Plab 2 Past Stations

PLAB 2 PAST STATIONS

CONTENTS PAGE 2

14TH JUNE – 24TH MAY

PAGE 3

11TH MAY – 10TH MAY

PAGE 4

28TH APRIL – 27TH APRIL

PAGE 5

14TH APRIL – 13TH APRIL

PAGE 6

6TH APRIL – 5TH APRIL

PAGE 7

30TH MARCH – 9TH MARCH

PAGE 8

8TH MARCH – 23RD FEBRUARY

PAGE 9

10TH FEBRUARY – 9TH FEBRUARY

PAGE 10

13TH JANUARY – 7TH JANUARY

PAGE 11

6TH JANUARY

PAGE 12

RANDOM 2015/14 STATIONS

PAGE 13 - 14

BLOG POST AND PAST STATION

1



14th June 2016

1. Haematuria history and management 2. Acute limb ischemia (talking mannikin) 3. Paracetamol poisoning 4. Anorexia history and counselling 5. Abdominal injury and counselling 6. Lymphoreticular examination 7. Abdominal examination 8. Bimanual examination 9. Venipuncture 10.Headache migraine 11.Foreign body 12.Difficult patient cannula 13.Hemicolectomy 14.Catheterisation



24TH MAY 2016

1. Suturing 2. Red eye Hx 3. Febrile convulsion Cx with mother 4. Panic attack Hx 5. NAI 7 month old child with femur fracture Hx with the pt. Dx, Mx to examiner 6. Hemiarthroplasty post-op Mx with the pt. 7. Sexual Hx 8. Tel conversation - intestinal obstruction 9. Antenatal examination 10.Lymphoreticular examination 11.Chronic Kidney Disease, Dx to the pt., Hx and Cx 12.Unconscious pt - neurological examination 13.PEFR 14.Talking manikin - Pulse, BP, Auscultation.



11TH MAY 2016 2

1. Emergency Endoscopy counseling 2. Delayed walking hx n diagnosis 3. back pain counseling pain 4. mmse 5. Epilepsy uncontrolled counseling 6. Pid councelling 7. Anemia hx taking n diagnosis 8. Breast exam 9. SAH hx n management with patient 10.Spacer councelling 11.whiplash injury hx n exam 12.Painless hematuria hx taking n management with patient 13.Manikan siman Pansystolic murmur 14.Insulin dose calculation



10TH MAY 2016

1. Diplopia 2. Catheterisation 3. Talking manikin – COPD 4. Meningitis 5. Post-MI prescription 6. Otoscopy 7. Venepancture 8. Testicular mass counselling 9. Thyroid examination 10.

Infantile colic

11.

Fluoxetine counselling

12.

Vasovagal syncope

13.

Constipation

14.

Infertility



28th APRIL 2016

1. Suturing 2. I/V cannula 3

3. Scrotal pain 4. Visual field 5. Breast exam 6. Acute Asthma 7. Depression 8. Risk assessment of MI 9. Antenatal 10.

Hypoglycaemic Fit

11.

Reactive Arthritis

12.

Hypothermia

13.

NAI child

14.

Headache MRI



27TH APRIL 2016

1. CVS mannikin 2. Cystectomy 3. Glaucoma 4. Intraabdominal injury in child and fracture of thigh 5. History of weight loss 6. Abdominal examination 7. Alcoholic foot 8. MMSE 9. Spacer explain to parent 10.

Urinary Catheterisation

11.

Needle Stick Injury in a nurse

12.

MS

13.

Pain management options

14.

Hemoptysis



14TH APRIL 2016

1. MMSE 2. Headache examination 3. PID counselling 4

4. Morpine counselling for lymphoma ( focusing on pain ladder ) 5. Morphine counselling (teacher~ duscuss side effect and other options) 6. History taking ~ Urine incontinence 7. TALKING MANIKIN~ Pulse, BP, Auscultation 8. Thyroid examination 9. Spacer 10.

Essential HTN with raised BMI

11.

Child with Febrile convulsion

12.

Insomnia history taking and management

13.

Angry patient iv cannulation

14.

Suturing



13TH APRIL 2016

1. Insulin dose calculation 2. Lymphoreticular examination 3. Alcoholic foot examination 4. Irritable bowel syndrome (counselling) 5. Elderly abuse (counselling) 6. Testicular mass. 7. PV bleeding in a 32 week pregnant lady 8. Fundoscopy 9. Catheterisation 10.

