CPSP IMM Medicine case studies
CPSP IMM Medicine · Put your knowledge to work in context.
The IMM (Intermediate Module Medicine) is one of the examinations administered by the College of Physicians and Surgeons Pakistan (CPSP), and it appears alongside FCPS-I, FCPS-II and MCPS in the College's online examination application forms and examination schedule. It functions as an intermediate-level assessment in internal medicine taken by trainees working toward higher clinical qualifications in Pakistan; candidates typically sit it after completing the initial FCPS-I stage and before progressing to FCPS-II training in medicine. The CPSP IMM Medicine case studies are 5 cases and about 3,023 words.
1Fever, Confusion, and Worsening Renal Function in a Patient with Heart Failure
A 72-year-old man with type 2 diabetes, heart failure with preserved ejection fraction, and CKD stage 3b (baseline creatinine 150 µmol/L, eGFR 36) is brought to the emergency department by his daughter. He has had 2 days of dysuria and fever, and since this morning has been confused and less responsive.
662 words, about 3 min2Ongoing Chest Pain with Dynamic ECG Changes and Severe Renal Impairment
A 58-year-old woman presents with 3 hours of central chest pain, nausea, and diaphoresis. She has hypertension, smokes, and has permanent atrial fibrillation.
608 words, about 3 min3Hypercapnic COPD Exacerbation with Drowsiness and Limited Respiratory Support
A 67-year-old man with COPD (FEV1 42% predicted) and two previous admissions for exacerbations presents with 2 days of increased breathlessness and purulent sputum. He is drowsy but rousable and can answer simple questions.
615 words, about 3 min4Upper Gastrointestinal Bleeding in Cirrhosis on Apixaban
A 64-year-old man with alcohol-related cirrhosis (Child-Pugh class B) and atrial fibrillation presents with melena and a syncopal episode. He takes apixaban 5 mg twice daily and his last dose was 8 hours ago.
562 words, about 3 min5Severe Hyponatraemia with Confusion on a Thiazide
A 78-year-old woman is brought to the emergency department after two falls and increasing confusion over 3 days. She has hypertension and osteoarthritis and takes hydrochlorothiazide 25 mg daily, amlodipine 5 mg, and occasional ibuprofen.
576 words, about 3 min