Plab 2 Exam Questions
Content
June 29 2010 1.Asthma prescription discharge 2.CVS exam 3.Alcohol Abuse 4. Breast Exam 5.PID counselling 6. MS counselling 7.IV cannulation 8.Sexual Hx 9. Intasusseption/infantile colic 10.adult cpr 11.Primary survery 12.Hoarseness of voice hx ddx 13. Tele convo. mother callin, gp gave baby antibiotics for ear infection, now baby not well, address concerns. 14.Peanut allergy. 15. Diploia exam 16. abd. pain hx ddx
2nd n 3rd march 2010 1.PAED CPR - sraightforward 2.BREAST EXAM -lump in lt upper n outer qud 3.CVS EXAM FOR HF -clubbing,heard sound was very low pitch,no other findings to me. 4.KNEE EXAM - examiner,whats diagnosis..ans- injury to medial colletreal n medial minisci 5.DIPLOPIA-LR6 FOR RT EYE
6.BLOOD SAMPLING 7.POST MORTEM COUNSELLING -sraightforward 8.ABNORMAL LIVER FUNCTION TEST DDS 9.HEADACHE DDS 10.WIEGHT LOSS DDS 11.ASTHMA DISCHARGE PRESCRIPTION 12.INSOMNIA DUE TO DEPPRESSION MX due death of her husband 6 m before 13.SEVERE DYSKARIOSIS COUNSELLING 14.NAI-TELEPHONE 15.POST OP PAIN MX FOR OPEN HERNIA OPERATION 16.TESTICULAR PAIN HISTORY,DIAGNOSIS N MX TO THE PATIENT.
June 28 2010 1. headache 2. Unconcious patient exam 3. Testicular lump counsel 4.bimanual exam 5. ABG 6. Depression counselling 7.Resp exam + pefr 8.Earache hx ddx 9. Pre-op assesment 10.ectopic preg 11.knee exam 12. suturing
13. anemaia 14. needle stick injury child 15. wt loss hx ddx
May 14 stations
1. IV cannulation 2. Viii Cranial nerve examination in a patient with dizziness 3. NAI Station 4. MRSA 5. History taking Hoarseness of voice 6. Drug addict has come to hospital for deaddiction- Assess risk factors 7. Suitablity of patient for day care surgery ( patient with DM for ankle screw removal) 8. Prenatal counselling of mother with Diabetes mellitus 9. Discharge advice in a father of patient who came with hypothermia 10. RS examination and PEFR 11. Scrotal pain. Discuss D/D and management with patient 12. Blood transfusion in patient with myelofibrosis.Tell her about side effects. 13. Meningococcal septicemia -explain diagnosis and management to mother 14. Breast examination. Discuss differential diagnosis with examiner.
respiratory system examination and explain patioent to use PEFM
2.iv.cannulation 3abdominal examination(upper) murphys was +ve 4.8th cranial nerve examination,the examiner was asking whats caloric and halpiks test? 5breast examination...lump in lower onter quadrant in rt breast 6-mrsa change the dressing...examiner was most intrested in how u put the gloves on.. 7-herion addict asses risk and discuss treatment 8-septecimia station tell the mum child has meningitis 9-hoarness of voice take history and tell dd 10-testicular pain hx and tell pt management 11-mom with a 4 and half old month child comes with scalding on bottom(but all non accidental injury questions where "no") 12-lady with diabeties wants to become pregnant ,talk to her about risks for baby and preg .complications 13pre anesthesia assesment and if pt is reliabel for day surgery 14. pt with stroke family history . talk to her 15-old lady with hypothermia. talk to son 16- pt with mylefibrosis .comes for blood transfusion...talk to her
13th may 2010 1.sterlisation counselling 2.febrile convulsions 3.cpr 4.antenatal 5.spacer 6.obtructed hernia tel conversation. 7.diabetic foot exam
8.cvs exam 9.2 to 7th nerve exam 10.gout 11.lower abdominal pain.hx diagnosis and mx 12.eyepain hx and dd 13.earache hx and dd 14.hemoptysis hx and dd 15.anorexia nervosa. 16.pre op assesment for day case.
29 april 2010 MANIKINS : 1. URINARY CATHETERISATION 2. BIMANUAL EXAMINATION (RETROVERTED UTERUS) 3. BLOOD SAMPLING
EXAMINATIONS : 4. WHIPLASH INJURY (Hx/Ex/Mx) long station 5. SCAPHOID FRACTURE 6. RS + PEFR
HISTORY / COUNSELLING 7. PSYCHOSIS 8. ELDERLY CONSTIPATION
9. Rx PRESCRIPTION FOR HYPERTENSION 10. NEEDLE STICK INJURY IN CHILD 11. PAINFUL EYE 12. GLUTEN ENTEROPATHY 13. ANAEMIA - INGUINAL HERNIA SURGERY POSTPONED 14.PARACETAMOL POISONING 15. POST MORTEM COUNSELLING AND CONSENT 16.FEBRILE CONVULSIONS
15 april 2010 1.alcohol addiction-take history and discuss management with patient 2.telephone conversation- hemicolectomy----pt bleeding 3.antenatal examination 4.chest pain---history and discuss d/d with the examiner......pul embolisn 5.Headache----history and d/d........migraine/sinusitis/cluster headache 6.ABG 7.Otoscopy---ottitis media and tuning fork examination 8.adult CPR 9.Elbow examination 10. Diabetic foot examination 11. Infantile colic----take history and discuss management with the mother 12.Viral diarrhoea-- take history, reveal diagnosis and discuss management with the mother 13.Multiple sclerosis counselling------reveal diagnosis to the pt 14. Left iliac fossa pain----history and discuss dd with the examiner------IBS
15. Urinary incontinence-----history taking only
14 April 2010 1-cognitive state exam. 2-stroke risk factors.take histor only. 3-handwashing. 4-diplopia. take history and discuss dds with the examiner. 5-carpel tunnel syndrome. take only focused history, do examination and dds with the examiner. 6-postmortem councelling.get consent. 7-70 yr old lady with osteoarthritis. evaluate risks and discuss management with the patients. 8-needle stick injury with a child.councel the mother.she was concerned abt hiv. 9-child came with dka. talk to the mother and discuss management.she was unaware of the diagnosis. 10-unconcious pt.gcs and neurological exam. 11-pefr and respiratory system examination. 12-suturing. just do the task and no commentary plz. 13-rest. 14-dysmenorrhea.talk to the lady and discuss possible mgt with the pt.she did not want ocps or nsaids or any prost....... 15-testicular carcinoma.just history and examination done shows mass attached to the testis.also discuss the further management and adress his concerns. 16-thyroid examination. 17-pt has been planned for sigmoidectomy, left hemicolectomy, resection and anastomosis, explain the procedure to pt,adress his concerns,also discuss abt possible colostomy.