Simman - acute limb ischaemia

11.

Depression history

12.

Infantile colic

13.

Haemoptysis



6TH APRIL 2016

1. Otoscopy 2. Testicular mass management 3. Fundoscopy 4. Per Rectal bleeding in a child 5. Suturing 5

6. Angry patient upset with colleague 7. Panic Attack 8. Headache Management with patient ( sah) 9. Febrile Convulsion 10.

SIMMAN Asthma

11.

IV Cannulation

12.

Missed Miscarriage

13.

Elderly Abuse

14.

Primary Survey



5TH APRIL 2016

1. Catheterisation 2. Antenatal examination 3. Visual fields examination 4. Hypoglycaemic fit in a child 5. Head injury in a child 6. Sexual history 7. Breast examination 8. Uncontrolled epilepsy 9. Gout counselling 10.

Venipuncture

11.

COPD talking mannequin

12.

BPH+UTI

13.

Suicide risk assessment

14.

Constipation history taking from the nurse



30th MARCH 2016

1. Ear ache in a child 2. Headache examination 3. MMSE 4. Simman – CVS 5. PR exam 6. Spacer explanation 7. Back pain 6

8. Melena history 9. Gout 10.

Giant cell arteritis

11.

Infertility history

12.

Needle stick injury - nurse

13.

Insulin dose calculation

14.

Chronic renal failure



29th MARCH 2016

1. IV cannulation 2. Breast examination 3. Abdominal examination 4. Fundoscopy 5. Simman – cvs 6. Fever in a child 7. Sexual history 8. Hypoglycaemic fits in a child 9. Multiple sclerosis 10.

Missed miscarriage

11.

Depression and suicidal risk assessment

12.

Hypothermia in elderly

13.

Suturing

14.

Haemoptysis



8th MARCH 2016

1. Infantile colic 2. Venepuncture 3. Cervical smear 4. Thyroid examination 5. Breast examination 6. Unconscious patient examination 7. Hemiarthroplasty 8. Diplopia 9. Dysphasia 7

10.

Asthma prescription

11.

Multiple sclerosis

12.

Constitutional delay of walking

13.

Simman- cvs

14.

UTI



23rd FEBRUARY 2016

1. Lymphoreticular examination 2. Pre op assessment-Bp n pulse talkin manikin 3. Breast examination 4. Thyroid examination 5. NAI in child 6. Venepuncture 7. Double vision history taking 8. Spacer 9. Hypothermia 10.

Joint pain history

11.

Suicidal risk assessment- superficial cut

12.

Uncontrolled epilepsy

13.

Bph with Uti

14.

Telephone conversation- intestinal obstruction



10th FEBRUARY 2016

1. Unconcious patient 2. Acute limb ischemia (simman) 3. Pre eclampsia referred by GP 4. Child with bruises 5. Elderly lady with fall 6. Breast Examination 7. IV Cannulation 8. periphral visual field (tunnel vision ) 9. Lung cancer patient talk to wife 10.

Missed miscarriage management with Patient

11.

Catheteriztion 8

12.

Pain ladder explain to patient back pain

13.

Suicide risk assessment

14.

Telephone conversation with mother for diarrhoea



9th FEBRUARY 2016

1. Thyroid 2. Fundoscopy 3. Suturing 4. Spacer 5. Hemicolectomy telephone conversation 6. Simman copd 7. Antenatal 8. Blood Transfusion 9. Dysphagia 10.

Per rectal bleeding in a child

11.

Hemiarthroplasty

12.

Calf pain hx

13.

. Bph+Uti

14.

Drug abuse



13th JANUARY 2016

1. Morphine 2. Unconscious Patient 3. Spacer 4. Black Stool 5. Blood transfusion 6. Lymphoreticular 7. Simman- Pulse, BP, Auscultate 8. Convulsion in a child 9. Otoscopy 10.

Alcohol

11.

Stroke

12.

Testicular Mass 9

13.

Insulin Dose

14.

Ovarian cystectomy counselling



7th JANUARY 2016

1. Venepuncture 2. COPD talking manikin 3. Intra-abdominal injury and firmer fracture 4. Multiple sclerosis 5. Suturing 6. Post MI counselling 7. Dizziness examination 8. Missed miscarriage 9. Knee examination 10.

