Samson Handbook of PLAB 2 and Clinical Assessment

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Half-title Page Title Page Copyright Dedication Acknowledgements Table of Contents Preface Glossary Section 1 Guide to Samson Handbook of PLAB 2 and Clinical Assessment About PLAB 2 (old PLAB 2) How to Use this Book The new PLAB September 2016 Communication Skills Common PLAB 2 Behaviour Syndromes General Approach to All Counselling Stations Examinations and Practical Procedures Section 2 Medicine - History Taking History Taking Proforma 1. Palpitations 2. Shortness of Breath 3. Diplopia 4. Red Eye 5. Headache 6. Weight Gain 7. Wheeze 8. Haemoptysis 9. Calf Pain 10. Diarrhoea 11. Constipation 12. Cough 13. Dizziness 14. Haematemesis 15. Fever 16. Chest Pain 17. Falls in the Elderly 18. Collapse 19. Hoarseness of Voice 20. Sore Throat 21. Weight Loss 22. Musculoskeletal Pains Sample Marking Sheets Section 3 Medicine - Counselling Introduction 1. Diabetic Retinopathy 2. Chronic Fatigue Syndrome 3. Epilepsy 4. Uncontrolled epilepsy 5. Chronic Renal Failure 6. Multiple Sclerosis 7. Giant Cell Arteritis 8. Blood Transfusion 9. Smoking Cessation 10. Obesity 11. Post Mortem Counselling 12. Hypothermia 13. Asthma 14. Stroke History Taking and Counselling 15. Heart Failure Life Style Modification 16. Post-MI Counselling 17. Elderly Abuse 18. Diabetes Mellitus in an Elderly Man 19. Diabetic Ketoacidosis in a Young Woman 20. Rheumatoid Arthritis 21. Chronic Headaches in a Young Woman 22. Lung Cancer - Breaking Bad News Counselling Marking Sheets Section 4 - Surgery History Taking Proforma General Approach to All Counselling Stations 1. Urinary Obstruction 2. Testicular Pain 3. Testicular Swelling 4. Knee Pain 5. Bleeding Per Rectum 6. Haematuria 7. Dysphagia 8. Abdominal Pain (RIF) 9. Abdominal Pain (RUQ) 10. Abdominal Pain 11. Abdominal Pain 12. Ulcer/Mole on the Back 13. Tingling and Numbness in Hands (Carpal Tunnel Syndrome) 14. Irritable Bowel Syndrome 15. General Approach to All Operations 16. Appendectomy 17. Transurethral Resection of the Prostate 18. Vasectomy 19. Colonoscopy 20. Nephrectomy 21. Hemicolectomy 22. Colostomy 23. Herniorrhaphy Cancelled Due to Lack of Fasting 24. Hypertension in a Pre-Operative Patient 25. Herniorraphy/Hernioplasty 26. Herniorraphy Cancelled Due to Anaemia 27. Anaemia History Taking 28. Post-Operative Wound Infection 29. Total Hip Replacement 30. Hemiarthroplasty 31. Total Knee Replacement 32. Pain Management in a Terminally Ill Patient 33. Post-Operative Pain Management 34. Discharge Planning in a Terminally Ill Patient 35. Back Pain History Taking 36. Morphine Counselling 37. Ankle Sprain 38. Gout Counselling 39. Upper GI Endoscopy 40. Pre-op Assessment in a Child 41. MRSA Infection MRSA Colonisation 42. Abnormal Liver Function Tests 43. Lipoma Excision Under Local Anaesthesia Skin Papilloma 44. Jaundice Counselling Marking Sheets Section 5 - Obstetrics and Gynaecology History Taking Proforma 1. Laparoscopic Sterilisationg 2. Incomplete Miscarriage 3. Missed Miscarriage 4. Ectopic Pregnancy 5. Contraception 6. Abdominal Pain 7. Amenorrhea 8. Infertility 9. Ovarian Cystectomy 10. Pain Relief in Labour 11. Down’s Syndrome Screening 12. Urinary Incontinence 13. Pre-Eclampsia 14. Eclampsia 