AId for 14 april 2010
1-thyroid exam...no positive finding except for sweaty palms which i think the guy put some water just before,no tremors. he was a middle aged man. no swelling in the neck ,every body had the diagnosis of normal thyroid..... 2-child with dka...he was brought in a semicomatose state and found to have ketones, high blood sugar as well as i think abgs showed acidosis...it was the first time this has happened...so councel the mother abt the child's status and explain management....first start of with diagnosis...mother was not aware of the child's diabetes...you have to talk a little abt the immediate mgt that you have done,,,,like iv fluids etc dont go into that detail,,just adress her concerns,,she already knew wat diabetes was,since her uncle was diabeteic, she was more keen on asking abt insulin and life style modifications and i mentioned bracelet,and glucometer and a diabetic diary as well as hypoglycemia demonstration, she was happy in the end as i reassured her,she was panicking in the beginning.... 3-osteoarthritis...she was a 70 yr old woman,obese, and had a sedentry life stlye,diet was not proper and she recently had a fall and had a fracture....so just asked a couple of questions...she had already known about osteoporosis since she visited the hospital when she had a fracture before,,she was keen on discussing the management....no need for hrt here....she was 70.......mentioned about diet....vitamin and calcium supplements....weight bearing exercises....physiotherapist.....and bisphosphonates..she wanted to know details abt bisphosphonates..... 4-resp sys & pefr....the examiner just wanted to know the reading,,,not low or high,,,just wat the pointer said,,,250 for me...the pt was an old man,,had gynaecomastia and on auscultation there was ronchi on the right upper part of the chest...... 5-suturing was really funny.....it said in the task" no commentary plz" every thing was assume inside,no normal saline to flush,just one tooth forcep,antiseptic solution,gauze packs i mean swabs,,no drape...everything he said assume and plenty of time put 2 sutures...he was keen on looking at the technique....in the end i verbalized abt putting the needle in the sharps 3 times...and instuments for sterilization.... 6-needle stick---no test plz,,,y the test mother was anxious i calmed her down she was anxious abt hiv,she was convinced was easily when i said hiv does not get transfeered so easily just 0.5% chance even with a loaded syringe....i asked abt the child's immunization status and he was up to date with the jabs,,,then discuss mgt with the examiner,,just told him that discuss with seniors and give him pain killers if in pain and confirm the immunization status myself and if needed than give him a tetnus shot... 7-in diplopia it was take detailed history format...she had diplopia when looking to the right when writing on the blackboard...typical lateral rectus palsy....but you had to rule out other differentials,and all past hx,medications,allergies,personal,social,travel etc...........then dds with examiner.. 8-unconcious pt.....stupid simulator was confused abt his gcs he firt gave gcs of 8 then 11.everyone had different gcs for him..hypertonia throughout upper and lower limbs..did reflexes... upper and lower limb
mentioned abt babinski,,and pupillary light reflexes.
24th march 2010 plab 2 stations
1.Breast examination give dd-lump in lft upper outer quadrant. 2.suturing-already anaesthesised 3.unconcious pxt-had a neck collar on 4.coeliac dx counselling-wanted to knw about meals ,why his son had it and how he can get the meals 5.osteoporosis-has had hysterctomy was inquisitive to knw all the mgt.(she was trying to lead me to say more and more) 6.respiratory exam and pefm. 7.hypothermia in 82yr old talk to son about mgt. 8.NAI in child talk to consultant xray of abd,mid shaft lft humerus(not sure if there was acromioclavicular dislocation) 9.RIF fossa pain-radiated from umblicus give dds(was lying on couch u might be tempted to examine) 10.testicular swelling that didnt transilluminate talk to pxt about mgt. 11.lady with lat sided headache shy from light no rash in hx-give dd 12.iv cannulation 13.girl has cut her wrist after a fight with oyfriend and took alcohol assess suicidal risk 14.needle injury child injured in pack hx and examiner asked for mgt. 15.fundoscopy 16. Multiple sclerosis councelling
march 17th 2010
1.visual field examination- bitemporal hemianopia 2. primary survey - pelvic injury 3. thyroid examination. 4. obstetric palpation 5. hand washing 6. ABG 7. discuss with patient management of heart failure 8. telephone conversation - mother of child having diarrhoea 9. child had hypoglycaemic fits - talk to mother 10. asthma - tell about discharge medication 11. anxious mother - chil due for MMR 12. history - menorrhagia ( mother had fibroid) 13. take history n tell DD to examiner - dizziness 14. pt with depression tk history , had car accident 2 days back n no problem, injury ruled out. (lost job 10 months back n had suicidal ideas) 15. pt with tiredness n investigations done, tell management to patient. a list of result was given showing renal failure n pt wanted to know wether he wll hv to undergo dialysis. 16.otoscopy+ tests using tunning fork
March 25 2010 1. dose calculation 2cpr,adult 3otoscopy nd tuning fork tests 4hip examination,osteoarthris rt hip,restricted movements 5diplopia,rt lateral rectus palsy
6upper abdominal pain exaamination 7lympho rteticular system exam 8persistent headache history 9shortness of breath history 10rectal bleeding in child history 11scrotal pain history 12pain and paresthesia in hand,history,dd and examination 13laprotomy ovarian cyst 14tel conversation shock after hemicolectomy 15alcohal abuse
11 march 2010 demostrate use of spacer to mother wt loss hx n dd female preg 10 weeks ketones 3+ in urine.discuss management n hx tele conv after heimicolctomy pt collapsed whiplash hx n exam parethesia in hand take hx focused exam n dd iv cannulation mmse cvs xam fundoscopy gca tell abt long term management mmr counseling
abd hysterctomy pre op assesment n post op managemnt screaming attacks in child hx n managemnt abd pain left loin hx n dd hiv assesment of risk factors n give info appropriate to make an informed consent
NOV 26th 2009 1 IV CANNULATION 2 SUICIDAL RISK ASSESSMENT 3 HX OF PALPITATIONS 4 DOSE CALCULATIONS (insulin) 5 REST STATION SCAPHOID FRAC WRIST EXAM 6 FURIOUS MUM WITH THE CHILD OF EXCESSIVE CRYING ( she brought the child for the 3rd time but her child didnt get admitted coz all the investigations were normal she was angry as why her baby is not treated properly) 7 DIEBETTIC FOOT EXAMINATION 8 HX OF WEIGHT LOSS 10 HX OF MENORRHAGIA 11 COUNCELLING WITH THE PATIENT WITH THE TESTICULAR LUMP 12 PAIN MANAGEMENT OF THE PATIENT SUFFERING FROM TERMINAL NON HODGKIN LYMPHOMA ( already was on paracetamol and ibuprofen)
13 RESPIRATORY SYSTEM EXAMINATION 14 REST STATIONS 15 ANTE NATAL EXAMINATION 16 TELEPHONE CONVERSATION WITH A MUM WORRIED ABOUT HER CHILD HAVING DIARRHEA ( 6 MONTHS AGO HER CHILD HAD SEVERE DIARHOEAFOR WHICH SHE HAD ADMISSION)
23.10.2009
Manikins:
1- Ophthalmoscopy "it was proliferative retinopathy" , the examiner was really nice, and now u don't need to examine the manikin with the opthalmoscopy.. u just examine the patient for red reflex.. then just sit on the chir and look directly into the manikin eye.. really better
2- Testicular examination.. 2 solid swellings one in each testis, most probably cancer
3- CPR of a child.. the examiner was nice, she just let's u stop after u do the phone call.. but maybe coz it's the end of the day..