Haematuria history

11.

Weight loss history

12.

Screaming baby-intussusception

13.

Alcoholic foot examination



6th JANUARY 2016

1. Male catheterization 2. Back Pain history 3. Diabetic Retinopathy counselling 4. Fundoscopy 5. Fluoxetine counselling 6. Secondary Survey 7. Non Accidental Injury- Child 8. Talking Mannikin- Bp, Auscultation, Pulse 9. Pre op assessment 10.

Migraine history

11.

Spacer

12.

Unconscious patient

13.

Needle Stick Injury- Adult 10

14.



Liver Function test, explain and counsel

25TH MAY 2015

1. Calf pain 2. Paracetamol poisoning 3. Child with intrabdominal trauma and fracture 4. Thyroid examination 5. Asthma taking manikin 6. Dizziness examination(snd) 7. Diabetic lower limb exam 8. Alcohol dependence counselling management 9. Foreign body in a child 10.

Osteoporosis

11.

Venepuncture

12.

Testicular pain history

13.

Hemicolectomy counselling



7TH MAY 2014 11

1. Whilplash injury exam 2. Cranial nerve 2 to 7 3. Abdominal examination 4. Suture 5. Cathetirization 6. Simman asthma 7. Lady with heart failure came back to hospital after 6 weeks 8. Hypothermia talk to son 9. Cancer patient wants to go home talk to daughter, painis controlled by codeine 10.

Child with scalds talk to mother and mx with examiner

11.

Child with febrile convulsions talk to mother

12.

Young girl asses suicidal risk, talk to examiner

13.

Man with chest pain, hx and mg with examiner (pneumonia)

14.

Lady who is 10 weeks pregnant withketones in urine, talk to patient

15.

Man with back pain, hx and dd's to examiner

16.

F1 doctor forgot cannula (medical negligence)

Extract from : http://omarsguidelines.blogspot.co.uk/?view=flipcard

“These were the stations I had [ on 15

th

April 2015 ]:

1. IV cannulation – I couldn’t get blood. And the examiner asked me to continue and assume I have reached the vein. I forgot to flush as well 2. Speculum exam- I felt I wasn’t very gentle here 3. Emergency endoscopy counselling- the patient was not convinced and I forgot to look at the IV cannula. I kept assuring him that we will give him sedatives orally but he gave me a hint and was like “ but doctor, whats this for”- pointing at the cannula 4. Antenatal counselling – was straightforward. As repeated in the mock 5. Headache counselling- I don’t remember. Sorry 6. Thyroid examination – didn’t miss much here. I was gentle 7. Diabetic foot examination- said do sensory exam and reflexes. I also checked her gait and could reach till the pain sensation 12

8.Telephone conversation with consultant – patient had hemicolectomy and he had become vitally unstable. The most likely diagnosis here was post op intra abdominal bleeding and you had to tell the consultant the management. Don't forget to look at the vitals chart. 9. Dysphagia – just as explained in samsons notes 10. Elbow examination- the patient had both medial and lateral epicondylitis 11. Red eye history and DDX – you had to give the differentials. The patient was holding sunglasses in his hands. You had to ask about those to check for photophobia 12. Haematuria – the diagnosis here was bladder CA, painless heamaturia in a middle aged man. You had to take history from patient, give diagnosis to the examiner and then give management to the patient 13. Rest station- there were 2 rest stations 14. Hyper tension discharge medication- be careful, theres a discharge prescription placed underneath the medications. Pick it up and go through it. Once you’ve explained the medications the patient might ask you for how long to take these medications- its mentioned on the prescription 15. Head trauma

Here are my tips for everyoneMany of you will be going to London for the first time. I can understand that most of you will want to have a look around, but I assure you- you will have plenty of time to see the whole of London and UK once you pass. I do advise that you must take a day off after your classes and go roam about to start afresh with your revision. You will most probably be staying in east London which isn’t much of a tourist attraction spot. But this doesn’t mean you should go crazy studying and then burning yourself out in a few days. Take it easy. Its an exam of nerves, not knowledge. You need to act like a NHS doctor, and that’s where Dr Samsons advice helps the most. Take his criticism positively and work on yourself. Participate in class – everyone will laugh at you initially then the same will happen with them. Slowly your whole batch will become confident. Here’s my final advice: Be gentle, be clear when you explain stuff and most important of all – act like a human.

13

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