FCPS Part-I case studies
FCPS Part-I · Put your knowledge to work in context.
FCPS Part-I is the first examination step toward Fellowship of the College of Physicians and Surgeons Pakistan, a postgraduate medical qualification awarded by CPSP, a body based in Karachi with regional centres across Pakistan and abroad. The credential is intended for medical graduates who are entering or preparing to enter CPSP training programmes; the College publishes a separate prospectus for each specialty, and the exam is administered under the Examinations Department. The FCPS Part-I case studies are 5 cases and about 2,992 words.
1Vomiting, Diuretics, and a Chloride-Responsive Alkalosis
A 58-year-old man with hypertension treated with hydrochlorothiazide 25 mg daily presents after 3 days of profuse vomiting and poor oral intake. He is drowsy but oriented.
620 words, about 3 min2Gout Treatment That Decompensates Heart Failure
A 68-year-old woman with heart failure and reduced ejection fraction (LVEF 30%) is stable on enalapril 10 mg twice daily, carvedilol 6.25 mg twice daily, spironolactone 25 mg daily, and furosemide 40 mg daily. She develops an acute gout flare of the right knee.
609 words, about 3 min3Magnesium Toxicity in Severe Pre-eclampsia
A 26-year-old primigravida at 34 weeks’ gestation is admitted with severe pre-eclampsia: BP 168/112 mmHg, 3+ proteinuria, headache, and visual flashes. She is started on magnesium sulfate 4 g IV over 20 minutes followed by 1 g/hour.
577 words, about 3 min4Paediatric Dehydration, Hyponatremia, and the Wrong Fluid
A 3-year-old boy weighing 15 kg is brought with 3 days of watery diarrhoea and vomiting. He is lethargic, has sunken eyes, dry mucous membranes, capillary refill 4 seconds, heart rate 142/min, respiratory rate 42/min, and BP 82/50 mmHg.
596 words, about 3 min5Metformin, Contrast, and a High-Anion-Gap Acidosis
A 62-year-old man with type 2 diabetes and chronic kidney disease (baseline eGFR 38 mL/min/1.73 m²) takes metformin 1 g twice daily, ramipril 10 mg daily, and ibuprofen 400 mg three times daily for knee osteoarthritis. He undergoes a contrast-enhanced CT scan for suspected renal colic.
590 words, about 3 min