4- Pap smear.. with the new technique "cervical brush"
Examinations:
1- Knee examination: was medial collateral ligament injury plus mention differentials
2- heart examination of pt with heart failure
Hx and counselling
1- Hx of male 25 pt with history of shortness of breath, dry cough and weigh loss "PCP but unfortunately i messed it up.. don't know how couldn't i think of pneumonia.. the man mentioned my partner noticed i loosed weight.. looked homosexual for me but didn't want to ask about something irrelevant.. but it was obvious for everybody it was just my cloudiness who made me think about lung cancer mainly
2- Hx of incontinence for 6 years with no medications and manage "stress incontinence"
3- Hx of headache and DDs with examiner "really nice old lady and it was giant cell arteritis"
4- Mother with her child having fracture ankle.. preoperative assessment for anesthesia as he's undergoing OR and IF
5- Suicidal risk assessment of female in low mood "crying with eyes down"
6- Son of a mother with hypothermia, counsel about the incident and future management.. The sun was to be rude coz mom living alone and wasn't helping, when i told him i'll be offering your mom some advices not to live alone as she can move to a pensioner house.. he said no i'm against that!!! i was like whaaaa!
7- Counsel a patient with incurable lymphoma.. will be put on morphine.. the patient was stubborn about morphine, its side effect, he said so now i'm a terminally ill patient doctor, so am i going to die? and also he knows it's a addictive.. i reassured and couldn't believe when before 5minutes ring bell he told me ok doctor i'll accept it if it's the best option for me
8- Counsel a patient about pain relief when he developed severe pain the first day after herniorrhaphy
9- Counsel a patient who were on OCP and stopped it by her GP as he has DVT 2 months ago.. give her other options
Others
1- Dose calculations : i missed it up coz i couldn't have a brain unfortunately.. really sleep before the exam, it's a must
29 10 09 ABG SUTURING PR RESPIRATORY SYSTEM EXAMINATION ALCOHOLIC FOOT EXAMINATION CHILD CONVULSIONS ABDOMINAL PAIN FRACTURE FEMURE WARFARINE COUNCELLING CELLULITIS MEDICATION DEPRESSION OSTEOPOROSIS LP --- COUNCELLING COELICIAC DISEASE COUNCELLING INFERTILITY - HX FUNDOSCOPY REST
27-10-09 1-cvs exam 2-testicular manikin 3-microcytic anemia in 70 yrs lady 4-spacer 5-child who took one of the granny tamoxifen 6-fluxetin 7-sti counselling 8-LP 9-red eye 10-hot flush just take the history 11-uncounsience paitent 12-hypothermia talk to her son 13-telephone conversation about pt with obstruction due to hernia 14-vasovagal 15-iv canulation 16???
1st dec 2009 1. ABG 2. Catheterization 3. Bimanual ex 4. CVS 5. Lymphoreticular System Exam.
6. Whiplash Examination 7. URTI.....mum asking for Antibiotics....counselling 8. Cough + sputum.....Hx + dd 9. Malaena Hx+ DD 10. GCA.....pt on steroids....counselling re. side effects... 11. Diabetic Retinopathy 12. Alcoholic patient.....councel re. gastroscopy 13. Foreign Body Ingestion 14. Elderly abuse....NAI
Dec2 2009 1.Respiratory system exam with PEFR 2.Child CPR 3. IV Cannulation 4.Antenatal exam-minikin 5. Chest pain-history taking only 6. Anemia in 71 yrs man History and DDs 7. Telephone conversation with Consultant- Fracture humerus and interstinal obstruction may be NAI 8. HIV test- asking for test due to unprotceted intercourse- talk to her 9.laparoscopic sterilisation- concern to be explained 10. Hernia operation under local Anaesthesia - address concern of the patient 11. Alcoholic foot examination 12.A lady with IDDM -does'nt want insulin, explain her about importance of continuous monitoring 13.Fluoxitene- counselling
14.Red eye- history and DDs 15.Hip examination 16.Incontinence in 51 yrs old lady, still has periods
25/11/2009 Diabetic Foot examination Headache examination Dose calculation Cervical smear Pr examination Hand washing Pre-hiv councelling NAI Dysphagia Chronic fatigue syndrome Hemicolectomy Child fever councel mother MI discharge prescription Pre- eclamsia MMSE MS Rest
16 NOV 2009
1.POSTMORTEM COUNSELLING FOR CONSENT. 2.ANTENATAL EXAM.MANIKIN. 3.VENEPUNCTURE MANIKIN. 4.PEANUT ALLERGY. 5.HEMICOLECTOMY. 6.HANDWASHING. 7.SEXUAL HISTORY. 8.PAIN MANAGEMENT IN A PT.WITH DEGENERATIVE BONE DISEASE. 9.ANOREXIA NERVOSA. 10.HEADACHE HISTORY. 11.INITIAL SURVEY. 12.VOMITTING IN A CHILD. 13.DIPLOPIA HISTORY TAKING AND DD. 14.PEFR/RESP EXAM. 15.DIABETIC FOOT. 16.NECKLYMPH NODES IN A CHILD
nov 3rd 2009 1.ectopic pregnancy counselling planning 4 lap. 2.RA pt with septic arthritis on steroid inj counsel. 3.alcoholic foot examn sensory and reflexes. 4.dysphagia Hx and D/d. 5.delayed walking 2yrs hx and d/d. 6.elderly constipation (morphine) hx and d/d. 7.dose calculation insulin and demonstrate.
8.resp examn and pefr. 9.scaphoid # wrist examn and xray and cast. 10.breast examn. 11.BBN meningococcal septicaemia. 12.hx of DSH pt. 13.blood sampling with blood form. 14.telephone conversation post op right hemicolectomy pt. now hyperventilating sweaty abd distension. 15.non pharmacological mngmt of hypertension. 16.RUQ abd pain hx and d/d. 17.rest.
2nd Nov 2009 17 stations means 2 pilot station: 1-suturing 2-gout counceling 3-dysphagia Hx 4-dry cough and weight loss(pnomocyctis carini) 5- bimanual examination of uterus 6-adult CPR 7-MMR vaccine counceling 8-IDDM child Hx and counceling 9-ankle strain Hx and examination 10-Panic attack Hx 11-Testicular pain Hx and counceling
12-An old man with LLQ and umblical and RUQ! abdominal pain Hx 13-CVS examination 14- Thyroid examination 15-Cranial nerve II to VII examination 16-pracetamol poisioning 17-REST!
29-10-09 ABG SUTURING PR RESPIRATORY SYSTEM EXAMINATION ALCOHOLIC FOOT EXAMINATION CHILD CONVULSIONS ABDOMINAL PAIN FRACTURE FEMURE WARFARINE COUNCELLING CELLULITIS MEDICATION DEPRESSION OSTEOPOROSIS LP --- COUNCELLING COELICIAC DISEASE COUNCELLING INFERTILITY - HX
FUNDOSCOPY REST
27-10-09 1-cvs exam 2-testicular manikin 3-microcytic anemia in 70 yrs lady 4-spacer 5-child who took one of the granny tamoxifen 6-fluxetin 7-sti counselling 8-LP 9-red eye 10-hot flush just take the history 11-uncounsience paitent 12-hypothermia talk to her son 13-telephone conversation about pt with obstruction due to hernia 14-vasovagal 15-iv canulation 16???
