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Quick Scroll List: Database of Questions for PLAB 2 12.24.05 (2 years ago) #1

This may not be a complete list but I have tried to update it........ may make it easier when you prepare.

MANIKKINS

B.P. MEASUREMENT
CPR - ADULT
CPR - CHILD
FUNDOSCOPY
OTOSCOPY
TESTICULAR EXAMINATION
CATHETERISATION
PER RECTUM EXAMINATION
PER VAGINAL EXAMINATION ( BIMANUAL)
CERVICAL SMEAR
BREAST EXAMINATION
SUTURING
VENEPUNCTURE, BLOOD SAMPLING
I.V. CANNULATION
BLOOD SAMPLING FOR ABG
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Quick Scroll Counselling 12.24.05 (2 years ago) #2

COUNSELLING

AMENORRHOEA (SECONDARY) - COUNSELLING
AMITRIPTILINE - COUNSELLING (SIDE EFFECTS)
ANTIDEPRESSANT THERAPY - COUNSELLING
APPENDICITIS IN CHILD - COUNSEL A PARENT
ASTHMATIC PT - COUNSEL ABOUT MANAGEMENT (SALBUTAMOL, STEROID INHALER, PREDNISOLONE TAB.)

CARBAMAZEPINE - COUNSELLING
CHRONIC FATIGUE SYNDROME - HISTORY & COUNSELLING
COLPOSCOPY
CONVULSIONS IN CHILD - HISTORY & COUNSELLING

DEPRESSION AFTER WHIPLASH INJURY - COUNSELLING
DIARRHOEA IN CHILD - COUNSEL MOTHER
DRUG ABUSE COUNSELLING (HEROIN, WANTS TO QUIT)
DYSURIA (BURNING & POOR STREAM) - HISTORY AND COUNSELLING (DISCUSS MANAGEMENT)

ECLAMPSIA – COUNSELLING
ECZEMA-COUNSELLING
ECTOPIC PREGNANCY - COUNSELLING (PT WANTS TO GO HOME)
EPILEPSY NEWLY DIAGNOSED - COUNSELLING
EPILEPSY UNCONTROLLED BY CARBAMAZEPIN - HISTORY & COUNSELLING
EXCESSIVE CRY IN A NEWBORN - COUNSEL MOTHER

FEBRILE CONVULSIONS IN CHILD - HISTORY & COUNSELLING
FEVER IN 2 Y.O. CHILD - COUNSEL MOTHER
FOREIGN BODY INGESTION IN A CHILD - COUNSEL MOTHER

GONORRHOEA - HISTORY & COUNSELLING, CONTACT TRACING

HEADACHE - COUNSELLING (CLUSTER HEADACHES)
HEMICOLECTOMY - PRE-OPERATIVE COUNSELLING
HERNIORRHAPHY - POST-OPERATIVE COUNSELLING (INFECTION & BLEEDING AT THE OPERATION SITE )
HERNIORRHAPHY - PRE-OPERATIVE COUNSELLING

IDIOPATHIC EPILEPSY IN CHILD - COUNSEL MOTHER
INGROWING TOE NAIL IN ALCOHOLIC PT WITH RAISED MCV - HISTORY AND COUNSELLING
IRRITABLE HIP SYNDROME IN A CHILD - COUNSEL MOTHER

LEFT VENTRICULAR FAILURE - COUNSELLING

MENINGITIS - COUNSELLING
MENINGOCOCCAL SEPTICAEMIA - COUNSEL MOTHER
MENORRHAGIA - HISTORY AND COUNSELLING
MESOTELIOMA - BREAKING BAD NEWS
MIGRAINE
MYOCARDIAL INFARCTION - PRE-DISCHARGE COUNSELLING
MMR VACCINE COUNSELLING

OBESITY - COUNSELLING (PT REFUSED Surgery BY ANAESTHETIST)
OVARIAN CYSTECTOMY BY PFANNENSTEIL INCISION - PRE-OPERATIVE COUNSELLING

PID WITH FREE FLUID ON US - COUNSEL ABOUT LIFESTYLE CHANGES AND PRECAUTIONS
POST MASTECTOMY PATIENT - ASSESS PSYCHOLOGICAL STATUS AND COUNSEL
PROSTATIC CANCER - COUNSELLING (PAIN WELL CONTROLLED, WANTS TO GO HOME)

