Question banks test recall.
This tests judgment.
You get a chief complaint and nothing else. Take a history in your own words — the patient answers vaguely, forgets things, and volunteers nothing you don't ask for. Order your own investigations and pay for them. Commit to a diagnosis. Then find out what you missed.
Cases
22F — vomiting since yesterday
“I've been throwing up since yesterday and I can't keep anything down.”
Emergency MedicineIntro→34F — shortness of breath
“I can't catch my breath, and it hurts in my chest when I breathe in.”
Emergency MedicineCore→28F — headache since this morning
“I've had a really bad headache since this morning and I can't shake it.”
Emergency MedicineCore→79F — confused since yesterday
“She's not herself. She's been muddled since yesterday morning.”
Geriatric MedicineCore→56M — indigestion that won't settle
“I've had this indigestion since this morning and the antacids aren't touching it.”
Emergency MedicineHard→31M — fevers for three weeks
“I've been getting fevers and chills for a few weeks and I feel awful.”
Infectious DiseasesHard→