Final day~

Yesterday was the last day of my EOS5~

And.. if you read my previous post.. you would know it was part 2 of my OSCE :)

To put a long story short... it was a LOT better than Day 1 :D

And the fact it was the END.. well that just makes the day all the more enjoyable :P

Started about the same time as the day before~ And with the same stations (which was a pretty good thing for me I guess)

History Taking

I had a really nice Indian chap, had Parkinson's disease~

Questions weren't too difficult, certainly better than the day before :)

Physical Examination

The patient is complaining of pain in right shoulder.

1. Inspect the shoulders.

2. Palpate the shoulder and determine range of movements.

3. Demonstrate winging of scapula.

The examiner will ask questions.

- What is the cause of winging of scapula?


This station was pretty straight forward... no hitch I believe :)

Physical Examination

The patient has polycystic kidney with renal failure.

1. General examination of the patient thats relevant with the condition.

2. Examine the kidneys.

The examiner will ask questions.

- What would you expect to find if you managed to palpate the kidney?

- What are 2 complications that could arise from this condition?

Couldn't answer the complications question.. I said berry aneurysm leading to cerebral hemorrhage and the lecturer gave me a weird look...

History Taking

Got the nice Indian lady~

Didn't manage to take the FULL history but managed to answer most of the questions la :)

Self Standing

Picture 1 - Picture of red spots on the chest. (not blanched with pressure, patient also noticed gum bleeding)

Picture 2 - Picture of red swollen knee joint. (had multiple episodes before, parents are fine, maternal uncle died to intracerebral hemorrhage)

1. What is the clinical finding in Picture 1? [1]

2. What condition can cause it? [1]

3. If a patient presents with that with fever and malaise in Malaysia, what would you suspect? [1]

4. What is most probably diagnosis in Picture 2, explain why. [2]

5. What would happen after repeated episodes of Picture 2? [1]

6. What is the treatment given for Picture 2? [1]

7. If the patient married a normal female, what would the chances of his children be of inheriting his condition? [2]

Self Standing

ECG =.="

1. What are the 2 abnormalities seen in the ECG? [3]

2. What is the patient's heart rate? [1]

3. What is the most probable diagnosis? [2]

4. What 2 immediate treatments would you give to the patient and what is their route of administration? [2]

I can't remember the other questions lol

Rest (only one this time hehe)

Physical Examination

The patient has cor pulmonale.

1. Respiratory rate.

2. JVP.

3. Palpate the liver.

4. Give your expected findings in a patient with this condition.

The examiner will ask questions.

- What immediate treatment would you give to the patient other than O2?

Physical Examination

The patient has hypethyroidism.

1. General inspection.

2. Palpate the thyroid gland.

The examiner will ask questions.

I can't remember the questions =.="

Err.. overall it was OK... history wasn't as terrible as the day before... and the PEs were something I'm much more familiar with :)

After exams, we stayed back for the debriefing session (and by the sound of the examiner's voice.. it seems our batch has one of the best 'turn-up' rates lol) which was rather humorous lol

Good thing was I don't recall any of the gross or finer mistakes being related to me hehe... (just to be on the safer side LOLOLOLOLOL)

Alvina, Laine, Daph, Iggy and I went to Midvalley after that~

Wanted to catch a Time Traveller's Wife... but we decided not to strain our poor necks (row 2) and went for dinner instead...

PHOP! (I now know what it means XDDD)

Ordered 5 main dishes... very filling... whacked them one by one :) Hehe... the food was awesome~

Then we headed to Carrefour and Cold Storage to pick up some stuff for Jian's sleepover on Monday :D (we walked Alvina back to her car first because she had to leave early...)

Had a great time with you guys :) I've nearly forgot how enjoyable it is to spend time with good company (and to not worry about wasting time NOT studying.. just to chill... joke... and hang out la)

I went home after that to shower.. and received a really big shock lol

Went out.. picked up a very sleepy Yong :P

We watched 2012 (11.45 pm FTW)

The movie was awesome :D

Doesn't have MUCH of a plot.. and its pretty predictable... but I was just in it for the jaw-dropping effects and the wow factors lol

Thanks for spending time with me dear :)

And now.. well, I'm looking forward to some chilling time hehe...

OSCE - Day One

How was OSCE?

*sigh*

Does that answer your question? LOL

Err...

Well to be more specific...

It was pretty terrible...

I mean... it wasn't like I couldn't do ANYTHING~ Its just... the hands examinations was a bit messed up... and history was a killer :(

My first station was...

History Taking (normal)

I got Lina! Which isn't to say a bad thing because despite all her drama.. she's a pretty nice person...

Couldn't finish up the question though... I guess I've got nobody but myself to blame (she had osteomyelitis)

Then... it was my first Physical Examination station...

Physical Examination

Patient comes with a glass cut injury to the forearm and complains of sensory loss.

1. Examine the arms for light touch, pain and vibration sense.

2. Test the muscle power of the hands.

The examiner will ask questions.

- What are the 3 main nerves that supply the forearm?