RHEUMATOID ARTHRITIS - COUNSELLING

SCROTAL LUMP - COUNSEL PT
SECONDARY AMENORRHOEA - COUNSELLING
SPACER DEVICE - COUNSELLING
STD CHECK-UP - COUNSELLING
STD COUNSELLING
STERILISATION IN FEMALE PT - COUNSELLING

TERMINAL ILLNESS - COUNSEL DAUGHTER RE PAIN RELIEF AND PALLIATIVE CARE TEAM INVOLVEMENT
TIA - HISTORY AND COUNSELLING

URINARY INCONTINENCE - HISTORY & COUNSELLING

WHIPLASH INJURY WITH DEPRESSION - COUNSELLING
WHIPLASH INJURY WITH NECK STIFFNESS – COUNSELLING

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Quick Scroll Examination 12.24.05 (2 years ago) #3


EXAMINATION



BREAST EXAMINATION
ABDOMEN EXAMINATION
COMATOSE PATIENT - NEUROLOGICAL ASSESSMENT
CRANIAL NERVES II - VII EXAMINATION (HOMONYMOUS HEMIANOPIA)
CVS EXAMINATION
DIABETIC FOOT EXAMINATION
DIABETIC PATIENT - ANNUAL CHECK-UP
DIZZINESS - EXAMINE VIII CRANIAL NERVE
EAR EXAMINATION (INCL. TUNING FORK)
FALLING ON OUTSTRETCHED ARM - DISCUSS MANAGEMENT WITH THE EXAMINER (SCAPHOID FR.)
GCS ASSESSMENT & NEUROLOGICAL EXAMINATION
HEART FAILURE - EXAMINATION
HIP EXAMINATION (PAIN) (OSTEOARTHRITIS, MENISCAL RUPTURE)
HODGKIN'S LYMPHOMA, ANNUAL CHECK-UP - EXAMINE LYMPHORETICULAR SYSTEM
KNEE EXAMINATION (PAIN)
LYMPHORETICULAR SYSTEM EXAMINATION
LOWER SPINE EXAMINATION (PAIN)
MINI MENTAL STATE EXAMINATION
NEUROLOGICAL EXAMINATION OF A COMATOSE PATIENT
PERIPHERAL ARTERIAL EXAMINATION
PER RECTUM EXAMINATION
PER VAGINA BIMANUAL EXAMINATION
PRIMARY SURVEY
RESPIRATORY FUNCTION TESTS AND PEFR
RESPIRATORY SYSTEM EXAMINATION
SECONDARY SURVEY (FEMUR FRACTURE)
SENSORY EXAMINATION OF THE LOWER LIMBS
SENSORY SYSTEM EXAMINATION WITH REFLEXES IN ALCOHOLIC PT
THYROID EXAMINATION (+RELEVANT SYSTEMIC FEATURES)
UPPER ABDOMEN EXAMINATION (MURPHY+) WRIST PAIN - HISTORY AND MANAGEMENT (SCAPHOID FRACTURE)
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Quick Scroll History taking 12.24.05 (2 years ago) #4

HISTORY TAKING

ABDOMINAL PAIN - HISTORY
ANOREXIA NERVOSA - HISTORY & MANAGEMENT
ANTEPARTUM HAEMORRHAGE - HISTORY & MANAGEMENT
ASTHMATIC PT - COUNSEL RE MANAGEMENT (SALBUTAMOL, STEROID INHALER, PREDNISOLONE TAB.)

