Sunday, March 13, 2011

Peperiksaan Ikhtisas Akhir MD UKM Batch 2006/2011

Wish all of us all the best!
MD UKM 2011


14 March 2011 (Monday)
Unmanned OSCE
20 stations

15 March 2011 (Tuesday)
Key Features Questions 1
10 Questions

16 March 2011 (Wednesday)
Key Features Questions 2
10 Questions

17 March 2011 (Thursday)
One Best Answer & Extended Matching Item 1
60 Questions

18 March 2011 (Friday)
One Best Answer % Extended Matching Item 2
60 Questions

21 - 25 March 2011 (Monday - Friday)
morning : 1 long case
afternoon : 4 short cases

30 March 2011 (Wednesday)
Results!
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Tuesday, March 8, 2011

Manned OSCE - Suicide Risk Assessment

Score >7 = high suicide risk

updated from here

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MANNED OSCE
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1. Have you attempted suicide?
# A : No --> low risk
# B : Yes --> higher risk

2. Have you thought about dead?

3. Have you thought about suicidal (suicidal ideation)?
# No : lower risk
# Yes : higher risk

4. If yes to questions (3) :
# what kind of thought?
# method? (> serious/dangerous method, > higher risk)
# how often you thought of it?
# any specific plan?
# have you told others about the plan?
# have you actually ever attempted? (to reconfirm back with patient)
# what stop you from attempt suicide? (protective factors)
# have you make any suicidal note?
# have you make the will?
# conditions
***if patient method is to drink paraquat, have he bought the paraquat?
***if patient want to jump from high places, ask him whether he live in terrace, condo, apartment

5. ask this to patient who had attempt suicide previously (additional)
# what is the method? evaluate how dangerous is the method
# what is the chance of dying? (lock door, nobody at home, alone, etc...)
# what is the chance of rescue? (anybody at home? has tell others? etc..)
# intention of attempt? (very high? not really want to attempt?)
# what is his/her feeling after being rescued? (relief? angry to the rescuer? etc..)

6. ask to all (other factors)
# psychotic illness?
# severe depression
# alcoholism / substance abuse
# physical illness
# severe stressor
# no support
# live alone
# others.......

In the exam, evaluate this patient suicide risk subjectively based on the answers you get from the patients.
No need to use scale or score in the manned osce.
Use logical thinking. ^_^

Teaching from Prof Maniam.
A115262.

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Saturday, March 5, 2011

Unsure of date

Shortcase O&G

Examiner :
You may ask her one question. What would you ask?

Student :
Last Menstrual Period (LMP)
* any women patient especially with O&G examiner, the most important question is LMP.

Patient :
Unsure of date of LMP

Examiner :
So the patient is unsure of her dates. You may further ask her 4 questions now.

Answer :
1. OCP use which produce anovulatory cycle.
2. Breastfeeding --> hyperprolactinemia --> inhibit FSH/LH --> Anovulatory
3. If IVF was done --> when is the embryo being transfered?
4. Date of quickening
5. Regularity of menses
6. Any early ultrasound scan result
* the 1st 4 questions are more important

Examiner :
You may proceed with the abdominal examination (examine in usual manner as obstetric examination)

this is our mock shortcase O&G with prof a**** last week.
A115262
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Thursday, March 3, 2011

SHORTCASE : STOMA EXAMINATION





THIS IS MOCK SHORTCASE ONLINE.
please try to answer orally in front of your screen. timing yourself.
when you are done, look for the suggested answer below.

Inspect the patient's abdomen.
Do running commentary.

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