MedEdPORTAL (Aug 2009)

Structured Oral Examinations in Internal Medicine - Case B

  • Hani Almoallim,
  • Ali Alkatheeri,
  • Alaa Monjed,
  • Fozya Basheer,
  • Abdullah Tawakol,
  • Ahmad Imam,
  • Abdulsalam Noorwali,
  • Kamran Hameed

DOI
https://doi.org/10.15766/mep_2374-8265.1114
Journal volume & issue
Vol. 5

Abstract

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Abstract This resource is one component of the nine-part Structured Oral Examinations in Internal Medicine series. In this case (Case B), a 65-year-old Saudi male patient is brought to the emergency room by his son at 10:00 pm with history of right-sided weakness and inability to talk since 6:00 AM that morning. He is diabetic and hypertensive for 15 years. He is hypertensive in physical exam with right-sided hemiplegia. Brain CT-scan demonstrates infarction in the left temporaparietal area. There is more than 80% of carotid stenosis and ejection fraction is 45%. This approach of examination is very convenient to both students and examiners. It is structured and standardized. We were successfully able to avoid almost all disadvantages associated with a long case format. The majority of our students enjoyed the exam from personal and written feedback we received after the exam.

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