Malaysia MMLE / EPR case studies
Malaysia MMLE / EPR · Put your knowledge to work in context.
The Examination for Provisional Registration (EPR) is the route by which the Malaysian Medical Council (MMC) assesses applicants whose basic medical qualification is neither recognised nor listed in the Second Schedule. Such applicants must sit for and pass the EPR with MPM before they can be registered to practise in Malaysia. Since 2015 the Medical Regulations (Setting of Examinations for Provisional Registration) 2015 replaced the Medical Qualifying Examination (MQE) with the EPR, and an EPR Committee of MPM conducts both the theory and clinical components. The pathway has two stages. The Malaysia MMLE / EPR case studies are 5 cases and about 2,348 words.
1Pre-eclampsia in a district hospital with no NICU
A 28-year-old woman, G2P1, at 34 weeks gestation, presents to a district hospital in Sabah with severe headache and visual blurring. Her blood pressure is 170/110 mmHg, urine protein 3+, platelets 90,000/µL, and ALT 120 U/L.
544 words, about 3 min2STEMI in a rural clinic: thrombolysis or transfer?
A 58-year-old man presents to a rural health clinic in Pahang with 2 hours of central chest pain, sweating, and nausea. ECG shows ST elevation in leads II, III, and aVF.
520 words, about 3 min3Falsified vital signs and audit pressure
You are a house officer on a busy medical ward. The ward is preparing for a hospital audit on sepsis bundle compliance.
422 words, about 2 min4Dengue in a child: parental refusal of admission
A 7-year-old boy is brought to a Kuala Lumpur emergency department with 4 days of fever, now afebrile for 12 hours, a generalized maculopapular rash, and two episodes of vomiting. He is alert, playful, capillary refill less than 2 seconds, and blood pressure normal.
465 words, about 2 min5Request for euthanasia in terminal illness
A 72-year-old man with metastatic non-small cell lung cancer is admitted with progressive dyspnoea and pain. His performance status is 3 (bedridden more than 50% of the day).
397 words, about 2 min