CHEST PAIN - HISTORY AND DIFFERENTIAL DIAGNOSIS
CHILD ABUSE - HISTORY
CHRONIC FATIGUE SYNDROME - HISTORY & COUNSELLING
CONVULSIONS IN CHILD - HISTORY & COUNSELLING
CONSTIPATION - HISTORY FROM A NURSE (PATIENT ON DIHYDROCODEIN)
COUGH IN A SMOKER - HISTORY
DEPRESSION - HISTORY
DEPRESSION - MENTAL STATE ASSESSMENT
DIZZINESS - HISTORY AND DIFFERENTIAL DIAGNOSIS
DYSMENORRHOEA - TAKE HISTORY & DISCUSS MANAGEMENT WITH THE EXAMINER
DYSPHAGIA - HISTORY
DYSURIA (BURNING & POOR STREAM) - HISTORY AND COUNSELLING (DISCUSS MANAGEMENT)
EAR EXAMINATION (INCL. TUNING FORK)
EPILEPSY UNCONTROLLED BY CARBAMAZEPIN - HISTORY &
FEBRILE CONVULSIONS IN CHILD - HISTORY & COUNSELLING
FEVER - HISTORY (PNEUMONIA)
GONORRHOEA - HISTORY & COUNSELLING, CONTACT TRACING
HAEMOPTYSIS IN ELDERLY WOMAN - HISTORY
HEADACHE - HISTORY
HAEMATURIA - HISTORY AND MANAGEMENT (BLADDER CARCINOMA)
HOARSENESS - HISTORY AND DD
HYPEREMESIS GRAVIDARUM - TAKE HISTORY AND DISCUSS SIMPLE MANAGEMENT
IDIOPATHIC EPILEPSY IN CHILD - COUNSEL MOTHER
INGROWING TOE NAIL IN ALCOHOLIC PT WITH RAISED MCV - HISTORY AND COUNSELLING
LEFT ILIAC FOSSA PAIN (POST IUCD) (ECTOPIC PREGNANCY)
LOC HISTORY???
MELAENA SINCE 4 DAYS - HISTORY
MENORRHAGIA - HISTORY AND COUNSELLING
MULTI-DRUG ABUSE - HISTORY AND RISK ASSESSMENT
NON-ACCIDENTAL INJURY IN 7 M.O. CHILD (FEMUR FRACTURE) - HISTORY FROM MOTHER
NON-ACCIDENTAL INJURY IN 85 Y.O. WOMAN - HISTORY
PALPITATIONS - HISTORY
PER RECTUM BLEEDING - HISTORY
PER VAGINA BLEEDING IN 47 Y.O. - HISTORY
POLYDYPSIA, POLYURIA AND LETHARGY IN A CHILD
POST MASTECTOMY PATIENT - ASSESS PSYCHOLOGICAL STATUS AND COUNSEL
POSTNATAL DEPRESSION - HISTORY AND MANAGEMENT
PREMATURE MENOPAUSE - HISTORY
PRE-OPERATIVE ASSESSMENT
RIGHT ILIAC FOSSA PAIN - HISTORY, DD

SCHIZOPHRENIA - HISTORY
TIA - HISTORY AND COUNSELLING
TRAVEL FEVER HISTORY (MALARIA)

UPPER ABDOMINAL PAIN - HISTORY
URINARY INCONTINENCE - HISTORY & COUNSELLING
VOMITING - HISTORY
VOMITING IN CHILD - TAKE HISTORY FROM MOTHER
WEIGHT GAIN - HISTORY
WEIGHT LOSS - HISTORY (THYROTOXOCOSIS)
WEIGHT LOSS IN CHILD - HISTORY
WHEEZE - HISTORY
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Quick Scroll Another List 12.24.05 (2 years ago) #5

This is another list of questions that I have - arranged alphabetically. There will be repetitions.

ABDOMEN EXAMINATION
ABDOMINAL PAIN - HISTORY
ABG - BLOOD SAMPLING
ALGOMENORRHOEA - DISCUSS MANAGEMENT (PAIN RELIEF)
AMENORRHOEA (SECONDARY) - COUNSELLING
AMITRIPTILINE - COUNSELLING (SIDE EFFECTS)
ANKLE STRAIN MANAGEMENT
ANOREXIA NERVOSA - HISTORY & MANAGEMENT
ANTEPARTUM HAEMORRHAGE - HISTORY & MANAGEMENT
ANTIDEPRESSANT THERAPY - COUNSELLING
APPENDICITIS IN CHILD - COUNSEL A PARENT
ASTHMATIC PT - COUNSEL RE MANAGEMENT (SALBUTAMOL, STEROID INHALER, PREDNISOLONE TAB.)