15. Eclampsia –Telephone Conversation 16. Dyskaryosis 17. Cervical Cancer 18. Intrauterine Death 19. Antepartum Haemorrhage 20. Pelvic Inflammatory Disease 21. Sexually Transmitted Infections 22. Menorrhagia 23. Diabetic Patient Planning for Pregnancy 24. Gestational Diabetes 25. Hyperemesis Gravidarum 26. Dysmenorrhoea 27. Termination of Pregnancy 28. Hysterectomy 29. Irregular Periods History Taking 30. Hot Flushes 31. Hormonal Replacement Therapy 32. Osteoporosis 33. Pre-HIV Counselling 34. Antenatal Follow up in a Young Woman 35. Per Vaginal Bleeding Counselling Marking Sheets Section 6 – Paediatrics General History Taking Proforma 1. Coeliac Disease 2. Needle Stick Injury in a Child 3. Intra-Abdominal Injury and Femur Fracture in a Young Boy 4. Meningococcal Septcaemia 5. Rectal Bleeding in a Child 6. Vomiting in a 7-Year-Old Child 7. Vomiting in a 2-Month-Old 8. Diarrhoea in a Child 9. Head Injury in a Child 10. Down’s Syndrome 11. Irritable Hip Syndrome 12. Idiopathic Thrombocytopenic Purpura 13. Diabetes Mellitus in a Child 14. Hypoglycaemia in a Child 15. Neonatal Jaundice 16. Febrile Convulsions 17. Infantile Colic 18. Foreign Body Ingestion in a Child 19. Peanut Allergy 20. MMR Vaccination 21. Scabies 22. Vaginal Discharge in an 8-Year-Old Child 23. Upper Respiratory Tract Infection in a Child 24. Blood Transfusion in a Young Child 25. Non-Accidental Injury 26. Non-Accidental Injury - Telephone Conversation 27. Delayed Walking 28. Spacer 29. Collapse in a Young Girl 30. Fever in a 2-Year-Old Child 31. Diarrhoea - Telephone Conversation 32. Meningitis - Telephone Conversation 33. Epilepsy in a Child 34. Heart Murmur in an 18-Month-Old Child 35. Screaming Episodes in an Infant 36. Obesity in a Child Marking Key Examples Section 7 – Psychiatry Introduction 1. Depression 2. Anorexia Nervosa 3. Insomnia 4. Obsessive Compulsive Disorder 5. Post-Traumatic Stress Disorder 6. Patient on Amitriptyline 7. Panic Attack 8. Mini Mental State Examination 9. Post-Natal Depression 10. Patient on Paroxetine/Fluoxetine 11.Mental State Examination 12. Suicidal Risk Assessment 13. Drug Abuse 14. Drug Abuse – Psychosis 15. Psychosis in a Calmer Person 16. Alcohol History and Management 17. Agoraphobia 18. Bipolar Disorder Psychiatry Marking Sheets Section 8 – Miscellaneous General History Taking Proforma ATLS - Advanced Trauma Life Support 1. Primary Survey 2. Secondary Survey 3. Whiplash Injury 4. Discharge Prescriptions - General Approach 5. Asthma Discharge Prescription 6. Post-Myocardia Infarction 7. Warfarin 8. Extra Discharge Prescription Medications 9. Needlestick Injury - General Principles 10. Needlestick Injury Stations 11. Dose Calculation Dose Calculation Questions 12. Hand Washing 13. Pre-Op Assessment 14. MRSA Wound Dressing 15. Medical Negligence A. Patient Who is Not Happy With Your Junior Colleague B. A Patient With a Missed Ankle Fracture C. Dealing With Your Colleagues 16. High Fidelity Manikin Stations A. Status Asthmaticus B. Infective Exacerbation of COPD C. Pneumonia D. Pulmonary Embolism E. Urinary Tract Infection F. Acute Limb Ischaemia G. Cardiovascular Examination H. Pre-Operative Assessment In A Talking Manikin Sample Marking Sheets Section 9 - Data Interpretation Normal Values in Data Interpretation Basic