OMSB Residency Selection (OMRSE) case studies
OMSB Residency Selection (OMRSE) · Put your knowledge to work in context.
The Oman Medical Specialty Board Residency Selection Examination (OMRSE) is the competitive entrance assessment used in Oman's selection process for specialty residency training places. It is aimed at medical graduates, including Omani and international applicants, who are applying to OMSB-accredited training programmes and need to demonstrate a broad, current foundation across the clinical disciplines before specialty-specific selection continues. The OMSB Residency Selection (OMRSE) case studies are 5 cases and about 4,336 words.
1Hyperkalemia and AKI after a nephrotoxic drug combination
A 68-year-old Omani man with type 2 diabetes, hypertension and CKD stage 4 (baseline creatinine 180 µmol/L, eGFR 28 mL/min/1.73 m²) presents to primary care with 3 days of vomiting and poor oral intake. He has been taking ibuprofen 400 mg three times daily for knee pain, plus metformin 1 g twice daily, ramipril 10 mg daily, spironolactone 25 mg daily and furosemide 40 mg daily.
888 words, about 4 min2Bile leak after laparoscopic cholecystectomy
A 34-year-old woman is on the surgical ward 36 hours after laparoscopic cholecystectomy for acute calculous cholecystitis. A 10 Fr drain was left in the gallbladder fossa and has drained 250 mL of bile-stained fluid in the last 24 hours.
873 words, about 4 min3Fever in an 8-week-old infant at a district hospital
An 8-week-old term infant is brought to a district hospital at 22:00 with a home temperature of 38.6°C and 12 hours of poor feeding. She is exclusively breastfed, has had six wet diapers in the last 24 hours, and no vomiting or diarrhea.
893 words, about 4 min4Severe preeclampsia at 34 weeks with a non-reassuring fetal tracing
A 32-year-old woman, G2P1, at 34+3 weeks' gestation attends the antenatal clinic with a 2-day history of frontal headache and visual flashes. BP is 172/114 mmHg on two readings 15 minutes apart; urine dipstick 3+ protein.
844 words, about 4 min5Truth-telling, code status and an insulin medication error
A 68-year-old Omani woman with end-stage kidney disease on thrice-weekly hemodialysis is admitted with weight loss and a new colonic stricture. Biopsy confirms adenocarcinoma.
838 words, about 4 min