28-10-09 breast exam upper abd exam
thyroid exam tamoxifen accidental ingestion in a child red eye dizziness histry n counsellin blood sampling SOME MORE OF 28 10 09 1.breast exam 2.upper abd exam 3.thyroid exam 4.tamoxifen accidental ingestion in a child 5.red eye 6.dizziness histry n counsellin 7.blood sampling 8.knee examination 9.dose calculations
22-10-09 1 asthma counseling 2.venopuncture 3.mme 4.suturing 5.diplopia 6.elbow examination , Tennis elbow, Mx with pt 7.unconcious patient exam. 8. Child with fever followed by bruises 2 weeks later
9.Breech presentaion (PILOT) 10 Despepsia Hx 11 Wound infections 2 weeks after Heniorraphy 12Calf pain Hx 13 Weight loss Hx 14 Diskariosis ( Severe ) management 15 Child with convulsion Mx with mother
23/10/09 stations....
1- Ophthalmoscopy "it was proliferative retinopathy" 2- Testicular examination.. 2 solid swellings one in each testis, most probably cancer 3- CPR of a child. 4- Pap smear.. with the cervical brush" 5- Knee examination: was medial collateral ligament injury plus mention differentials 6- heart examination of pt with heart failure 7- Hx of male 25 pt with history of shortness of breath, dry cough and weigh loss "PCP. 8- Hx of incontinence for 6 years with no medications and manage "stress incontinence" 9- Hx of headache and DDs with examiner was giant cell arteritis" 10- Mother with her child having fracture ankle.. preoperative assessment for anesthesia. 11- Suicidal risk assessment of female in low mood "crying with eyes down" 12- Son of a mother with hypothermia, counsel about the incident and future management. 13- Counsel a patient with incurable lymphoma.. will be put on morphine. its side effect. 14- Counsel a patient about pain relief when he developed severe pain the first day after herniorrhaphy 15- Counsel a patient who were on OCP and stopped it by her GP as he has DVT 2 months ago.. give her other options
16- Dose calculations
12-10-09 1.diabetic foot 2.cvs 3.hand washing 4.ophthalmoscopy 5.PR 6.Blood sampling 7.morphine dose calculation 8.morphine - counselling 9.headache history - migraine 10. menorrhagia- history 11.needle stick injury - child in park 12.appendicectomy counselling to mom 13.post hemicolectomy collapse - telephonic 14. heel pain - history and diagnosis/mmt to examiner 15.alcohol quit counselling 16.asthma prescription to child 17.rest anxious mother (needle stick injury in the feet of her child while playing in the park) was realy hard to deal with , as whatever u say she will NOT like it.
asthma prescription (he was an adult not a child) there were a blue and brown inhalers as will as steroid tablets.
in per rectum exam i think it was ca prostate , dont u agree ??
13-10-09 1/CPR peads 2/antenatal exam 3/IBS 4/suturing 5/thyroid ex 6/MS counselling 7/Anaemia history + mgt 8/NAI telephone XR fr humerus 9/breathless kid + diarrhea CF history Dds 10/resp ex+ pefr 11/nurse doctor conversation: explaining post MI medication
SOME MORE OF 13-10-09
12-knee examination 13-post MI counselling 14-panic attack 15-pt have pain in abdomen all investigations are normal talk to agressive pt 16-pain in left side of abdomen take hx and give dd's to examiner 17-diabetic retinopathy councelling
14/7/09 catheterization blood sampling brest examination resp examination alcoholic foot exam headach history child dd mmr councelling mental state examination non accidental injury scalds Chestpain history and DD pre-eclampsia counsel for c/s Thyroid examination, Psychotic assessment Anemia counseling and hx
13th july 2009 1) Diabetic foot examination 2)Cranial nerve 11-V11 examination
3)testicular examination 4)cognitive assessment of an elderly confused male 5)CPR of an unconcsious pedestrain 6)Spacer demonstration to a mother 7)Needle stick injury...discuss the immediate management with the patient 8)red eye..history taking n d/d to the examiner 9)telephone conversation with a mother whose child was havind diarrhoea ...hv to discuss mangemnt 10)X ray chest ..telephone conversation with the registrar ...discuss 11)breathlessness..history taking n d/d's with the examiner 12)BBN..mesothelioma 13) a woman had cervial smear n u hd the result which shows severe dyskaryosis...u hv to discuss the report with her n discuss abt colposcopy 14)a female with tingling in hand ,,history taking n d/d's with the examiner 15)discuss abt postoperative pain managemnt with a patient undergoing herniorraphy 16)discuss life style modification with a patient recently diagnosed with gout 17)rest
16-07-09 1-exmination of unconscius pt. 2-council father of coeliac disease. 3-explain discharge medicine to asthme patient. 4- six month chind with fracture femur. NAI. 5-hypothermia on 80 yr old lady,xplain mng wth son. 6-cvs examination in cardiac failure pt. 7- drug abuse, patient wanted to quit. 8-insomnia in a pt using,methotrexate,paracetamol for osteoarthritis.
9-suture. 10-bimanual p/v. 11- i/v canulation. 12- 55 yr old lady wth pins and needle stiffness,tingling in arm. 13-visual field exmination. 14-young femle wth throat infection wth fever soar throat. 15-febrile fits n child, mother worried. 16- elderly man wth symptoms of urin obstruction wth uti, discuss managment wth pt. 17- rest station
15th july 2009 1) Handwashing 2) Painful eye, DD and discuss management with the examiner. I fumbled the station. 3) Antenatal examination 4) Weight loss in a young girl,discuss DD with the examiner 5) Paracetamol Overdose, management. A youg girl that took 15 tablets and presented 12 hours later 6) Post Herniorrhaphy woud infection. Allay the patient's concerns. 7) Examination of the upper abdomen. discuss finding with the examiner 8) Examination of the lymphoendothelial system. Forgot to examine the month for bleeding and gum hypertrophy. 9) Inconsolable cry in a 4mnth old child. Allay mother's fears. investigations were all normal. Messed up here as well. it was in fantile colic 10)Assessment of risk factors of Stroke . History taking
asthma pt counselling abt starting on steroids, testicular lump counselling abt management,
colicky baby- mother too tired and worried, post op pt with pain and discharge from wound after 3 weeks he was coughing so that was the cause of it u had to deal with him as an angry patient, obstetric manikin examination, lymphoreticular system examination, scaphoid fracture, handwashing, pt with right upper quadrant pain and nuasea specially after eating we had to examine him from above the umbilicus, h/o headache, h/o pain in right eye that was glaucoma i think, stroke risk factor assessment, paracetamol overdose.... 11. Wrist joint examination 12. Paediatric CPR 13. Patient that presented with leg swelling. Take a history. it was cardiac failure history taking and discuss management with the examiner 14.
15/7/09 stations 1.Handwashing 2.Abdomen examn-RUQ pain 0n &off(GB stones) 3.Lymphoreticular examn 4.colic baby 5.painful red eye-60 yr old with headache-GCA/Glacoma 6.wt loss-hyperthyroid 7.Paed CPR 8.Heart failure pt c/o pain in calf 9.scaphoid fracture with x-ray 10.PCT overdose-talk to the pt about the implications,diagnosis &mgt 11.34 wk preg- manikin examn 12.headche h/o-migraine/cluster headache/space occupying lesion 13.stroke pt risk assessment 14.hernia repair 3wks ago-wound discharge angry pt
15.Asthma mgt 16.testicular lump-talk to the pt about further tests &mgt Honestly all the stations went pretty well.didn't do any blunders.missed 1 or 2 pts here & there.hope for the best.to those who r taking exams in
13.7.09 1.testicular exam 2.heartfailure history of breathlessness. 3.gout dos n donts 4.cranial nerve 2-7 5.ng feeding xray 6.dirraoea fone conversation 7.cpr 8.diabetic foot. 9.red eye 10.gout management,dos n dont 11.needle stick 12.mesothelioma 13.pins n needles in arm. 14.pain management post hernioraphy pin and needles (carpal tunnel syndrom) due to occupation(secretary with right hand dominant).
