Clinical Officers Council Pre-Internship case studies
Clinical Officers Council Pre-Internship · Put your knowledge to work in context.
The Clinical Officers Council Pre-Internship Examination is the assessment that sits between completing a clinical officer training programme in Kenya and starting supervised internship practice. It is intended for newly qualified clinical officers who have finished their diploma or degree training and need to demonstrate that they can apply core clinical knowledge and practical skills safely before entering the internship year. The Clinical Officers Council Pre-Internship case studies are 5 cases and about 4,407 words.
1High glucose, low potassium: sequencing treatment in diabetic ketoacidosis on a district ward
A 24-year-old man is brought to a district hospital at 02:00 after two days of vomiting and one day of drowsiness. He is breathing deeply at 30/min, pulse 120/min, BP 102/64 mmHg, capillary glucose 28 mmol/L, blood ketones 5.4 mmol/L.
865 words, about 4 min2Diarrhoea in severe acute malnutrition: the bolus that could kill
An 18-month-old girl is brought to a health centre with four days of watery diarrhoea and vomiting. Weight 7.2 kg, mid-upper arm circumference 10.5 cm, bilateral pitting pedal oedema, lethargic, sunken eyes, skin pinch returning very slowly.
866 words, about 4 min3Retained placenta and haemorrhage with no blood bank and a 90-minute road
A 26-year-old woman, gravida 3 para 2, delivered a 3.4 kg baby at home 50 minutes ago and is brought by motorcycle to a health centre. The placenta has not delivered.
848 words, about 4 min4The acute scrotum at midnight: no ultrasound, a three-hour road, and a mother who wants to wait
A 15-year-old boy is brought at 23:00 with sudden severe left testicular pain that began 5 hours ago while playing football; he has vomited twice. Temperature 37.2 °C, no dysuria, no urethral discharge.
796 words, about 4 min5A new HIV diagnosis and a husband who must not be told
A 29-year-old woman attending her first antenatal visit at 18 weeks is found to be HIV-positive on a rapid test, confirmed with a second test. CD4 count is 280 cells/µL.
1,032 words, about 5 min