SLMC ERPM case studies
SLMC ERPM · Put your knowledge to work in context.
The Examination for Registration to Practise Medicine (ERPM) is the assessment the Sri Lanka Medical Council (SLMC) uses in the pathway by which medical graduates qualify for registration to practise medicine in Sri Lanka. The SLMC describes itself as the national regulatory authority responsible for maintaining standards of education, professional conduct, and ethical practice among registered healthcare practitioners in Sri Lanka, and it regulates medical, dental, and allied healthcare professionals to protect patients and maintain public confidence in healthcare services. The SLMC ERPM case studies are 5 cases and about 3,975 words.
1Day 5 dengue with narrowing pulse pressure in a hospital without ICU
A 27-year-old previously healthy man is admitted to a secondary hospital in a dengue-endemic district on day 5 of fever. His temperature settled 14 hours ago, but he now has colicky abdominal pain and has vomited twice.
816 words, about 4 min2Russell's viper bite with incoagulable blood and no on-site blood bank
A 42-year-old farmer is brought to a rural hospital 2 hours after being bitten on the right ankle while working in paddy fields in the dry zone. He has vomited once and complains of abdominal pain.
817 words, about 4 min3Severe pre-eclampsia at 33 weeks in a district hospital without neonatal intensive care
A 29-year-old woman, G2P1, is admitted at 33+4 weeks' gestation with a 2-day history of frontal headache and visual flashes. Blood pressure is 168/112 mmHg on two readings 15 minutes apart, and urine dipstick shows 3+ protein.
822 words, about 4 min4Anterior STEMI with a recent stroke and a three-hour transfer time
A 58-year-old man with type 2 diabetes and a 30-pack-year smoking history presents to a district hospital 90 minutes after the onset of central crushing chest pain. The ECG shows 4 mm of ST elevation in leads V2–V5, with reciprocal depression in II, III and aVF.
750 words, about 4 min5New HIV infection, ART already started, then cavitary tuberculosis
A 34-year-old man was diagnosed with HIV infection three weeks ago after a prolonged febrile illness. His CD4 count was 68 cells/µL and he was started on tenofovir, lamivudine and dolutegravir.
770 words, about 4 min