2nd n 3rd march 2010 1.PAED CPR - sraightforward 2.BREAST EXAM -lump in lt upper n outer qud 3.CVS EXAM FOR HF -clubbing,heard sound was very low pitch,no other findings to me. 4.KNEE EXAM - examiner,whats diagnosis..ans- injury to medial colletreal n medial minisci 5.DIPLOPIA-LR6 FOR RT EYE
6.BLOOD SAMPLING 7.POST MORTEM COUNSELLING -sraightforward 8.ABNORMAL LIVER FUNCTION TEST DDS 9.HEADACHE DDS 10.WIEGHT LOSS DDS 11.ASTHMA DISCHARGE PRESCRIPTION 12.INSOMNIA DUE TO DEPPRESSION MX due death of her husband 6 m before 13.SEVERE DYSKARIOSIS COUNSELLING 14.NAI-TELEPHONE 15.POST OP PAIN MX FOR OPEN HERNIA OPERATION 16.TESTICULAR PAIN HISTORY,DIAGNOSIS N MX TO THE PATIENT.
June 28 2010 1. headache 2. Unconcious patient exam 3. Testicular lump counsel 4.bimanual exam 5. ABG 6. Depression counselling 7.Resp exam + pefr 8.Earache hx ddx 9. Pre-op assesment 10.ectopic preg 11.knee exam 12. suturing
13. anemaia 14. needle stick injury child 15. wt loss hx ddx
May 14 stations
1. IV cannulation 2. Viii Cranial nerve examination in a patient with dizziness 3. NAI Station 4. MRSA 5. History taking Hoarseness of voice 6. Drug addict has come to hospital for deaddiction- Assess risk factors 7. Suitablity of patient for day care surgery ( patient with DM for ankle screw removal) 8. Prenatal counselling of mother with Diabetes mellitus 9. Discharge advice in a father of patient who came with hypothermia 10. RS examination and PEFR 11. Scrotal pain. Discuss D/D and management with patient 12. Blood transfusion in patient with myelofibrosis.Tell her about side effects. 13. Meningococcal septicemia -explain diagnosis and management to mother 14. Breast examination. Discuss differential diagnosis with examiner.
respiratory system examination and explain patioent to use PEFM
2.iv.cannulation 3abdominal examination(upper) murphys was +ve 4.8th cranial nerve examination,the examiner was asking whats caloric and halpiks test? 5breast examination...lump in lower onter quadrant in rt breast 6-mrsa change the dressing...examiner was most intrested in how u put the gloves on.. 7-herion addict asses risk and discuss treatment 8-septecimia station tell the mum child has meningitis 9-hoarness of voice take history and tell dd 10-testicular pain hx and tell pt management 11-mom with a 4 and half old month child comes with scalding on bottom(but all non accidental injury questions where "no") 12-lady with diabeties wants to become pregnant ,talk to her about risks for baby and preg .complications 13pre anesthesia assesment and if pt is reliabel for day surgery 14. pt with stroke family history . talk to her 15-old lady with hypothermia. talk to son 16- pt with mylefibrosis .comes for blood transfusion...talk to her
13th may 2010 1.sterlisation counselling 2.febrile convulsions 3.cpr 4.antenatal 5.spacer 6.obtructed hernia tel conversation. 7.diabetic foot exam
8.cvs exam 9.2 to 7th nerve exam 10.gout 11.lower abdominal pain.hx diagnosis and mx 12.eyepain hx and dd 13.earache hx and dd 14.hemoptysis hx and dd 15.anorexia nervosa. 16.pre op assesment for day case.
29 april 2010 MANIKINS : 1. URINARY CATHETERISATION 2. BIMANUAL EXAMINATION (RETROVERTED UTERUS) 3. BLOOD SAMPLING
EXAMINATIONS : 4. WHIPLASH INJURY (Hx/Ex/Mx) long station 5. SCAPHOID FRACTURE 6. RS + PEFR
HISTORY / COUNSELLING 7. PSYCHOSIS 8. ELDERLY CONSTIPATION
9. Rx PRESCRIPTION FOR HYPERTENSION 10. NEEDLE STICK INJURY IN CHILD 11. PAINFUL EYE 12. GLUTEN ENTEROPATHY 13. ANAEMIA - INGUINAL HERNIA SURGERY POSTPONED 14.PARACETAMOL POISONING 15. POST MORTEM COUNSELLING AND CONSENT 16.FEBRILE CONVULSIONS
15 april 2010 1.alcohol addiction-take history and discuss management with patient 2.telephone conversation- hemicolectomy----pt bleeding 3.antenatal examination 4.chest pain---history and discuss d/d with the examiner......pul embolisn 5.Headache----history and d/d........migraine/sinusitis/cluster headache 6.ABG 7.Otoscopy---ottitis media and tuning fork examination 8.adult CPR 9.Elbow examination 10. Diabetic foot examination 11. Infantile colic----take history and discuss management with the mother 12.Viral diarrhoea-- take history, reveal diagnosis and discuss management with the mother 13.Multiple sclerosis counselling------reveal diagnosis to the pt 14. Left iliac fossa pain----history and discuss dd with the examiner------IBS
15. Urinary incontinence-----history taking only
14 April 2010 1-cognitive state exam. 2-stroke risk factors.take histor only. 3-handwashing. 4-diplopia. take history and discuss dds with the examiner. 5-carpel tunnel syndrome. take only focused history, do examination and dds with the examiner. 6-postmortem councelling.get consent. 7-70 yr old lady with osteoarthritis. evaluate risks and discuss management with the patients. 8-needle stick injury with a child.councel the mother.she was concerned abt hiv. 9-child came with dka. talk to the mother and discuss management.she was unaware of the diagnosis. 10-unconcious pt.gcs and neurological exam. 11-pefr and respiratory system examination. 12-suturing. just do the task and no commentary plz. 13-rest. 14-dysmenorrhea.talk to the lady and discuss possible mgt with the pt.she did not want ocps or nsaids or any prost....... 15-testicular carcinoma.just history and examination done shows mass attached to the testis.also discuss the further management and adress his concerns. 16-thyroid examination. 17-pt has been planned for sigmoidectomy, left hemicolectomy, resection and anastomosis, explain the procedure to pt,adress his concerns,also discuss abt possible colostomy.