B

BASIC LIFE SUPPORT
BLOOD SAMPLING IV
BLOOD SAMPLING FOR ABG
B.P. MEASUREMENT
BREAST EXAMINATION
BREATHLESSNESS - HISTORY (LVF)


C

CARBAMAZEPINE - COUNSELLING
CATHETERISATION
CERVICAL SMEAR
CHEST PAIN - HISTORY AND DIFFERENTIAL DIAGNOSIS
CHILD ABUSE - HISTORY
CHRONIC BACK PAIN UNCONTROLLED WITH PARACETAMOL - DISCUSS FURTHER MANAGEMENT
CHRONIC FATIGUE SYNDROME - HISTORY & COUNSELLING
COLPOSCOPY
COMATOSE PATIENT - NEUROLOGICAL ASSESSMENT
CONVULSIONS IN CHILD - HISTORY & COUNSELLING
CONSTIPATION - HISTORY FROM A NURSE (PATIENT ON DIHYDROCODEIN)
COUGH IN A SMOKER - HISTORY
CPR - ADULT
CPR - CHILD
CRANIAL NERVES II - VII EXAMINATION (HOMONYMOUS HEMIANOPIA)
CVS EXAMINATION


D

DEPRESSION AFTER WHIPLASH INJURY - COUNSELLING
DEPRESSION - HISTORY
DEPRESSION - MENTAL STATE ASSESSMENT
DIABETIC FOOT EXAMINATION
DIABETIC KETOACIDOSIS - MANAGEMENT
DIABETIC PATIENT - ANNUAL CHECK-UP
DIARRHOEA IN CHILD - COUNSEL MOTHER
DIZZINESS - EXAMINE VIII CRANIAL NERVE
DIZZINESS - HISTORY AND DIFFERENTIAL DIAGNOSIS
DOSE CALCULATION
DRUG ABUSE COUNSELLING (HEROIN, WANTS TO QUIT)
DYSMENORRHOEA - TAKE HISTORY & DISCUSS MANAGEMENT WITH THE EXAMINER
DYSPHAGIA - HISTORY
DYSURIA (BURNING & POOR STREAM) - HISTORY AND COUNSELLING (DISCUSS MANAGEMENT)


E

ear EXAMINATION (INCL. TUNING FORK)
ECLAMPSIA - COUNSELLING
ECTOPIC PREGNANCY - COUNSELLING (PT WANTS TO GO HOME)
EPILEPSY NEWLY DIAGNOSED - COUNSELLING
EPILEPSY UNCONTROLLED BY CARBAMAZEPIN - HISTORY & COUNSELLING
EXCESSIVE CRY IN A NEWBORN - COUNSEL MOTHER


F

FALLING ON OUTSTRETCHED ARM - DISCUSS MANAGEMENT WITH THE EXAMINER (SCAPHOID FR.)
FEBRILE CONVULSIONS IN CHILD - HISTORY & COUNSELLING
FEMUR FRACTURE - SECONDARY SURVEY
FEVER - HISTORY (PNEUMONIA)
FEVER IN 2 Y.O. CHILD - COUNSEL MOTHER
FOREIGN BODY INGESTION IN A CHILD - COUNSEL MOTHER
FUNDOSCOPY


G

GONORRHOEA - HISTORY & COUNSELLING, CONTACT TRACING
GCS ASSESSMENT & NEUROLOGICAL EXAMINATION


H

HAEMOPTYSIS IN ELDERLY WOMAN - HISTORY
HAEMORRHAGE ON FUNDOSCOPY IN CHILD
HEADACHE - COUNSELLING (CLUSTER HEADACHES)
HEADACHE - HISTORY
heart FAILURE - EXAMINATION
HAEMATURIA - HISTORY AND MANAGEMENT (BLADDER CARCINOMA)
HEMICOLECTOMY, P/O BLEEDING - PHONE CONSULTANT
HEMICOLECTOMY - PRE-OPERATIVE COUNSELLING
HERNIORRHAPHY - POST-OPERATIVE COUNSELLING (INFECTION & BLEEDING AT THE OPERATION SITE )
HERNIORRHAPHY - PRE-OPERATIVE COUNSELLING
HIP EXAMINATION (PAIN) (OSTEOARTHRITIS, MENISCAL RUPTURE)
HOARSENESS - HISTORY AND DD
HODGKIN'S LYMPHOMA, ANNUAL CHECK-UP - EXAMINE LYMPHORETICULAR SYSTEM
HYPEREMESIS GRAVIDARUM - TAKE HISTORY AND DISCUSS SIMPLE MANAGEMENT


