JMC Human Medicine Exam case studies
JMC Human Medicine Exam · Put your knowledge to work in context.
The JMC Human Medicine Exam is a subject-based assessment used to evaluate a candidate's command of the preclinical and clinical medical sciences taught in a human medicine curriculum. Candidates typically encounter it when applying for admission to a medical programme, seeking credit or advanced standing, or demonstrating readiness for a stage of training. The JMC Human Medicine Exam case studies are 5 cases and about 4,299 words.
1Starting rifampicin in a patient with a mechanical mitral valve on warfarin
A 58-year-old man with a mechanical mitral valve replacement in 2019 attends a provincial chest clinic with 3 weeks of cough, night sweats and weight loss. Sputum is smear-positive for acid-fast bacilli and the chest radiograph shows upper-lobe cavitation.
866 words, about 4 min2Wedding-feast outbreak of vomiting and diarrhoea in a village of 2,100
On a Monday morning the district surveillance officer receives reports of 43 people with diarrhoea and vomiting in a village of 2,100. All had attended a wedding feast on Saturday evening that was eaten by 180 guests.
824 words, about 4 min3Blunt splenic injury in a district hospital without CT or interventional radiology
A 24-year-old man arrives at a district hospital 40 minutes after a bicycle handlebar injury to the left upper abdomen. He is pale and anxious.
867 words, about 4 min4Severe pre-eclampsia at 33 weeks in a hospital without neonatal ventilation
A 29-year-old primigravida at 33+2 weeks by sure dating attends a rural hospital with headache and blurred vision. Blood pressure is 168/112 mmHg on two readings 15 minutes apart, urine dipstick is 3+ protein, reflexes are brisk with three beats of clonus, platelets are 96 × 10⁹/L, ALT 118 U/L, creatinine 88 µmol/L and haemoglobin 11 g/L.
843 words, about 4 min5Severely malnourished toddler with diarrhoea, hypoglycaemia and a request for a 20 mL/kg bolus
A 14-month-old girl is brought to a malnutrition ward with 4 days of watery diarrhoea and vomiting. Weight is 6.1 kg and length 71 cm, with weight-for-length below −3 z and MUAC 10.4 cm; there is visible severe wasting and no oedema.
899 words, about 4 min