AId for 14 april 2010
1-thyroid exam...no positive finding except for sweaty palms which i think the guy put some water just before,no tremors. he was a middle aged man. no swelling in the neck ,every body had the diagnosis of normal thyroid..... 2-child with dka...he was brought in a semicomatose state and found to have ketones, high blood sugar as well as i think abgs showed acidosis...it was the first time this has happened...so councel the mother abt the child's status and explain management....first start of with diagnosis...mother was not aware of the child's diabetes...you have to talk a little abt the immediate mgt that you have done,,,,like iv fluids etc dont go into that detail,,just adress her concerns,,she already knew wat diabetes was,since her uncle was diabeteic, she was more keen on asking abt insulin and life style modifications and i mentioned bracelet,and glucometer and a diabetic diary as well as hypoglycemia demonstration, she was happy in the end as i reassured her,she was panicking in the beginning.... 3-osteoarthritis...she was a 70 yr old woman,obese, and had a sedentry life stlye,diet was not proper and she recently had a fall and had a fracture....so just asked a couple of questions...she had already known about osteoporosis since she visited the hospital when she had a fracture before,,she was keen on discussing the management....no need for hrt here....she was 70.......mentioned about diet....vitamin and calcium supplements....weight bearing exercises....physiotherapist.....and bisphosphonates..she wanted to know details abt bisphosphonates..... 4-resp sys & pefr....the examiner just wanted to know the reading,,,not low or high,,,just wat the pointer said,,,250 for me...the pt was an old man,,had gynaecomastia and on auscultation there was ronchi on the right upper part of the chest...... 5-suturing was really funny.....it said in the task" no commentary plz" every thing was assume inside,no normal saline to flush,just one tooth forcep,antiseptic solution,gauze packs i mean swabs,,no drape...everything he said assume and plenty of time put 2 sutures...he was keen on looking at the technique....in the end i verbalized abt putting the needle in the sharps 3 times...and instuments for sterilization.... 6-needle stick---no test plz,,,y the test mother was anxious i calmed her down she was anxious abt hiv,she was convinced was easily when i said hiv does not get transfeered so easily just 0.5% chance even with a loaded syringe....i asked abt the child's immunization status and he was up to date with the jabs,,,then discuss mgt with the examiner,,just told him that discuss with seniors and give him pain killers if in pain and confirm the immunization status myself and if needed than give him a tetnus shot... 7-in diplopia it was take detailed history format...she had diplopia when looking to the right when writing on the blackboard...typical lateral rectus palsy....but you had to rule out other differentials,and all past hx,medications,allergies,personal,social,travel etc...........then dds with examiner.. 8-unconcious pt.....stupid simulator was confused abt his gcs he firt gave gcs of 8 then 11.everyone had different gcs for him..hypertonia throughout upper and lower limbs..did reflexes... upper and lower limb
mentioned abt babinski,,and pupillary light reflexes.
24th march 2010 plab 2 stations
1.Breast examination give dd-lump in lft upper outer quadrant. 2.suturing-already anaesthesised 3.unconcious pxt-had a neck collar on 4.coeliac dx counselling-wanted to knw about meals ,why his son had it and how he can get the meals 5.osteoporosis-has had hysterctomy was inquisitive to knw all the mgt.(she was trying to lead me to say more and more) 6.respiratory exam and pefm. 7.hypothermia in 82yr old talk to son about mgt. 8.NAI in child talk to consultant xray of abd,mid shaft lft humerus(not sure if there was acromioclavicular dislocation) 9.RIF fossa pain-radiated from umblicus give dds(was lying on couch u might be tempted to examine) 10.testicular swelling that didnt transilluminate talk to pxt about mgt. 11.lady with lat sided headache shy from light no rash in hx-give dd 12.iv cannulation 13.girl has cut her wrist after a fight with oyfriend and took alcohol assess suicidal risk 14.needle injury child injured in pack hx and examiner asked for mgt. 15.fundoscopy 16. Multiple sclerosis councelling
march 17th 2010
1.visual field examination- bitemporal hemianopia 2. primary survey - pelvic injury 3. thyroid examination. 4. obstetric palpation 5. hand washing 6. ABG 7. discuss with patient management of heart failure 8. telephone conversation - mother of child having diarrhoea 9. child had hypoglycaemic fits - talk to mother 10. asthma - tell about discharge medication 11. anxious mother - chil due for MMR 12. history - menorrhagia ( mother had fibroid) 13. take history n tell DD to examiner - dizziness 14. pt with depression tk history , had car accident 2 days back n no problem, injury ruled out. (lost job 10 months back n had suicidal ideas) 15. pt with tiredness n investigations done, tell management to patient. a list of result was given showing renal failure n pt wanted to know wether he wll hv to undergo dialysis. 16.otoscopy+ tests using tunning fork
March 25 2010 1. dose calculation 2cpr,adult 3otoscopy nd tuning fork tests 4hip examination,osteoarthris rt hip,restricted movements 5diplopia,rt lateral rectus palsy
6upper abdominal pain exaamination 7lympho rteticular system exam 8persistent headache history 9shortness of breath history 10rectal bleeding in child history 11scrotal pain history 12pain and paresthesia in hand,history,dd and examination 13laprotomy ovarian cyst 14tel conversation shock after hemicolectomy 15alcohal abuse
11 march 2010 demostrate use of spacer to mother wt loss hx n dd female preg 10 weeks ketones 3+ in urine.discuss management n hx tele conv after heimicolctomy pt collapsed whiplash hx n exam parethesia in hand take hx focused exam n dd iv cannulation mmse cvs xam fundoscopy gca tell abt long term management mmr counseling
abd hysterctomy pre op assesment n post op managemnt screaming attacks in child hx n managemnt abd pain left loin hx n dd hiv assesment of risk factors n give info appropriate to make an informed consent
NOV 26th 2009 1 IV CANNULATION 2 SUICIDAL RISK ASSESSMENT 3 HX OF PALPITATIONS 4 DOSE CALCULATIONS (insulin) 5 REST STATION SCAPHOID FRAC WRIST EXAM 6 FURIOUS MUM WITH THE CHILD OF EXCESSIVE CRYING ( she brought the child for the 3rd time but her child didnt get admitted coz all the investigations were normal she was angry as why her baby is not treated properly) 7 DIEBETTIC FOOT EXAMINATION 8 HX OF WEIGHT LOSS 10 HX OF MENORRHAGIA 11 COUNCELLING WITH THE PATIENT WITH THE TESTICULAR LUMP 12 PAIN MANAGEMENT OF THE PATIENT SUFFERING FROM TERMINAL NON HODGKIN LYMPHOMA ( already was on paracetamol and ibuprofen)
13 RESPIRATORY SYSTEM EXAMINATION 14 REST STATIONS 15 ANTE NATAL EXAMINATION 16 TELEPHONE CONVERSATION WITH A MUM WORRIED ABOUT HER CHILD HAVING DIARRHEA ( 6 MONTHS AGO HER CHILD HAD SEVERE DIARHOEAFOR WHICH SHE HAD ADMISSION)
23.10.2009
Manikins:
1- Ophthalmoscopy "it was proliferative retinopathy" , the examiner was really nice, and now u don't need to examine the manikin with the opthalmoscopy.. u just examine the patient for red reflex.. then just sit on the chir and look directly into the manikin eye.. really better
2- Testicular examination.. 2 solid swellings one in each testis, most probably cancer
3- CPR of a child.. the examiner was nice, she just let's u stop after u do the phone call.. but maybe coz it's the end of the day..
4- Pap smear.. with the new technique "cervical brush"
Examinations:
1- Knee examination: was medial collateral ligament injury plus mention differentials
2- heart examination of pt with heart failure
Hx and counselling
1- Hx of male 25 pt with history of shortness of breath, dry cough and weigh loss "PCP but unfortunately i messed it up.. don't know how couldn't i think of pneumonia.. the man mentioned my partner noticed i loosed weight.. looked homosexual for me but didn't want to ask about something irrelevant.. but it was obvious for everybody it was just my cloudiness who made me think about lung cancer mainly
2- Hx of incontinence for 6 years with no medications and manage "stress incontinence"
3- Hx of headache and DDs with examiner "really nice old lady and it was giant cell arteritis"
4- Mother with her child having fracture ankle.. preoperative assessment for anesthesia as he's undergoing OR and IF
5- Suicidal risk assessment of female in low mood "crying with eyes down"
6- Son of a mother with hypothermia, counsel about the incident and future management.. The sun was to be rude coz mom living alone and wasn't helping, when i told him i'll be offering your mom some advices not to live alone as she can move to a pensioner house.. he said no i'm against that!!! i was like whaaaa!
