Iran Pre-Internship Medical Exam case studies
Iran Pre-Internship Medical Exam · Put your knowledge to work in context.
The Comprehensive Pre-Internship Examination (آزمون جامع پیشکارورزی) is the national milestone that Iranian medical students must clear before they leave the physiopathology/stageries stage and begin the clinical internship year (کارورزی). It is not a specialty entrance examination and it does not by itself license anyone to practise; it is a curriculum gate administered through the Ministry of Health and Medical Education's assessment system, with results reported to each medical university, which then decides whether a student may start internship rotations. The Iran Pre-Internship Medical Exam case studies are 5 cases and about 4,443 words.
1Confusion and a sodium of 118 after ten days of ibuprofen
A 68-year-old woman is brought to the emergency department in late autumn because of two days of nausea, one episode of vomiting, lethargy and confusion. Her daughter reports she has taken hydrochlorothiazide 25 mg daily for hypertension for eight years and began ibuprofen 400 mg three times daily ten days ago for knee osteoarthritis.
878 words, about 4 min2Right lower quadrant pain at 22:00 with no CT scanner until morning
A 27-year-old woman presents at 22:00 with 14 hours of right lower quadrant pain that began around the umbilicus, anorexia and two episodes of vomiting. She had a normal vaginal delivery 11 months ago, her last menstrual period was 4 weeks ago, and a urine pregnancy test in triage is negative.
869 words, about 4 min3An 8 kg infant with diarrhoea at a health house 90 minutes from hospital
A 10-month-old boy weighing 8.0 kg is brought to a rural health house at 19:00 with three days of watery diarrhoea (seven to eight stools a day, no blood) and vomiting after feeds since this morning. He weighed 8.6 kg three weeks ago.
904 words, about 5 min4Severe headache at 36 weeks with platelets of 92,000
A 34-year-old woman, gravida 2 para 1, at 36 weeks and 3 days by a certain first-trimester ultrasound, is admitted with a two-day history of severe frontal headache and blurred vision. Blood pressure is 176/112 mmHg on two readings 15 minutes apart; she has 3+ proteinuria on dipstick, brisk deep tendon reflexes and one beat of clonus at the ankles.
890 words, about 4 min5Seeing insects on the wall 40 hours after his last drink
A 46-year-old man is brought to the emergency department by his brother at 03:00. He has drunk at least half a litre of vodka daily for many years and his last drink was about 40 hours ago.
902 words, about 5 min