- If there was sensory loss of the palmar aspect of the index finger, what nerve damage would you suspect?

GG station man =.="

I was SO lost in this station because:

1. I didn't practice sensory for the hands so much.

2. They didn't want the dermatomal distribution of senses.

Physical Examination

The patient complains of a lump in her right breast. Perform a breast examination on her.

1. Explain to the patient about privacy.

2. Inspect the breasts.

3. Palpate the breast.

- Describe the masses that you felt.

Actually.. I can't remember clearly the instructions for this station.. so if anybody would be so kind as to correct me....

Good station in a sense I knew what I was doing :) So this kind of gave me back hope I could pass OSCE lol

History Taking (Behavioral Sciences)

Err... I don't know how I did for the BS part... the examiner had the same look throughout the entire examination lol

Patient wasn't being very cooperative though... and I think he forgot some stuff... he said he never went to a hospital although apparently he did for an acute attack of asthma about 3 months back... what the fishhhh.....

Screwed the questions as well.. couldn't answer half of it :(

Self Standing

Picture of distended abdomen (with history of chronic alcoholism), normal chest X-ray and chest X-ray with massive pleural effusion.

1. State 2 abnormalities seen in picture 1 (the distended abdomen one). [2]

2. What could have caused the condition seen in picture 1? [1]

3. What 2 complications could you expect with the condition in picture 1? [2]

4. Name the labelled area in picture 2 (I had clavicle, intercostal space, sternum and costo-phrenic angle). [2]

5. What are the 2 abnormalities seen in picture 3? [2]

6. What is the most probably diagnosis for picture 3? [1]

I'm not TOO sure about the questions and the marks allocated.. but I do believe it was something like that

Self Standing

Picture of IVP (intravenous pyelogram) with a staghorn calculus and hydrouereter and an urinalysis result (patient was a 40 year-old married woman).

1. What are the abnormalities seen in A (points at the staghorn calculus) and B (points at the dilated ureter). [2]

2. What are C (points at the normal kidney) and D (points at the normal ureter). [1]

3. What is the common cause of the condition seen in A and B? [1]

4. What is the most probable diagnosis? (referring to the urinalysis results which show RBC, pus cells and protein in the blood, no casts) [1]

5. What are the 2 signs or symptoms you would expect to find to confirm your diagnosis? [2]

5. What are the 2 investigations that you would carry out to confirm your diagnosis? [2]

6. What is the most common cause of the condition? [1]

Again.. can't really remember if those were the EXACT questions or even if the marks distribution is accurate lol

Rest

Rest

Physical Examination

The patient has Acute Lymphoblastic Leukemia.

1. General examination that is relevant with the condition.

2. Palpate the cervical lymph nodes and state their names.

The examiner will ask questions.

- How do would you describe a palpable lymph node?

- What 2 other organs would you like to examine in this patient?

This was an OK station.. don't think I got full marks because I kind of panicked with the general examination.. but otherwise it was fine :)

Physical Examination

The patient has Mitral Regurgitation, examine the praecordium.

1. Inspection.

2. Palpation.

3. Auscultation.

The examiner will ask questions.

- Demonstrate how would you differentiate between S1 and S2.

This was also an OK station... don't know how many marks I scored.. but hopefully enough to drag me past the pass line :)

And that was my last station :D

All in all... I didn't do too well.... I screwed both histories and one PE (big time) and the other 3 PEs I only did moderately well...

Had really nice examiners though~

Mini Galy, Dr Soh, Dr Jag, Dr Nyunt Wai and Dr Ranjit :)

All extremely nice to me for which I'll be eternally thankful for!

One more day one more day!

PS - Still can't comment on my blog! Err.. don't think it was my contribution lar Christine hehe.. the news spread like wildfire :D

OSPE

OSPE wasn't so bad today...

I mean.. its not like I aced the exam lol

But I'm pretty sure I did well enough to pass :D

Anyways... theory really wasn't my main concern.. I'm a lot more concerned about tomorrow and the day after >.<

OSCE ZOMGG

Got my convo mag today~ Looks pretty funky :)

Oh! And appeal results are out today! Couldn't get into Adelaide lol Dad says he'll try asking again.. but we'll see I guess...

Congrats to all those who got it though! Especially Christine lol You must be super happy :D

Today~

Had MEQ in the morning and OBA in the afternoon...

What can I say?

It was do-able...

Nothing more.. nothing less.

Probably made a few mistakes here and there, not many questions I could TOTALLY answer~

I guess that's what you get for not studying enough...

Mmm.. hope tomorrow will be better! Am already so sick of studying I'm hardly doing any amount of revision now...

PS - By the way, I can't comment on my own blog (and some others... SOME.. not all)... anyone else facing this problem? O.o

Ganbatte!!!

To all EOS5 candidates tomorrow...

Sleep early! We'll need all the concentration, focus and energy we can muster to overcome the big nasty EOS5 :)

It won't be easy... but I'm confident we can make it through! :D

Here's all the best to us! XD