MCPS Family Medicine case studies
MCPS Family Medicine · Put your knowledge to work in context.
MCPS Family Medicine is a postgraduate qualification in family medicine offered in Pakistan, intended for doctors who want to build a career in primary care and general practice rather than a single hospital specialty. Candidates are typically medical graduates working in general practice, basic health units, rural health centres or family medicine training posts who want a structured, examinable credential in whole-person, continuity-of-care medicine. The MCPS Family Medicine case studies are 5 cases and about 3,174 words.
1Hyperkalaemia after a routine antibiotic in heart failure and CKD
A 78-year-old woman with heart failure with reduced ejection fraction (LVEF 32%), stage 3b chronic kidney disease (baseline creatinine 1.5 mg/dL, eGFR 34 mL/min/1.73 m²), type 2 diabetes and knee osteoarthritis presents with three days of nausea, weakness and palpitations. Her medications are sacubitril–valsartan 97/103 mg twice daily, spironolactone 25 mg daily, furosemide 40 mg daily, metformin 1 g twice daily, atorvastatin 40 mg nightly and ibuprofen 400 mg as needed.
738 words, about 4 min2Persistent jaundice with pale stools in a 5-week-old
A 5-week-old boy is brought to your clinic for persistent jaundice. He was born at 39 weeks by spontaneous vaginal delivery, birth weight 3.2 kg, now 4.1 kg, and is exclusively breastfed with 6–8 wet nappies daily.
649 words, about 3 min3Severe preeclampsia at 36 weeks in a district hospital
A 34-year-old woman, G2P1, at 36 weeks and 2 days by dating ultrasound presents to a district hospital with a two-day history of frontal headache and right upper quadrant pain. Blood pressure is 172/110 mmHg on two readings 15 minutes apart; urine protein is 3+ on dipstick.
622 words, about 3 min4Suspected appendicitis three hours from a surgeon
A 26-year-old man presents to a rural clinic with 20 hours of abdominal pain that began around the umbilicus and settled in the right lower quadrant. He has anorexia, one episode of vomiting and low-grade fever.
570 words, about 3 min5A 16-year-old's request for confidentiality after disclosing abuse
A 16-year-old girl presents alone to your urban family practice requesting help with low mood. She reports 3 months of sadness, sleep disturbance, poor appetite and falling grades.
595 words, about 3 min