North Macedonia Physician Licensing Exam case studies
North Macedonia Physician Licensing Exam · Put your knowledge to work in context.
The Professional Examination for Doctors of Medicine (Стручен испит за доктор по медицина) is the licensing assessment that a graduate of medicine in North Macedonia must pass to practise independently and to register as a physician. It is intended for holders of a completed medical degree who are moving from supervised internship-level work into autonomous clinical responsibility. The North Macedonia Physician Licensing Exam case studies are 5 cases and about 2,899 words.
1Severe Hyponatremia After Thiazide and SSRI
A 71-year-old woman is brought to the emergency department by her daughter with 3 days of vomiting, progressive confusion, and one fall at home. Her medications are hydrochlorothiazide 25 mg daily for hypertension and sertraline 50 mg daily, started 5 weeks ago.
604 words, about 3 min2Perforated Diverticulitis in a Frail Elderly Patient
A 79-year-old man from a care home is brought in with 2 days of abdominal pain, distension, and fever. He has dementia, hypertension, and CKD stage 3 with eGFR 42 mL/min/1.73 m², and he takes aspirin.
587 words, about 3 min3Fever and Petechiae in a Toddler
A 3-year-old boy is brought to the emergency department with 12 hours of fever up to 39.6°C, one episode of vomiting, and a rash. He is immunized according to the national schedule, has no travel history, no known allergies, and has not had antibiotics in the past month.
550 words, about 3 min4Severe Preeclampsia at 34 Weeks in a Regional Hospital
A 29-year-old G2P1 at 34+2 weeks presents to a regional hospital with a severe headache, visual flashes, and right upper quadrant pain. BP is 172/114 mmHg on two readings, platelets 92 × 10⁹/L, AST 140 U/L, creatinine 1.1 mg/dL, and urine protein-to-creatinine ratio 1.2.
550 words, about 3 min5Gastroenteritis Cluster in a Rural School
A rural primary school with 140 students reports 28 students and 3 teachers with watery diarrhea and vomiting over 36 hours. The school cafeteria served a cold pasta salad and sliced fruit the previous day; drinking water comes from a private well.
608 words, about 3 min