OMSB Internal Medicine (OEIM) case studies
OMSB Internal Medicine (OEIM) · Put your knowledge to work in context.
The OMSB Internal Medicine examination is the board assessment offered through the Oman Medical Specialty Board (OMSB), an autonomous Omani body whose stated mission is "furthering the growth of human resources for health, through developing specialized physicians and assuring the competencies of health care professionals for a healthier and a happier community." Internal Medicine appears on the OMSB website both as one of the educational programs OMSB develops, maintains and monitors ("We currently have 18 programs encompassing different specialties of Medicine") and among the services OMSB lists for healthcare professionals, which include "OMSB Board examinations." The examination function sits within the Examination Department, which the site organizes into a Written Examination Section, a Clinical Examination Section, an Item Bank Section and an Examination Coordination Section - a structure that signals both written and clinical assessment components, though the public site does not publish the detailed blueprint. The credential is aimed at physicians in Internal Medicine training or practice who need to demonstrate specialty competence for OMSB board purposes; candidates should confirm eligibility and registration routes through the OMSB e-Services portal and the Examination Department rather than relying on third-party summaries. The OMSB Internal Medicine (OEIM) case studies are 5 cases and about 3,426 words.
1Decompensated Heart Failure with Hyperkalaemia and Borderline Perfusion
Mr A is a 71-year-old man with heart failure with reduced ejection fraction (LVEF 28%), permanent atrial fibrillation, stage 3b chronic kidney disease (baseline creatinine 1.6 mg/dL), type 2 diabetes, and a prior inferior myocardial infarction. His regimen is sacubitril/valsartan 97/103 mg twice daily, carvedilol 6.25 mg twice daily, spironolactone 25 mg daily, empagliflozin 10 mg daily, and apixaban 5 mg twice daily.
761 words, about 4 min2Severe Hyponatraemia on a Thiazide: Correction and Overcorrection
Mrs B is a 74-year-old woman with hypertension, osteoarthritis and depression. Her general practitioner doubled hydrochlorothiazide from 25 mg to 50 mg daily 12 days ago for poorly controlled blood pressure.
711 words, about 4 min3MRSA Bacteraemia in a Patient with a Permanent Pacemaker
Mr C is a 63-year-old man with type 2 diabetes (HbA1c 8.4%), hypertension and complete heart block, for which a dual-chamber permanent pacemaker was implanted 4 years ago. He presents with 3 days of fever, rigors and malaise.
659 words, about 3 min4Euglycaemic Diabetic Ketoacidosis after Day-Case Surgery
Mrs D is a 52-year-old woman with type 2 diabetes (BMI 34) on empagliflozin 25 mg daily, metformin 1 g twice daily, and insulin glargine 20 units nightly. She underwent an uncomplicated laparoscopic cholecystectomy 36 hours ago and was discharged the same day.
626 words, about 3 min5Variceal Bleeding in Cirrhosis with Portal Vein Thrombosis and Coronary Disease
Mr E is a 57-year-old man with alcohol-related cirrhosis (Child–Pugh C, MELD 22), portal vein thrombosis diagnosed 18 months ago, and prior NSTEMI with a drug-eluting stent 2 years ago. He takes apixaban 5 mg twice daily, aspirin 81 mg daily, propranolol 40 mg twice daily, spironolactone and furosemide.
669 words, about 3 min