e-UKCG case studies
e-UKCG · Put your knowledge to work in context.
The e-UKCG (UK Clinical Gateway) is an assessment used to gauge whether a doctor trained outside the UK has the clinical knowledge and professional judgement expected of someone entering UK practice. It suits international medical graduates preparing for PLAB or similar routes, and doctors returning to clinical work after a break who want a structured knowledge check before sitting a higher-stakes exam. The blueprint is broad and clinically weighted: medicine and surgery carry the largest share, followed by the specialties, general practice, and emergency medicine, with the remainder testing patient safety and prescribing, communication, professionalism and law, and evidence-based practice with statistics and quality improvement. Questions are multiple choice and assume a working knowledge of UK guidance, normal ranges and referral pathways rather than obscure trivia. The e-UKCG case studies are 5 cases and about 3,108 words.
1Melaena on apixaban with renal impairment
Mr A is a 74-year-old retired teacher with permanent atrial fibrillation. He takes apixaban 5 mg twice daily; his renal function has drifted and his latest eGFR is 31 mL/min/1.73 m², with creatinine 156 µmol/L, weight 78 kg and no other dose-reduction criteria.
740 words, about 4 min2Severe pre-eclampsia at 34 weeks with a birth-plan disagreement
Mrs B is 29 years old, para 1, at 34+2 weeks' gestation. She booked late and has had two antenatal visits.
646 words, about 3 min3Persistent bloating, a raised CA125 and a complex ovarian cyst
Ms C is a 47-year-old project manager. She has a 3-year history of irritable bowel syndrome diagnosed in primary care.
569 words, about 3 min4Life-threatening asthma with a normal CO2
Mr D is a 22-year-old student with asthma since childhood. He has had a viral upper respiratory infection for four days and has used a salbutamol inhaler every two hours, with little relief.
576 words, about 3 min5INR 8.5 after interacting antibiotics in an older adult who falls
Mrs E is an 81-year-old woman with permanent atrial fibrillation, hypertension and mild cognitive impairment. She lives alone and has had two falls in the last six months, neither causing injury.
577 words, about 3 min