Mongolia Feldsher Licensing Exam case studies
Mongolia Feldsher Licensing Exam · Put your knowledge to work in context.
The Mongolian feldsher (бага эмч) licence examination is the professional assessment that a graduate of a feldsher training programme must pass before practising independently in a soum health centre, a bag-level clinic or a pre-hospital team. The credential certifies that the holder can deliver first-contact care where no physician is on site: recognise and stabilise emergencies, manage common adult and paediatric illness, support pregnancy and childbirth before referral, run immunisation and tuberculosis surveillance, perform minor procedures and keep lawful medical records. The Mongolia Feldsher Licensing Exam case studies are 5 cases and about 4,024 words.
1Postpartum haemorrhage at a soum health centre in winter
A 29-year-old woman, G3P2, gave birth at home 40 minutes ago at 39 weeks after an uncomplicated labour. The placenta delivered 20 minutes ago but bleeding has continued.
815 words, about 4 min2Severe dehydration in a 13-month-old in winter
A 13-month-old boy is brought to the soum health centre in February with 3 days of watery diarrhoea and repeated vomiting. He has been breastfed less often because the mother is ill.
741 words, about 4 min3Suspected pulmonary tuberculosis in a long-distance driver
A 37-year-old man who drives a long-distance truck presents to the soum health centre with a 4-week cough producing blood-streaked sputum, night sweats, and weight loss of 6 kg. He smokes 20 cigarettes a day and drinks alcohol heavily.
804 words, about 4 min4Inferior STEMI in a herder 3.5 hours from the aimag hospital
A 54-year-old herder is brought to the soum health centre at 07:00 with severe central chest pain that started 2 hours ago while he was feeding animals. The pain radiates to the left arm and jaw and is accompanied by nausea and sweating.
862 words, about 4 min5Dog bite in a child: rabies, wound closure and consent
A 9-year-old girl is brought to the soum health centre 2 hours after being bitten by a stray dog. She has a 4 cm deep laceration on the right forearm and a 2 cm puncture wound on the dorsum of the right hand; both bled actively.
802 words, about 4 min