I

IDIOPATHIC EPILEPSY IN CHILD - COUNSEL MOTHER
INGROWING TOE NAIL IN ALCOHOLIC PT WITH RAISED MCV - HISTORY AND COUNSELLING
INTESTINAL OBSTRUCTION IN 72 Y.O. - PHONE CONSULTANT
INTUSSEPTION IN A CHILD - TAKE HISTORY FROM MOTHER
IRRITABLE HIP SYNDROME IN A CHILD - COUNSEL MOTHER
I.V. CANNULATION


K

KNEE EXAMINATION (PAIN)

L

LEFT ILIAC FOSSA PAIN (POST IUCD) (ECTOPIC PREGNANCY)
LEFT VENTRICULAR FAILURE - COUNSELLING
LYMPHORETICULAR SYSTEM EXAMINATION
LOC HISTORY???
LOWER SPINE EXAMINATION (PAIN)


M

MELAENA SINCE 4 DAYS - HISTORY
MENINGITIS - COUNSELLING
MENINGITIS - EMERGENCY MANAGEMENT
MENINGITIS IN CHILD - PHONE CONVERSATION WITH A PARENT
MENINGOCOCCAL SEPTICAEMIA - COUNSEL MOTHER
MENORRHAGIA - HISTORY AND COUNSELLING
MESOTELIOMA - BREAKING BAD NEWS
MIGRAINE
MINI MENTAL STATE EXAMINATION
MYOCARDIAL INFARCTION - PRE-DISCHARGE COUNSELLING
MYOCARDIAL INFARCTION - DISCUSS ECG, X-RAY & MANAGEMENT WITH THE EXAMINER
MYOCARDIAL INFARCTION WITH LVF - MANAGEMENT
MMR VACCINE COUNSELLING
MULTI-DRUG ABUSE - HISTORY AND RISK ASSESSMENT
MULTIPLE TRAUMA IN CHILD AFTER RTA (FEMUR FR., spleen RUPT.) - COUNSEL MOTHER


N

NEONATAL JAUNDICE
NEUROLOGICAL EXAMINATION OF A COMATOSE PATIENT
NON-ACCIDENTAL INJURY IN 7 M.O. CHILD (FEMUR FRACTURE) - HISTORY FROM MOTHER
NON-ACCIDENTAL INJURY IN 85 Y.O. WOMAN - HISTORY


O

OBESITY - COUNSELLING (PT REFUSED Surgery BY ANAESTHETIST)
OSTEOPOROSIS - MANAGEMENT
OTOSCOPY
OVARIAN CYSTECTOMY BY PFANNENSTEIL INCISION - PRE-OPERATIVE COUNSELLING


P

PALPITATIONS - HISTORY
PARACETAMOL POISONING - ASSESS MENTAL STATUS AND FUTURE SUICIDAL RISK
PARACETAMOL POISONING - DISCUSS MANAGEMENT WITH THE PATIENT
PERIPHERAL ARTERIAL EXAMINATION
PER RECTUM BLEEDING - HISTORY
PER RECTUM EXAMINATION
PER VAGINA BLEEDING IN 47 Y.O. - HISTORY
PER VAGINA BIMANUAL EXAMINATION
PID WITH FREE FLUID ON US - COUNSEL ABOUT LIFESTYLE CHANGES AND PRECAUTIONS
POLYDYPSIA, POLYURIA AND LETHARGY IN A CHILD
POST MASTECTOMY PATIENT - ASSESS PSYCHOLOGICAL STATUS AND COUNSEL
POSTNATAL DEPRESSION - HISTORY AND MANAGEMENT
PREMATURE MENOPAUSE - HISTORY
PRE-OPERATIVE ASSESSMENT
PRIMARY SURVEY
PROSTATIC CANCER - COUNSELLING (PAIN WELL CONTROLLED, WANTS TO GO HOME)


R

RESPIRATORY FUNCTION TESTS AND PEFR
RESPIRATORY SYSTEM EXAMINATION
RHEUMATOID ARTHRITIS - COUNSELLING
RHEUMATOID ARTHRITIS - MANAGEMENT
RIGHT ILIAC FOSSA PAIN - HISTORY, DD


