Where the numbers come from
The basis is exam reports (Prüfungsprotokolle): accounts that candidates wrote down after their FSP – with the case, the format, the board’s follow-up questions. FSPkurs collected them, anonymised them and filed them by federal state, city and year; the full text is part of the learning area. For this page we count only one thing: which clinical picture was tested in each report.
Two points for context. First, the reports are unevenly distributed – there are far more from Baden-Württemberg than from North Rhine-Westphalia; the breakdown by state shows you that. Second, every chamber is free in its choice of case. So the list does not tell you what you will get, but which clinical pictures are chosen again and again, because they suit a 20-minute history-taking: clear leading symptom, typical history, comprehensible differential diagnoses.
The ranking
Counted in 286 real exam reports from 6 federal states.
Which cases come up, and how often
The bigger the circle, the more often the diagnosis was examined. Tap a circle to see the breakdown by state.
The bigger the circle, the more often the diagnosis was examined. Tap a circle to see the breakdown by state.
- Gastrointestinales System
- Kardiovaskuläres System
- Neurologisches System
- Respiratorisches System
- Bewegungsapparat
- Psyche / Psychosomatik / Suchterkrankungen
- Endokrines System
- Autoimmun- und Bluterkrankungen
- Urogenitalsystem
- Immunsystem, Infektions- und Kinderkrankheiten
- HNO / Dermatologie / Augenheilkunde
- Not assigned
- Periphere arterielle Verschlusskrankheit (paVK)tested 9×
- Ösophaguskarzinomtested 8×
- Tiefe Venenthrombose (TVT)tested 7×
- Lyme-Borreliosetested 6×
Other diagnoses (148) +
- Kolorektales Karzinom · 5
- Leberzirrhose · 5
- Osteoporose · 5
- Rheumatisches Fieber · 5
- Cholelithiasis · 4
- Koronare Herzkrankheit (KHK) · 4
- Obere gastrointestinale Blutung (OGIB) · 4
- Pankreatitis · 4
- Abszess am Gesäß · 3
- Bronchialkarzinom · 3
- Diskusprolaps HWS · 3
- Gastroenteritis · 3
- Hypoglykämie · 3
- Hypothyreose · 3
- Laktoseintoleranz · 3
- Morbus Hodgkin · 3
- Myokardinfarkt · 3
- Zöliakie · 3
- Alzheimerkrankheit · 2
- Asthma bronchiale · 2
- Cholezystolithiasis · 2
- COPD · 2
- Diskusprolaps · 2
- Gichtanfall · 2
- Gonarthrose · 2
- Herzinsuffizienz · 2
- Hyperthyreose · 2
- Influenza · 2
- Neuritis vestibularis · 2
- obere intestinale Blutung · 2
- Oberschenkelhalsfraktur · 2
- Sprunggelenkfraktur · 2
- Ulcus ventriculi · 2
- Abzess · 1
- akute Pankreatitis Bauchspeichedrusentzündung · 1
- Alzheimer · 1
- Angina pectoris · 1
- Angina pektoris · 1
- Angina pektoris (2x) · 1
- Angina tonsillaris niesen= hapsırmak der Auswurf, der Husten, das Sputum · 1
- Anorexia nervosa · 1
- Apoplex / TIA · 1
- Apoplexie · 1
- Arthritis Urica · 1
- ASTHMA · 1
- Axillarabszess · 1
- Bandscheibenvorfall/ Diskusprolaps · 1
- Cholezystitis · 1
- Colon irritabile · 1
- COVID-19 · 1
- Coxarthrose · 1
- Diabetes mellitus · 1
- Diabetes Mellitus Typ 1 · 1
- Diabetische Ketoazidose · 1
- Diabetisches Fußsyndrom · 1
- Diskusprolaps + Ulcus ventriculi (Bandscheibenvorfall, Magengeschwür) · 1
- Divertikulose · 1
- DM 2 · 1
- DM1 · 1
- Endokarditis · 1
- Epilepsie · 1
- Epilepsie Krampfleiden, Anfallsleiden, Fallsucht · 1
- Epistaxis · 1
- Erysipel · 1
- Fahrradunfall · 1
- Femurhalsfraktur · 1
- Femurschaftfraktur · 1
- Fieberkrampf · 1
- gastrointestinale Blutung · 1
- Gastroösophageale Refluxkrankheit = saures Aufstoßen · 1
- GERD gastroösophageale Refluxkrankheit · 1
- Gicht · 1
- GÖR · 1
- Hämorrhoiden · 1
- Handgelenke Fraktur · 1
- Herpes Zoster · 1
- Hirntumor · 1
- Hüftkopfnekrose · 1
