UHS DES Entrance Exam case studies
UHS DES Entrance Exam · Put your knowledge to work in context.
The UHS DES entrance examination is the selection test for admission to the emergency-care diploma programme offered under the University of Health Sciences, Lahore. It is aimed at postgraduate doctors - house officers and medical officers - who want formal, supervised training in emergency medicine and critical care rather than an entirely general clinical career. The UHS DES Entrance Exam case studies are 5 cases and about 4,062 words.
1Pinpoint Pupils and a Failing Chest: Organophosphate Poisoning at 02:00
A 34-year-old wheat farmer is brought to a district hospital emergency department at 02:00, about 90 minutes after spraying chlorpyrifos for four hours without gloves or a mask. He is drowsy but rousable, with profuse bronchorrhea, bilateral coarse crackles, pinpoint pupils, heart rate 48/min, blood pressure 92/58 mmHg, respiratory rate 12/min and SpO2 84% on room air.
762 words, about 4 min2A Benign FNA in a BIRADS 4C Breast
A 46-year-old woman presents to a surgical outpatient clinic with a painless 2.8 cm mass in the upper outer quadrant of the left breast, first noticed three weeks ago. The skin over it is tethered, and there is a 1.5 cm mobile node in the left axilla.
844 words, about 4 min3INR 7.8 After Co-trimoxazole in a Mechanical Mitral Valve
A 68-year-old man with a St Jude mechanical mitral valve (target INR 2.5–3.5) attends the anticoagulation clinic. He has taken warfarin 5 mg daily for six years, and his INR has been stable at 3.0–3.2 for the past year, including 3.1 two weeks ago.
768 words, about 4 min4Cholera in a Peri-urban Settlement: 214 Cases and 2,000 Vaccine Doses
On 17 June the district health officer is called to a peri-urban settlement of 12,000 people, 45 km from the district headquarters. Between 3 and 17 June, 214 residents presented to the basic health unit with acute watery diarrhoea; five died, two of them children under 5 (there are 1,500 children under 5 in the settlement).
861 words, about 4 min5Pain Out of Proportion After a Tibial Fracture
A 22-year-old motorcyclist is brought to a rural hospital six hours after a fall, with a closed, isolated tibial shaft fracture that has been immobilised in a full above-knee plaster backslab. He is in severe pain (9/10) that has not eased after 10 mg IV morphine, and the pain is worse when the toes are passively dorsiflexed.
827 words, about 4 min