By Shabana A. Bora, Theresa G. H. Heah, Shivangi Thakore
This e-book presents crucial coaching for the scientific part of the PLAB examination. positive factors contain: Highly-structured, for reviewing on my own or in a gaggle; prepared based on ability style, reflecting possibilities to perform; sensible tactics spelt out precisely; Written from own adventure of turning failure into luck; All fabric reviewed through academics and examiners.
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Extra resources for OSCEs for Medical and Surgical Finals (Hodder Arnold Publication)
Know how the patient should be positioned for each area and whether he/she should be holding his/her breath. If you tell the patient that you are checking his/her lower back and ankles for fluid, you will alert the examiner to the fact that you have carried out this step. If you have heard a murmur, describe whether it is systolic or diastolic, where it is loudest, where it radiates to and what other abnormal findings there are on the cardiovascular examination. If possible, say what you think the most likely diagnosis is whilst giving other differential diagnoses.
It is useful to rehearse a model presentation for each type of examination so that in the OSCE your presentation as well as examination will flow easily, and all you will need to do is substitute into your model any clinical findings and think about differential diagnoses. For examination stations, the global score, if applicable, is made up of five components. The examiner will be looking for a slick examination; you should look as though you have done it on countless previous occasions. The examiner will be assessing your competence at picking up clinical signs, which is a reflection of your exposure to clinical medicine.
Common OSCE cases Fibroadenoma The patient is usually young, approximately 25 to 35 years of age. The lump is small and rubbery hard, and there may be more than one lump present. The lumps are usually very mobile, and are known as ‘breast mice’ for that reason. They are usually pain free. Fibroadenosis This is a very common condition, affecting women of reproductive age. It presents with single/multiple lumps, and these may be solid or cystic. On palpation, there is a diffuse lumpy feeling, often in the upper outer quadrant.