- HWI · 1
- HWS · 1
- HWS-Diskusprolaps · 1
- Hyperurikämie (Gicht) · 1
- IMN · 1
- Intrazerebrale Blutung (ICB) · 1
- Karpaltunnelsyndrom · 1
- Karzinoid · 1
- Kolonkarzynom · 1
- kolorektalem Karzinom · 1
- Lippenkarzinom · 1
- LWS-Diskusprolaps · 1
- Magenkarzinom · 1
- Malaria · 1
- Mammakarzinom · 1
- Metaboliches Syndrom · 1
- Metabolisches Syndrom · 1
- Milzruptur · 1
- Mononukleose · 1
- Morbus Crohn · 1
- Multiple Sklerose · 1
- Nikotinabusus · 1
- Non-Hodgkin-Lymphom · 1
- Nucleus-pulposus-Prolaps (Bandscheibenvorfall-Diskushernie) · 1
- Obere gastrointestinal Blutung · 1
- Obstipation bei Hypokaliämie · 1
- Obstruktive Schlafapnoe Syndrom · 1
- Obstruktives Schlafapnoesyndrom (OSAS) · 1
- Osöphaguskarzinom · 1
- osteoporotische Fraktur · 1
- Otitis media · 1
- Panikattacke · 1
- Patellafraktur · 1
- Patellaluxation · 1
- pAVK Stadium 2 b · 1
- Pertusis · 1
- Pertussis · 1
- Polymyalgia rheumatica · 1
- Polytrauma · 1
- Prostatakarzinom · 1
- Protokoll vom 02/2024 · 1
- Protokoll vom 08/2023 · 1
- Protokoll vom 09/2023 · 1
- Refluxkranheit · 1
- Reizdarmsyndrom · 1
- Rektumkarzinom · 1
- Rheumatoide Arthritis · 1
- Rippenfraktur · 1
- Rippenkontusion · 1
- Schädel-Hirn-Trauma · 1
- Schlafapnoe · 1
- Sprungelenkfraktur · 1
- Sprunggelenk Distorsion · 1
- Sprunggelenksdistorsion · 1
- Sprunggelenksfraktur · 1
- Steatosis hepatis · 1
- Synkope · 1
- Thrombophlebitis · 1
- Tonsilitis · 1
- Trauma & Unfälle · 1
- Tuberkulose · 1
- Ulcus cruris · 1
- Ulkus Peptikus. · 1
- UNFÄLLE AUFKLÄRUNGEN · 1
- Urolithiasis · 1
- Urolothiasis · 1
- Wirbelsäulenmetastasen · 1
- Zenker-Divertikel · 1
- zervikaler Diskusprolaps Bandscheibvorfall · 1
- Zystitis · 1
What this means for your preparation
Practise by leading symptom, not by diagnosis. The examiners usually only tell you „Patient mit Bauchschmerzen“ (patient with abdominal pain). Behind this one leading symptom the list holds appendicitis, diverticulitis, gastroenteritis, pancreatitis and cholecystolithiasis – the history starts the same for all of them, the differential diagnosis sets them apart. If you master the five most common leading symptoms (abdominal pain, chest pain, headache, shortness of breath, joint or back pain), you are prepared for the majority of cases.
Do not underestimate the “minor” specialties. Depression, migraine and Alzheimer’s appear high on the list – cases in which the history is particularly language-heavy: mood, sleep, drive, memory. This is where it shows whether you really command plain language.
Read the reports from your own chamber. On the state pages you will find the cases tested in your federal state and special features of the format that apply only there.
Frequently asked questions about the exam cases
Will I get a rare case in the FSP?
Rarely. The chambers choose cases that can be worked out through the history in 20 minutes and that every doctor knows. Exotic diagnoses are not suited to that – they practically never appear in the reports.
Are the cases the same in every federal state?
The principle yes, the specific selection no. Each chamber has its own case pool; the breakdown by state shows which diagnoses are reported particularly often where.
Can I read the reports?
Yes, in the FSPkurs learning area – sorted by federal state, year and specialty, with the course of the conversation and the board’s follow-up questions. Part of every report can be read for free.
How up to date is the analysis?
It is calculated from the reports in FSPkurs and changes as soon as new reports are added. Do you have one yourself? Then send it to us – anonymised, it helps everyone who comes after you.