Posted by anat on February 08, 2002 at 09:50:28:
PLAB PART-2 23 JAN 2002
1- BP— a pt feeling dizzy, take blood pressure
2- Suture--- stitch this pt`s arm which is injured, not real manikin arm but just rectangular plastic material.
3- Vaginal exam--- speculum exam has been done, do bimanual vaginal exam, tell the examiner your findings-adnexial masses, uterus size and ante-retrovert, Douglas pouch fullness, on inspection—discharge, skin lesion
4- Blood for cross-matching--- no need to do procedure, just explain the stages you will do one-by-one—
5- Neurological examination of the legs in diabetic pt- type 1 diabetes for 15(?) yrs- just neurological exam and power of the legs—examiner said `no need to do reflexes due to limited time`
6- Opthalmoscope – red reflex, disc-cup and margins, vessels, macula—in my case there were thickened vessel walls
7- CPR- one questionà when is it dangerous to do chest compression?—broken ribs was my answer—OK
8- HRT councelling—indications, contraindications, side effects—pt asked forms? – tb, patches, pessary, cream--- LMP, r/o pregnancy, Hx of previous operations
9- PR bleeding, Hx taking and discuss your diagnosis and D/D of pt— I asked all possibilities and D/Dà Haemorrhoid, diverticulosis
10- Fever, HX taking and diagnosis --- describing fever, ass. Symptoms—cough(green), sore throat, chest pain, present in other friends à pneumonia (community-acquired)
11- Child with diarrhea- mother on the phone( both of them have diarrhea) --- asking about drowsiness and dehydration level , no need to admit but if get worse à to hospital or call GP.
12- Whiplash- depressed pt--- asking about injury Hx, his present symptoms, feeling low, waking-up early, no future plans
13- MI management--- no list of drugs- speak to examiner directly. Firstly I was given ECG to comment. It was anterior MI, I said. Then we discussed acute management- Also he showed me a X-ray- pulmonary oedema.
14- An epileptic pt- councelling and giving advice--- what does it mean?, precautions, use carbamazepine regularly, side effects, call your GP if rash or infections, informing DVLA, career advice.
15- Local anaesthetic-councelling (pilot)--- he will go hernia surgery with local anaesthetic , afraid of going with it, would like to know comparison between local and general anaesthesia, advantages-disadvantages and general advice