7- Counsel a patient with incurable lymphoma.. will be put on morphine.. the patient was stubborn about morphine, its side effect, he said so now i'm a terminally ill patient doctor, so am i going to die? and also he knows it's a addictive.. i reassured and couldn't believe when before 5minutes ring bell he told me ok doctor i'll accept it if it's the best option for me
8- Counsel a patient about pain relief when he developed severe pain the first day after herniorrhaphy
9- Counsel a patient who were on OCP and stopped it by her GP as he has DVT 2 months ago.. give her other options
Others
1- Dose calculations : i missed it up coz i couldn't have a brain unfortunately.. really sleep before the exam, it's a must
29 10 09 ABG SUTURING PR RESPIRATORY SYSTEM EXAMINATION ALCOHOLIC FOOT EXAMINATION CHILD CONVULSIONS ABDOMINAL PAIN FRACTURE FEMURE WARFARINE COUNCELLING CELLULITIS MEDICATION DEPRESSION OSTEOPOROSIS LP --- COUNCELLING COELICIAC DISEASE COUNCELLING INFERTILITY - HX FUNDOSCOPY REST
27-10-09 1-cvs exam 2-testicular manikin 3-microcytic anemia in 70 yrs lady 4-spacer 5-child who took one of the granny tamoxifen 6-fluxetin 7-sti counselling 8-LP 9-red eye 10-hot flush just take the history 11-uncounsience paitent 12-hypothermia talk to her son 13-telephone conversation about pt with obstruction due to hernia 14-vasovagal 15-iv canulation 16???
1st dec 2009 1. ABG 2. Catheterization 3. Bimanual ex 4. CVS 5. Lymphoreticular System Exam.
6. Whiplash Examination 7. URTI.....mum asking for Antibiotics....counselling 8. Cough + sputum.....Hx + dd 9. Malaena Hx+ DD 10. GCA.....pt on steroids....counselling re. side effects... 11. Diabetic Retinopathy 12. Alcoholic patient.....councel re. gastroscopy 13. Foreign Body Ingestion 14. Elderly abuse....NAI
Dec2 2009 1.Respiratory system exam with PEFR 2.Child CPR 3. IV Cannulation 4.Antenatal exam-minikin 5. Chest pain-history taking only 6. Anemia in 71 yrs man History and DDs 7. Telephone conversation with Consultant- Fracture humerus and interstinal obstruction may be NAI 8. HIV test- asking for test due to unprotceted intercourse- talk to her 9.laparoscopic sterilisation- concern to be explained 10. Hernia operation under local Anaesthesia - address concern of the patient 11. Alcoholic foot examination 12.A lady with IDDM -does'nt want insulin, explain her about importance of continuous monitoring 13.Fluoxitene- counselling
14.Red eye- history and DDs 15.Hip examination 16.Incontinence in 51 yrs old lady, still has periods
25/11/2009 Diabetic Foot examination Headache examination Dose calculation Cervical smear Pr examination Hand washing Pre-hiv councelling NAI Dysphagia Chronic fatigue syndrome Hemicolectomy Child fever councel mother MI discharge prescription Pre- eclamsia MMSE MS Rest
16 NOV 2009
1.POSTMORTEM COUNSELLING FOR CONSENT. 2.ANTENATAL EXAM.MANIKIN. 3.VENEPUNCTURE MANIKIN. 4.PEANUT ALLERGY. 5.HEMICOLECTOMY. 6.HANDWASHING. 7.SEXUAL HISTORY. 8.PAIN MANAGEMENT IN A PT.WITH DEGENERATIVE BONE DISEASE. 9.ANOREXIA NERVOSA. 10.HEADACHE HISTORY. 11.INITIAL SURVEY. 12.VOMITTING IN A CHILD. 13.DIPLOPIA HISTORY TAKING AND DD. 14.PEFR/RESP EXAM. 15.DIABETIC FOOT. 16.NECKLYMPH NODES IN A CHILD
nov 3rd 2009 1.ectopic pregnancy counselling planning 4 lap. 2.RA pt with septic arthritis on steroid inj counsel. 3.alcoholic foot examn sensory and reflexes. 4.dysphagia Hx and D/d. 5.delayed walking 2yrs hx and d/d. 6.elderly constipation (morphine) hx and d/d. 7.dose calculation insulin and demonstrate.
8.resp examn and pefr. 9.scaphoid # wrist examn and xray and cast. 10.breast examn. 11.BBN meningococcal septicaemia. 12.hx of DSH pt. 13.blood sampling with blood form. 14.telephone conversation post op right hemicolectomy pt. now hyperventilating sweaty abd distension. 15.non pharmacological mngmt of hypertension. 16.RUQ abd pain hx and d/d. 17.rest.
2nd Nov 2009 17 stations means 2 pilot station: 1-suturing 2-gout counceling 3-dysphagia Hx 4-dry cough and weight loss(pnomocyctis carini) 5- bimanual examination of uterus 6-adult CPR 7-MMR vaccine counceling 8-IDDM child Hx and counceling 9-ankle strain Hx and examination 10-Panic attack Hx 11-Testicular pain Hx and counceling
12-An old man with LLQ and umblical and RUQ! abdominal pain Hx 13-CVS examination 14- Thyroid examination 15-Cranial nerve II to VII examination 16-pracetamol poisioning 17-REST!
29-10-09 ABG SUTURING PR RESPIRATORY SYSTEM EXAMINATION ALCOHOLIC FOOT EXAMINATION CHILD CONVULSIONS ABDOMINAL PAIN FRACTURE FEMURE WARFARINE COUNCELLING CELLULITIS MEDICATION DEPRESSION OSTEOPOROSIS LP --- COUNCELLING COELICIAC DISEASE COUNCELLING INFERTILITY - HX
FUNDOSCOPY REST
27-10-09 1-cvs exam 2-testicular manikin 3-microcytic anemia in 70 yrs lady 4-spacer 5-child who took one of the granny tamoxifen 6-fluxetin 7-sti counselling 8-LP 9-red eye 10-hot flush just take the history 11-uncounsience paitent 12-hypothermia talk to her son 13-telephone conversation about pt with obstruction due to hernia 14-vasovagal 15-iv canulation 16???
28-10-09 breast exam upper abd exam
thyroid exam tamoxifen accidental ingestion in a child red eye dizziness histry n counsellin blood sampling SOME MORE OF 28 10 09 1.breast exam 2.upper abd exam 3.thyroid exam 4.tamoxifen accidental ingestion in a child 5.red eye 6.dizziness histry n counsellin 7.blood sampling 8.knee examination 9.dose calculations
22-10-09 1 asthma counseling 2.venopuncture 3.mme 4.suturing 5.diplopia 6.elbow examination , Tennis elbow, Mx with pt 7.unconcious patient exam. 8. Child with fever followed by bruises 2 weeks later
9.Breech presentaion (PILOT) 10 Despepsia Hx 11 Wound infections 2 weeks after Heniorraphy 12Calf pain Hx 13 Weight loss Hx 14 Diskariosis ( Severe ) management 15 Child with convulsion Mx with mother
23/10/09 stations....
