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Plab - 2

Examination more...

• Cardiovascular System Examination;
• Gastro-Intestinal System Examination;
• HIP Examination;
• Back Examination;
• Hands Examination;
• Knee Examination;
• Thyroid Gland Examination;
• Examine the Lower Limbs of a Diabetic Patiente;
• Intermittent Claudication
• Examine Cranial Nerves II-VII of this patinet;
• Examine the patient with COPD;
• Mini-Mental State Examination (Orientation, Memory & Cognition).

  
  Plab II Procedures more...

• Rectal Examination;
• Vaginal Examination;
• Bladder Catheterization;
• Cervical Smear;
• Venepuncture;
• Cannulation;
• Suturing;
• CPR of Adults;
• CPR of Child;
• Blood Pressure Measurement;
• Fundoscopy.
  
  Obstetrics & Gynaecology more...

• A 20 years old female patient has pain in the right iliac fossa;
• A 30 years cervical smear results of CIN III. Counsel, give explanation & advice about colposcopy & biopsy;
• A girl on pills;
• A lady requesting termination of pregnancy (TOP). Take history and counsel;
• A patient diagnosed with ectopic pregnancy, you advice to do laparoscopy, explain for her;
• A patient will undergo operation for overian cyst removal. Explain & do counselling;
• Amenorrhoea of 9 months duration ~ History taking;
• Baby blues, post-natal depression. Take history & do counselling;
• Emergency contraception / take history & manage;
• Female sterilization ~ History taking and counselling (advice);
• HRT. Counselling?;
• A patient had hysterectomy 8 days ago. She developed sudden chest pain and died yesterday
  Vaginal Bleeding ~ History Taking;
• Vasectomy. Explain the operation & its effects.
  
  
  
  *** NB Free Plab2 test for all who bought the Plab1 test. Please, use the same username and password, as for the Plab-1.(open just for 6 months). We wish you all the best on the Plab2 exam.
  
  PLAB part 2 is the clinical examination where your communication skill, safety towards the patients care, Clinical Knowledge, Clinical skill, your personality and behaviour are all tested.
  Few tips for success
  Dress up well, Boys may have a clean shave and if possible wear suite, Girls can wear suite or any formal dress.
  Though you are given only 5 minutes and you feel short of time, never rush, don't have fixed aim of completing the task I believe that completing the task is not the criteria to pass or fail .It is how you perform is important, do the clinical skill slowly and methodically never rush (CPR may be an exception) It applies to taking history as well. If you are unable to complete the task thank the patient and tell the examiner what you would like to do if given extra time. Always stop at 4.5 minutes ring, whatever stage you are at. In the remaining 0.5 minutes thank the patient and summarize the findings to the examiner.
  Every time, when you practice in your house, please introduce yourself and take a verbal consent (even for taking history) never forgets to introduce and take consent. Sometimes examiner will introduce you to the patient even then it is better to introduce yourself again to the patient.
  After introduction ask a rapport-building question. How are you, how many children's do you have (for females), where do you work (for males) how is the pain etc
  If you are asked to do an orthopaedic examination it is safe and better to ask the patient where is the pain, will it hurt if I touch.
  Always ensure privacy
  Talk clearly and audible.
  Don't hesitate to ask again if you did not understand the statement.
  Always allow the patient to talk; many times they will take you towards diagnosis.
  Never cut their sentence or neglect their queries
  Be generous with the usage of please and thank you
  Never land up in argument with the patient, if she is not agreeing to your advice you can tell that I will ask the help of an expert, for example: while advising on life style to a post M.I patient or a newly diagnosed cirrhosis, patient may be reluctant to agree to your advice to cut down the alcohol consumption. The best way of dealing then is to tell the patient " I am not expert on advising on this I will ask a dietician to come and talk with you, is that okay "
  Be positive, empathetic and humble.
  While examining be, as gentle as possible, ask the patient to inform if you hurt during examination.
  After entering the station (Examination or clinical skill station) look at the tray, it will give you an immediate idea, what to be done for example: looking at the gloves will remind you to wear them, looking at the tray which has knee hammer, in a case of thyroid examination will remind you to test for jerks.
  Be thorough with the CPR, Examination of an unconscious patient, Primary and Secondary survey. 2-3 out of these 4 is sure to appear in any test.
  Questions for primary survey, Secondary survey, Examination of unconscious patient and CPR are often confusing. One way to understand the question may be in this way
  CPR- Question or scenario indicates of the sudden onset for example, A patient collapsed, Suddenly fell down from the bed and not responding. And question will also indicate that something has happened in front of you or near you.
  Unconscious patient- Usually it will be stated that here is an unconscious patient. (Look for the word)
  Primary survey- most confusing, in many tests they have asked to do primary survey on a patient who is conscious and talking. So don't panic to see a healthy patient, primary survey question tells that you have to do an initial survey, or you are the first doctor examining the patient. (Ambulance staff may have put a cervical collar) So you have to start from ABC and in circulation check for all blood loss and fractures and then do D and E.
  Secondary survey- Always they mention that ABC is being done do a complete examination of the patient.
  Never take these lightly - BP measuring, I.V Canulation, and Suturing
  Not to forget -
  -To through sharps in to sharps bin
  -To thank the patient at the end
  -To make the patient go back to his original position, ask him to sit down if you have made him stand
  After the test you may feel that you have made many mistakes, don't get disheartened wait for the result. I am sure you would have passed.