Paediatrics OSCE and slide exam.

There were 4 stations

1. Vomiting and diarrhoea in 2 year old boy. Take hx and discuss management.
2. Surgical stations.
- Abdominal pain in 4 year old boy. DDx and initial management. Likely Dx and how to manage the condition.
- Exomphalos in term baby at rural hospital. DDx, initial management. Management of hypoglycaemia. Other risk factors associated with the condition.
3. Do cover test and describe the interpretation of the test. Diagnose type of strabismus from video and picture shown. Discuss DDx, Ix and management.
4. Take short hx from adolescent coming for vaccination of Boostrix (DTPA). Perform immunisation procedure and discuss risk associated with the immunisation including anaphylaxis.

Personally, I think the hardest station is the surgical station. The examiner keep asking what else I would do to diagnose the problem. It is hard because the time constraint and the nervousness of the exam.

Slide exam. We were shown pictures or videos for few minutes and need to answer the questions as soon as possible.

• Breath-holding spells. DDx and what would you tell to the parent.
• Eczema, principles of management, management of infected eczema, management in adolescent with eczema
• Down's syndrome, other anomalies associated with the syndrome. discharge plan from GP
• Oedema at eye, DDx and management of this condition
• Nut allergy, management of anaphylaxis, discharge plan.
• Developmental milestones. Normal range for walking. Three broad clinical conditions associated with delay in walking.
• Fracture of femur, describe appropriate analgesia
• Torticollis, Likely Dx and diagnose the abnormal side
• Imperforate anus, other associated anomalies

Hopefully I will pass this OSCE and the slide exam.

the exam is over

Alhamdulillah, now my summer holiday can really starts. There will be several tasks that I need to do during holiday and hopefully I will be able to complete the tasks.

I will write about the exam later. Right now, need to sort out few stuffs.

Revision Day 3

Today is the last day of formal revision. It was on gynae and I was surprised to know that I don't know much about oral contraceptive pills. Despite it is one of the most common drug prescription, we didn't learn in detail on how to prescribe it including telling all the side effects, contraindication and anything that might interfere with its efficacy.

I won't be blogging until my exam is over. That is until 12 December. Good bye for now...

Revision Day 2

Today was the revision for Obstetrics, Gynaecology and Neonatal Paediatrics. It started at 8am and finished by 12.30pm. There were lots of topics covered and at the end of the day, my fingers were extremely exhausted from copying down the notes. This was a good exercise for my fingers before answering the written exam on next week.

Now, I am quite nervous thinking that there are lot of stuff to be remembered. I wish my brain cells would retain as much information as possible until the end of next week.

For Obs and Gynae exam, there will be 30 questions in 3 hours. There will be only 6 minute per question and it will be a race against time next week. I now need to find a good comfortable pen for the coming exam. If not, my fingers will be extremely stiff like today. Wish me luck

Revision Day 1

We will be having three day of formal revision with the lecturers prior to the exam. Today is the first day and the revision was on paediatric and adolescent health.

There were many topics discussed and at the end of the day, I realised that there are lot that I don't know yet especially dermatology. The dermatologist showed us lots of pictures for spot diagnosis.

There are several differential diagnosis said by the medical students and most of the term were quite unfamiliar to my ear except one, Trichotillomania. I mentioned this condition earlier this year [read the post].

Trichotillomania is common among students who will be sitting for exam and I had to laugh when the dermatologist suggest for psychologist referral for someone with this condition. I don't think it is a serious condition unless you lose a lot of your own hair.