Heart failure
What each heart failure question is really asking, how to structure the answer, and where the marks are likely to sit.
A case of a sixty-year-old baker with a month of increasing dyspnea, nonproductive cough, fatigue and orthopnea: state the chief complaint, give three differential diagnoses with the presumptive final diagnosis first, and propose a treatment plan from current evidence-based guidelines.
A full chart case — CC through labs — asking for differentials ruled out on the data, primary and secondary diagnoses confirmed on the data, and an evidence-based treatment plan with education, referrals, and follow-up.
An 850-word critical evaluation of Mrs. J. — 63, admitted in acute decompensated heart failure with a COPD exacerbation after stopping her medications — through seven numbered requirements from clinical manifestations to smoking-cessation options.