ECG Facts Quick ECG Interpretation 1. ST – Elevation Myocardial Infarction 2. Acute Coronary Syndrome 3. Paracetamol Poisoning Paracetamol Poisoning Scenarios 4. Acid Base Disturbances (ABG Analysis) 5. Diabetic Ketoacidosis 6. General Approach to Telephone Conversations A. Telephone Conversation Pneumothorax B. Telephone Conversation Strangulated Inguinal Hernia C. Telephone Conversations Non-Accidental Injury D. Telephone Conversation Eclampsia E. Telephone Conversation Hemicolectomy 7. Peak Flow Meter 8. Obesity in a Child Sample Marking Key for Telephone Conversation Scenarios Section 10 – Manikins 1. Adult Basic Life Support (CPR) 2. Antenatal Examination 3. Breast Examination 4. Catheterisation 5. Paediatric Basic Life Support (CPR) 6. Per Rectal Exam 7. Testicular Examination 8. Intravenous Cannulation 9. Blood Sampling (Venipuncture) 10. Arterial Blood Gas (ABG) 11. Suturing 12. Bimanual Examination 13. Cervical Smear (Pap Smear) 14. Fundoscopy 15. Otoscopy Sample Marking Sheets Section 11 - Orthopaedic and Surgery Examinations The General Format of all Orthopaedic Examinations 1. Shoulder Examination 2. Elbow Examination 3. Wrist Examination 4. Rheumatoid Hand 5. Neurological Examination of the Hand 6. Knee Examination 7. Hip Examination 8. Spine Examination Surgical Examinations 1. Peripheral Arterial Vascular Examination 2. Thyroid Examination 3. Abdominal Examination Orthopaedics Examination Marking Sheet Surgical Examinations Marking Sheets Section 12 - Medicine Clinical Examinations 1. II-VII Cranial Nerves Examination 2. Diplopia Examination 3. Visual Field Examination 4. Eighth (8th)Nerve Examination 5. Diabetic Foot Examination 6. Alcoholic Foot 7. Lymphoreticular Examination 8. Cardiovascular Examination 9. Respiratory Examination 10. Cerebellar Examination 11. Dizziness/Vertigo Examination 12. Unconscious Patient 13. Headache Examination/Meningitis Examination Medicine Examinations Marking Sheets Section 13 - Clinical Assessment Clinical Assessment Exam Clinical Assessment Scenarios Covered Under PLAB 2 Section General Approach to All Clinical Assessment OSCE Stations I – Examinations 1. Neurological Examination 2. Rheumatoid Hand Examination 3. Abdominal Examination in a Renal Transplant Patient 4. Peripheral Arterial Disease Examination Upper Limb Examination Lower Limb Examination II - Explaining Procedures and Operations 1. Laparoscopic Cholecystectomy 2. Cystoscopy 3. Carpal Tunnel Decompression 4. Arthroscopy 5. Coronary Angiography III – Miscellaneous 1. Safe Drug Prescription and the Use of BNF 2. Setting Up an IV Infusion 3. Antibiotics Preparation 4. ECG Recording and Interpretation 5. Arterial Blood Gas (ABG) 6. Handovers 7. Intramuscular (IM) Injection IV- Extra Clinical Assessment Scenarios 1. Counselling Scenarios Chest Pain Diabetic Ketoacidosis Psychosis Hypoglycaemia 2. Examination Scenarios Chest Pain 3. Prescription Scenarios 4. Handover Scenarios 5. Challenging Communication Scenarios Dealing With a Complaint Assessing Mental Capacity Marking Keys Appendices 1. Definitions in Counselling Stations 2. Differentials in Medicine 3. Differentials in Obs and Gyn 4. Differentials in Surgery 5. Differentials in Paedriatrics 6. Differentials in Psychiatry 7. References and Further Information