delivered in Persian, usually on computer, as a multiple-choice examination. The Iran Specialty Board - Internal Medicine case studies are 5 cases and about 3,688 words.
1Confusion and Severe Hyponatremia Three Weeks After Starting a Thiazide
A 68-year-old woman is brought to the emergency department by her son after three days of nausea, headache, and progressive confusion. Her only new medication is hydrochlorothiazide 25 mg daily, started three weeks earlier for hypertension; she also takes sertraline 50 mg daily.
761 words, about 4 min2A Single Syncope, a Bifascicular Block, and a Normal 48-Hour Telemetry
A 72-year-old man is admitted after a single episode of syncope. While standing up from a chair at home he lost consciousness for about 10 seconds without any warning, palpitations, chest pain, or tongue biting; he was not injured and recovered immediately.
799 words, about 4 min3Graves Disease at Nine Weeks of Gestation on Methimazole
A 29-year-old woman who is 9 weeks pregnant presents with palpitations, heat intolerance, and a 6 kg weight loss over two months. She has a diffuse goiter and a mild tremor.
684 words, about 3 min4Thrombocytopenia and a New Deep Vein Thrombosis on Postoperative Day Seven
A 66-year-old man is on the cardiac surgery ward on day 7 after coronary artery bypass grafting. He has received subcutaneous unfractionated heparin 5000 units twice daily since surgery, plus heparin flushes.
694 words, about 3 min5Recurrent Aspiration Pneumonia and a Family Request for a Feeding Tube
An 89-year-old woman with advanced Alzheimer disease (FAST stage 7; no recognizable speech, dependent for all activities of daily living) lives in a nursing home. She has had three episodes of aspiration pneumonia in six months and has lost 8 kg; albumin is 28 g/L.
750 words, about 4 min