1- Ophthalmoscopy "it was proliferative retinopathy" 2- Testicular examination.. 2 solid swellings one in each testis, most probably cancer 3- CPR of a child. 4- Pap smear.. with the cervical brush" 5- Knee examination: was medial collateral ligament injury plus mention differentials 6- heart examination of pt with heart failure 7- Hx of male 25 pt with history of shortness of breath, dry cough and weigh loss "PCP. 8- Hx of incontinence for 6 years with no medications and manage "stress incontinence" 9- Hx of headache and DDs with examiner was giant cell arteritis" 10- Mother with her child having fracture ankle.. preoperative assessment for anesthesia. 11- Suicidal risk assessment of female in low mood "crying with eyes down" 12- Son of a mother with hypothermia, counsel about the incident and future management. 13- Counsel a patient with incurable lymphoma.. will be put on morphine. its side effect. 14- Counsel a patient about pain relief when he developed severe pain the first day after herniorrhaphy 15- Counsel a patient who were on OCP and stopped it by her GP as he has DVT 2 months ago.. give her other options
16- Dose calculations
12-10-09 1.diabetic foot 2.cvs 3.hand washing 4.ophthalmoscopy 5.PR 6.Blood sampling 7.morphine dose calculation 8.morphine - counselling 9.headache history - migraine 10. menorrhagia- history 11.needle stick injury - child in park 12.appendicectomy counselling to mom 13.post hemicolectomy collapse - telephonic 14. heel pain - history and diagnosis/mmt to examiner 15.alcohol quit counselling 16.asthma prescription to child 17.rest anxious mother (needle stick injury in the feet of her child while playing in the park) was realy hard to deal with , as whatever u say she will NOT like it.
asthma prescription (he was an adult not a child) there were a blue and brown inhalers as will as steroid tablets.
in per rectum exam i think it was ca prostate , dont u agree ??
13-10-09 1/CPR peads 2/antenatal exam 3/IBS 4/suturing 5/thyroid ex 6/MS counselling 7/Anaemia history + mgt 8/NAI telephone XR fr humerus 9/breathless kid + diarrhea CF history Dds 10/resp ex+ pefr 11/nurse doctor conversation: explaining post MI medication
SOME MORE OF 13-10-09
12-knee examination 13-post MI counselling 14-panic attack 15-pt have pain in abdomen all investigations are normal talk to agressive pt 16-pain in left side of abdomen take hx and give dd's to examiner 17-diabetic retinopathy councelling
14/7/09 catheterization blood sampling brest examination resp examination alcoholic foot exam headach history child dd mmr councelling mental state examination non accidental injury scalds Chestpain history and DD pre-eclampsia counsel for c/s Thyroid examination, Psychotic assessment Anemia counseling and hx
13th july 2009 1) Diabetic foot examination 2)Cranial nerve 11-V11 examination
3)testicular examination 4)cognitive assessment of an elderly confused male 5)CPR of an unconcsious pedestrain 6)Spacer demonstration to a mother 7)Needle stick injury...discuss the immediate management with the patient 8)red eye..history taking n d/d to the examiner 9)telephone conversation with a mother whose child was havind diarrhoea ...hv to discuss mangemnt 10)X ray chest ..telephone conversation with the registrar ...discuss 11)breathlessness..history taking n d/d's with the examiner 12)BBN..mesothelioma 13) a woman had cervial smear n u hd the result which shows severe dyskaryosis...u hv to discuss the report with her n discuss abt colposcopy 14)a female with tingling in hand ,,history taking n d/d's with the examiner 15)discuss abt postoperative pain managemnt with a patient undergoing herniorraphy 16)discuss life style modification with a patient recently diagnosed with gout 17)rest
16-07-09 1-exmination of unconscius pt. 2-council father of coeliac disease. 3-explain discharge medicine to asthme patient. 4- six month chind with fracture femur. NAI. 5-hypothermia on 80 yr old lady,xplain mng wth son. 6-cvs examination in cardiac failure pt. 7- drug abuse, patient wanted to quit. 8-insomnia in a pt using,methotrexate,paracetamol for osteoarthritis.
9-suture. 10-bimanual p/v. 11- i/v canulation. 12- 55 yr old lady wth pins and needle stiffness,tingling in arm. 13-visual field exmination. 14-young femle wth throat infection wth fever soar throat. 15-febrile fits n child, mother worried. 16- elderly man wth symptoms of urin obstruction wth uti, discuss managment wth pt. 17- rest station
15th july 2009 1) Handwashing 2) Painful eye, DD and discuss management with the examiner. I fumbled the station. 3) Antenatal examination 4) Weight loss in a young girl,discuss DD with the examiner 5) Paracetamol Overdose, management. A youg girl that took 15 tablets and presented 12 hours later 6) Post Herniorrhaphy woud infection. Allay the patient's concerns. 7) Examination of the upper abdomen. discuss finding with the examiner 8) Examination of the lymphoendothelial system. Forgot to examine the month for bleeding and gum hypertrophy. 9) Inconsolable cry in a 4mnth old child. Allay mother's fears. investigations were all normal. Messed up here as well. it was in fantile colic 10)Assessment of risk factors of Stroke . History taking
asthma pt counselling abt starting on steroids, testicular lump counselling abt management,
colicky baby- mother too tired and worried, post op pt with pain and discharge from wound after 3 weeks he was coughing so that was the cause of it u had to deal with him as an angry patient, obstetric manikin examination, lymphoreticular system examination, scaphoid fracture, handwashing, pt with right upper quadrant pain and nuasea specially after eating we had to examine him from above the umbilicus, h/o headache, h/o pain in right eye that was glaucoma i think, stroke risk factor assessment, paracetamol overdose.... 11. Wrist joint examination 12. Paediatric CPR 13. Patient that presented with leg swelling. Take a history. it was cardiac failure history taking and discuss management with the examiner 14.
15/7/09 stations 1.Handwashing 2.Abdomen examn-RUQ pain 0n &off(GB stones) 3.Lymphoreticular examn 4.colic baby 5.painful red eye-60 yr old with headache-GCA/Glacoma 6.wt loss-hyperthyroid 7.Paed CPR 8.Heart failure pt c/o pain in calf 9.scaphoid fracture with x-ray 10.PCT overdose-talk to the pt about the implications,diagnosis &mgt 11.34 wk preg- manikin examn 12.headche h/o-migraine/cluster headache/space occupying lesion 13.stroke pt risk assessment 14.hernia repair 3wks ago-wound discharge angry pt
15.Asthma mgt 16.testicular lump-talk to the pt about further tests &mgt Honestly all the stations went pretty well.didn't do any blunders.missed 1 or 2 pts here & there.hope for the best.to those who r taking exams in
13.7.09 1.testicular exam 2.heartfailure history of breathlessness. 3.gout dos n donts 4.cranial nerve 2-7 5.ng feeding xray 6.dirraoea fone conversation 7.cpr 8.diabetic foot. 9.red eye 10.gout management,dos n dont 11.needle stick 12.mesothelioma 13.pins n needles in arm. 14.pain management post hernioraphy pin and needles (carpal tunnel syndrom) due to occupation(secretary with right hand dominant).