S

SCHIZOPHRENIA - HISTORY
SCROTAL LUMP - COUNSEL PT
SECONDARY AMENORRHOEA - COUNSELLING
SECONDARY SURVEY (FEMUR FRACTURE)
SENSORY EXAMINATION OF THE LOWER LIMBS
SENSORY SYSTEM EXAMINATION WITH REFLEXES IN ALCOHOLIC PT
SPACER DEVICE - COUNSELLING
STD CHECK-UP - COUNSELLING
STD COUNSELLING
STERILISATION IN FEMALE PT - COUNSELLING
SUTURING


T

TERMINAL ILLNESS - COUNSEL DAUGHTER RE PAIN RELIEF AND PALLIATIVE CARE TEAM INVOLVEMENT
THYROID EXAMINATION (+RELEVANT SYSTEMIC FEATURES)
TIA - HISTORY AND COUNSELLING
TRAVEL FEVER (MALARIA
)

U

UPPER ABDOMINAL PAIN - HISTORY
UPPER ABDOMEN EXAMINATION (MURPHY+)
URINARY INCONTINENCE - HISTORY & COUNSELLING

V

VENEPUNCTURE
VENESECTION IN ANAEMIC PATIENT (?)
VOMITING - HISTORY
VOMITING IN CHILD - TAKE HISTORY FROM MOTHER

W

WEIGHT GAIN - HISTORY
WEIGHT LOSS - HISTORY (THYROTOXOCOSIS)
WEIGHT LOSS IN CHILD - HISTORY
WHIPLASH INJURY WITH DEPRESSION - COUNSELLING
WHIPLASH INJURY WITH NECK STIFFNESS - COUNSELLING
WHEEZE - HISTORY
WRIST PAIN - HISTORY AND MANAGEMENT (SCAPHOID FRACTURE)
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Quick Scroll Some OSCE Samples 12.24.05 (2 years ago) #6

•Manikin - Examine the fundus, talking through the procedure to the examiner.

•This patient complains of dizziness. Measure her blood pressure.

•The mother has brought her child to the A & E. You have examined the child and diagnosed as having respiratory tract infection. She is worried that her child may be suffering from meningitis. Counsel her.

•Manikin - You are in the ward. Suddenly you hear a patient collapsing to the floor. Perform CPR.

•This 56 years old woman is suffering from non-Hodgkin's lymphoma. She has had radiotherapy, chemotherapy. She has taken paracetamol, ibuprofen tablets which she says is not relieving her pain now. The consultant has decided that you start on sustained release morphine. Counsel her.

•Manikin - This patient sustained injury to his forearm. Deep tendon/other soft tissue injury is ruled out. Local Anaesthesia has been given. Suture the wound with two sutures.

•Take history from a 40 years old with c/o chest pain since yesterday, unilateral, left sided.

•This 25 years old woman was admitted with c/o pain, lower abdominal pain. You are suspecting ectopic pregnancy. The pregnancy tests and ultrasound are planned for tomorrow morning. But the patient wants to leave the hospital today. Talk to her.

•This patient comes with c/o breathlessness and tightness of chest.Examine the respiratory system and teach him to use peak flow meter.

•This 25 years old patient came with c/o pain right hip. Examine his hip.

•This patient came to undergo surgery for in growing toe nail. Pre op investigation shows increased mean corpuscular volume. He is a chronic alcoholic. Take history about alcohol intake.

•This patient presents with haematuria. Take history and discuss further management with patient.

•A 51 years old lady has come with complaint of cough and breathlessness. Examine her respiratory system and give your diagnosis.

•An old man is suffering from end stage metastatic prostatic carcinoma. His daughter has come. Explain her regarding the condition and tell her about terminal care.

•Pain right upper abdomen - history and examination.

•Vaginal Examination on a model.

•Measure B P -A 25 years old lady is feeling dizzy particularly after standing from a sitting position. You need to measure her blood pressure.

•Breast examination on an anatomical model.

•ECG - anterior M I (T - wave inversion, Q wave) and C X R showing acute L V F. Management of both. Contra indications for the use of streptokinase.

•Patient with whiplash injury. X-rays are normal. He is still in pain. Patient is feeling low. Talk to the patient.

