This list was compiled to give an idea about some of the cases that may be included in the NZREX. People who passed the exam before me wrote the original list and I just added some more cases.
- Chest Pain (Cardiac related, Anxiety, GORD, Pleuritic chest pain)
- Ankle Pain
- Loss of consciousness
- Chronic cough (Adult)
- Hearing loss + vertigo + tinnitus
- Headache (SAH, temporal arteritis, Migraine, SOL)
- Weight loss + vomiting + amenorrhoea
- 1st trimester abdominal pain
- Recurrent cough in children
- Blurring of vision + carotid bruit
- Sore throat
- Jaundice (adult and children)
- Knee pain
- High blood pressure in pregnancy
- Disruptif behaviour in children
- Suicide / self harm
- Vaginal discharge + lower abdominal pain
- Shortness of breath (CHF, Pneumothorax, PE, Asthma, Pneumonia, COPD)
- Bloody diarrhoea + abdominal cramping
- Post menopausal bleeding
- Abdominal pain in left illic fossa
- Pre-op assessment
- Epigastric pain
- Abdominal pain + vaginal bleeding in pregnancy
- RUQ pain in the last trimester of pregnancy
- Lightheadedness + one sided weakness
- Amenorrhoea (primary and secondary)
- Hip pain
- Red urine in children
- Delirium post-op
- Rashes in children
- Child with edema and proteinuria
How to use the list above?
- Check all the differential diagnosis of each case in John Murtagh's.
- Check the management plan including therapy, more investigation and follow up plan in RMO book.
- Plan your list of questions, before approaching the patient.
- Make sure you do not forget questions that can eliminate your differential diagnosis or lead you to your primary diagnosis
- Prepare at least three differential diagnosis for each case
- Know your management plan according to your diagnosis or differentials
I purposely wrote the cases in random manner, as I like to have a mix in my study each day to avoid boredom and bias. I found it better than when I study one system at the time, especially for the beginning of my study.
There might be some other cases that I have missed, please add in the comment section below if you know of any. All the cases in the NZREX are often found in New Zealand hospitals or GP clinics. Also read my post for counselling stations.