Structured Oral Examinations in Internal Medicine - Case C

Abstract

Abstract This resource is one component of the nine-part Structured Oral Examinations in Internal Medicine series. In this case (Case C), a 65-year-old male patient is referred to your clinic complaining of progressive shortness of breath and lower limb edema for 2 months duration. He is a retired teacher. He does not take any medications and has no allergies. He is tachycardic with irregular pulse, hypoxemic, hypertensive, and has signs of volume overload. ECG shows atrial fibrillation. Chest x-ray demonstrates pulmonary edema with cardiomegaly. Echocardiogram shows low ejection fraction. 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.

Keywords

• Educational Measurement
• Professional Competence
• Atrial Fibrillation
• CHF
• Problem Solving
• Examination Questions