PMC Residency Entrance Exam case studies
PMC Residency Entrance Exam · Put your knowledge to work in context.
The PMC Residency Entrance Exam is the selection test used in Pakistan for entry into postgraduate residency training (MD/MS and equivalent programmes) at public-sector teaching hospitals. It is aimed at medical graduates who hold a recognised MBBS degree, have completed their house job, and are registered with the relevant council, and who now want a hospital training post in a chosen specialty. The PMC Residency Entrance Exam case studies are 5 cases and about 4,232 words.
1Confusion, Vomiting and a Sodium of 116 After Three Weeks of Thiazide
A 58-year-old woman is brought to the emergency department by her daughter with two days of vomiting, lethargy and new confusion. Her only new medication is hydrochlorothiazide 25 mg daily, started three weeks ago for hypertension; she takes nothing else and has no history of alcohol misuse, seizures or head injury.
888 words, about 4 min2Tachycardia and Rising Creatinine on Day Four After Sigmoid Colectomy
A 64-year-old man with type 2 diabetes (HbA1c 8.4%) and a BMI of 33 underwent laparoscopic sigmoid colectomy with a stapled primary anastomosis four days ago for perforated diverticulitis. Overnight the nurse documents temperature 38.1 °C, heart rate 118/min, BP 104/62 mmHg, respiratory rate 22/min, and urine output of 20 mL/h for the last four hours.
826 words, about 4 min3Atonic Postpartum Haemorrhage in a Woman With Asthma and Pregnancy-Induced Hypertension
A 29-year-old woman, gravida 3 para 2, at 39 weeks undergoes category-1 caesarean delivery for prolonged fetal bradycardia under spinal anaesthesia. A 3.6 kg infant is delivered with Apgar 4 at one minute.
812 words, about 4 min4A Febrile Six-Week-Old Whose Mother's GBS Screening Was Never Done
A 6-week-old boy is brought at 02:00 with a rectal temperature of 38.4 °C measured at home an hour earlier. He was born at term, birth weight 3.2 kg, and discharged at 48 hours; his mother had no group B streptococcus screening swab because she was admitted as an emergency with bleeding.
836 words, about 4 min5Sixty-Four Diarrhoea Cases After a Wedding Lunch: Attack Rates and a Red Herring
On Monday morning a district health office receives a call from a wedding hall. Of 180 guests who attended a lunch on Saturday at 13:00, 64 have since had watery diarrhoea, and 14 report fever above 38 °C.
870 words, about 4 min