•A patient had right hemicolectomy done 6 hours back. He suddenly collapses. Temperature, B P and pulse chart given. Call your registrar over the phone and explain.

•Examine hip joint of a patient.

•18 years old patient recently diagnosed with epilepsy. She is on carbamazepine. Counsel her.

•Patient anxious about a hernia operation. Take informed consent


•Patient complains of diarrhoea. Take history and give differential diagnosis.

•HRT advice - A 49 years old lady complains of 10 months of amenorrhoea, mood swings. She is feeling low and tired and having hot flushes and sweating. She is complaining of vaginal dryness and dyspareunia. She is working as a shopkeeper and not mobile. Her mother who is 78 years old is suffering from brittle bones. Talk to her whether HRT is needed or not and explain.

•An 18 years old known epileptic lady has come to you. She is going to another town for higher studies. She wants to know about alcohol and recreational drugs and about contraception. Talk to her about her condition and answer her queries.

•Basic life support - You are working in a ward. Suddenly you hear a noise of a fall from an adjacent cubicle. On entering the cubicle you find a man (manikin) lying on the floor. You are only present there. You need to assess the condition quickly and need to do what you are supposed to do in such a condition. (perform basic life support) (Resuscitation stations have repeated)

•A mother of a 5 years old has come and tells you that her daughter is not doing well and always seem to be lethargic since a cough and cold a week before. Take history from the mother and come to a diagnosis and explain what you are going to do.

•A 60 years old has peripheral vascular disease affecting his lower limbs. Examine him and give your diagnosis.

•A 17 years old girl has come with weight loss, apathy and depression. Talk to her very politely, take history and give diagnosis.

•A 19 years old lady has come to you with pain in the right lower abdomen and bleeding per vagina. Take relevant history and give your diagnosis.

•Do cranial nerves examiantion.

•A blood sample has to be drawn and relevant things to be done (model).

•A man has come with a cut over his forearm. Assume that local Anaesthesia has been given. You need to perform two stitches. Do it accordingly.(model).

•A middle aged lady has come with pain in right upper abdomen radiating towards the back. Take history and perform an abdominal examination

•You are working in a ward. Suddenly you hear a noise of a fall from an adjacent cubicle. On entering the cubicle you find a man (manikin) lying on the floor. You are only present there. You need to assess the condition quickly and need to do what you are supposed to do in such a condition. (perform basic life support) (Resuscitation stations have been frequently repeated)

•Prostate Examination - Perform a digital rectal examination on an anatomical model. A 60 years old man comes with retention of urine. Talk to the examiner as patient. At the end present the findings.

•Rectal Bleeding - A 47 years old man complaining of bleeding per rectum. Elicit history and discuss the differential diagnosis.

•Trauma Management - History of fall from a ladder. airway and breathing is normal. The patient cannot move his right knee joint. Do a secondary survey and arrive at a diagnosis and outline the management.

•Cardio-vascular system examination and describe whether the patient is in heart failure or not.

•Drug Advice - Patient was taking minocycline for acne. Yesterday she has read an article about the drug and its side effects. You have not read the article. She is worried now. Counsel her.

•Chest Examination - History of chronic obstructive airway disease. Do a chest examination and give your findings.

•Coma - Patient found unconscious on the road, brought to A & E by ambulance, airway and breathing normal, blood glucose normal. After entering the station assess the patient's level of consciousness. Examiner will provide you the GCS Chart.

•Post Natal Depression - A 27 years old lady delivered a baby 4 weeks before. She is now feeling low and her appetite has gone down. You are a psychiatric SHO, take history and explain management.

•Venepuncture - A 60 years old lady found to be anaemic, draw blood sample for full blood count. Talk to the examiner assuming him to be the patient.

•Discharge instruction Post Myocardial Infarction - Patient with uncomplicated myocardial infarction is going to be discharged and got his drugs from the pharmacy. Explain about the drugs and nothing else. (The drugs were G T N spray, atenolol and aspirin tablet).

•Large volume spacer - A child admitted with acute breathlessness was treated and discharged. Explain to the parents how to fit and use the spacer device and drugs

•Perform a cardiovascular system examination and describe whether the patient is in heart failure or not

•Examination of diabetic feet.

•Counselling for tubal sterilisation.

