Search by Royal College objective

Click on the objective to see cases mapped to that objective.

2.1.1. Acute medicine

 

2.1.2. Cardiac disease

 

2.1.3. Vascular disease

  • Hypertension
  • Claudication
  • Edema
  • Aortic aneurysm
  • Venous thrombo-embolic disease and prophylaxis
  • Peripheral arterial disease
  • Peripheral venous insufficiency
  • Venous and arterial ulcers

 

2.1.4. Pulmonary disease

 

2.1.5. Gastrointestinal disease

 

2.1.6. Kidney disease

 

2.1.7. Endocrine and metabolic disorders

 

2.1.8. Diseases of the nervous system

 

2.1.9. Diseases of blood and blood-forming organs

 

2.1.10 Diseases of the musculo-skeletal system

  • Acute monoarthritis
  • Acute and chronic polyarthritis
  • Low back pain
  • Proximal muscle weakness
  • Muscular pain
  • Raynaud’s phenomenon
  • Gout and pseudogout
  • Septic arthritis
  • Osteomyelitis
  • Osteoarthritis
  • Rheumatoid arthritis
  • Sero-negative arthropathies
  • Sjogren’s syndrome
  • Systemic lupus erythematosis
  • Scleroderma
  • Temporal arteritis and polymyalgia rheumatica
  • Ankylosing spondylitis
  • Fibromyalgia
  • Paget’s disease of bone
  • Primary and secondary tumours

 

2.1.11 Diseases of the Immune System

  • Prevention of opportunistic infections
  • Immunocompromise in the patient with cancer
  • Immunocompromise due to the use of immunomodulatory agents
  • Immunoglobulin deficiencies
  • Amyloidosis

 

2.1.12 Diseases of the skin and appendages

  • Hyperpigmented lesions
  • Petechiae, purpura, ecchymoses
  • Bullous skin disease
  • Urticaria
  • Maculopapular eruptions
  • Pruritis
  • Abnormalities of nails
  • Clubbing
  • Arterial and venous insufficiency
  • Systemic disease with skin and nail manifestations
    • Nutritional deficiencies
    • Inflammatory bowel disease
    • Celiac disease
    • Malignancy
    • Connective tissue disease
    • Endocrine and metabolic disease
    • Systemic immunosuppression
  • Eczema
  • Stasis dermatitis
  • Psoriasis
  • Erythema nodosum
  • Herpes zoster
  • Stevens-Johnson syndrome
  • Toxic epidermal necrolysis
  • Disseminated herpes simplex
  • Skin cancer and premalignant conditions

 

2.1.13 Diseases associated with infectious agents

  • Pneumonia
  • Urosepsis
  • Infective endocarditis
  • Meningitis and encephalitis
  • Cellulitis and other skin infections
  • Bone and joint infections
  • Intra-abdominal infections
  • Necrotizing soft tissue infections
  • Infectious diarrhea
  • Fever of unknown origin
  • Fever in the immuno-compromised host
  • Fever in the hospitalized patient
  • Fever, skin diseases and diarrhea in the returning traveler
  • Sexually transmitted infections
  • Malaria
  • Tuberculosis including intradermal testing and interpretation
  • Humman immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) and its treatment and complications, including but not limited to:
    • Fever
    • Weight loss
    • Dyspnea, cough, hemoptysis
    • Diysphagia, diarrhea
    • Anemia, neutropenia, thrombocytopenia
    • Metabolic derangements
    • Opportunistic infections
  • Clostridium difficile colitis
  • Spectrum of activitiy, adverse effects and dose adjustments for antibiotics
  • Infection control in the hospital setting

 

2.1.14. Medical aspects of specific situations

  • Surgery
    • Peri-operative assessment and management of patients with/on
      • Heart, lung, metabolic, and kidney diseases
      • Type I and type 2 diabetes
      • Anticoagulants and anti-platelet agents
      • Hypertension
      • Arrhythmias, cardiac ischemia, pulmonary edema, lung disease, glucose abnormalities
      • Prophylaxis for infective endocarditis and venous thromboembolism
  • Occupational considerations in Internal Medicine
      • Assessment of fitness to work
  • Medical aspects of mental illness
      • Effects and side effects of psychatric medications
      • Depression presenting as physical illness
      • Effects of depression on the course of medical disease
  • Pregnancy
      • Hypertension and hypertensive disorders
      • Valvular heart disease
      • Seizures and seizure disorders
      • Thrombocytopenia
      • Disorders of glucose hemostasis including diabetes mellitus
      • Abnormal liver tests
      • Proteinuria
      • Venous thromboembolic disease
      • Cardiomyopathy
      • Endocarditis prophylaxis
      • Asthma
      • Liver diseases of pregnancy
      • Infectious diseases including but not limited to HIV and hepatitis
      • Pregnancy induced change in blood volume, hemodynamics, cardio-respiratory and renal physiology
      • Drug prescribing in pregnancy and post-partum period
  • The elderly
  • End of life
    • Pain
    • Dyspnea
    • Delirium
    • Constipation
    • Use of opioids and other medciations
    • Nausea and vomiting
    • Nutritional deficiencies
    • Terminal phase of malignant and non-malignant illness
  • Malignancy
    • Oncologic emergencies including, but not limited to:
      • Hypercalcemia
      • Spinal cord compression
      • Superior vena cava syndrome
      • Pleural and pericardial effusion
      • Tumor lysis syndrome
    • Screening and prevention
    • Chemotherapy induced symptoms, such as myelosuppression and hyperemesis
    • Most cancers are included with the relevant systems. The resident must be familiar with the principles of diagnosis and treatment. Cancers not previously discussed including, but not limited to:
      • Breast cancer
      • Ovarian cancer
      • Endometrial and cervical cancer
      • Transitional cell cancer
      • Prostate cancer
      • Head and neck cancers
    • Para-neoplastic syndromes
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