•Take a cervical smear from an anatomical model. Fix it properly and do the necessary for sending it to the laboratory.

•Take history from mother of a 5 year old child who is suffering from breathing difficulty.

•Perform a mini mental state score on an elderly demented person.

•Venous cannulation for intermittent drug use (on a model).

•A 50 years old gentleman is suffering from non-Hodgkin's lymphoma for the last 5 years. He had been taking co-proxamol and co-codamol for his pain relief. But his pain is no longer under control with the above medications. Your Consultant has decided to start him on morphine sulphate sustained release preparation 40 mg once daily. Explain the treatment to the patient.

•A 25 years old lady is complaining of severe headache over the occipital region since last 4 hours. Take relevant history to arrive at a diagnosis and explain to her regarding the exact nature of the problem.

•A young man is having pneumonia. Talk to him regarding the condition and give him relevant advice.

•A 28 years old lady is complaining of pain over the left knee joint following an injury during a skiing holiday and presenting to you 3 days after the injury. You are the Orthopaedic SHO in the clinic. Perform a knee examination on her and give your diagnosis.

•Hand Examination - Examine and describe the features and give differential diagnosis.

•A 50 years old gentleman is complaining that his right great toe became painful and was swollen 6 months back. 3 months back his left knee was affected. Take a relevant history to arrive at a diagnosis.

•A lady is there on the phone. Her 18 months old daughter is having diarrhoea. She is also having diarrhoea. Her daughter had another attack of diarrhoea 6 months back. Take history from the mother and give her relevant advice, as she is very anxious.

•A 35 years old alcoholic lady is complaining of loss of sensation over her lower limbs. Perform a neurological examination of her lower limbs for sensory system and reflexes and explaining to the examiner at every stage what you are going to do.

•A 60 years old diabetic lady does not follow doctors advice regarding her diet or her medications. She is a non-insulin dependent diabetic since last 15 years. She is now complaining increasing visual difficulty. Perform a fundoscopic examination on her and discuss your diagnosis with the examiner (manikin supplied).

.A 35 years old lady is suffering from panic attacks for the last 3 months. You are a psychiatric SHO. Take a relevant psychiatric history in a very sympathetic way and advise her accordingly.

•A 60 years old gentleman (manikin) is having increasing difficulty with passing his urine. Since last 12 hours he has not passed adequate urine. You are required to pass a per-urethral catheter.

•You are working in a ward. Suddenly you hear a noise of a fall from an adjacent cubicle. On entering the cubicle you find a man (manikin) lying on the floor. You are only present there. You need to assess the condition quickly and need to do what you are supposed to do in such a condition. (perform basic life support)

•In this OSCE station you need to perform a bimanual vaginal examination on an anatomical model assuming it to be a real patient. Describe your findings to the examiner. (Speculum examination or smear not required)

•A 25 years old lady is having pain over the right upper abdomen. Confirm the history from her and perform an abdominal examination to arrive at a diagnosis. Do not give more stress on the history.

•A 35 years old lady has been diagnosed of having an ovarian cyst on the right side. On ultrasonography the cyst is 8.5 cm in diameter. A decision to perform right ovarian cystectomy has been made. Explain the condition to the patient and take her informed consent. She is expected to remain 5 days in the hospital after the operation and the surgeon concerned will be using a bikini incision and sub-cuticular wound closure using a fine prolene as suture material. A 6 weeks restricted activity is normally advised after such a procedure. You are the SHO in the department of Gynaecology .
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Quick Scroll 12.28.05 (2 years ago) #7

hi PLAB 2005,
you are doing a great job. this extensive list is goin to help people like me. thanks a lot. continue ur invaluable service.

cheers.
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Quick Scroll 12.30.05 (2 years ago) #8

hi PLAB 2005,
i had taken print out of ur brilliant effort so that it serves as my check list now.
continue ur invaluable service.
i think u have covered almost all the topics . thanks a lot for this effort.
bye
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Quick Scroll 12.30.05 (2 years ago) #9

wow,its great icon_smile.gif thnks plab2005
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Quick Scroll 02.01.06 (2 years ago) #10

Hey PLAB 2005, great job !! Its going to be hard not to pass if everyone prepares on all of these topics !Thanks a million .
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