Samson Handbook of PLAB 2 and Clinical Assessment

Half-title Page
Title Page
Copyright
Dedication
Acknowledgements
Table of Contents
Preface
Glossary
Section 1 Guide to Samson Handbook of PLAB 2 and Clinical Assessment
	About PLAB 2 (old PLAB 2)
	How to Use this Book
	The new PLAB September 2016
	Communication Skills
	Common PLAB 2 Behaviour Syndromes
	General Approach to All Counselling Stations
	Examinations and Practical Procedures
Section 2 Medicine - History Taking
	History Taking Proforma
	1. Palpitations
	2. Shortness of Breath
	3. Diplopia
	4. Red Eye
	5. Headache
	6. Weight Gain
	7. Wheeze
	8. Haemoptysis
	9. Calf Pain
	10. Diarrhoea
	11. Constipation
	12. Cough
	13. Dizziness
	14. Haematemesis
	15. Fever
	16. Chest Pain
	17. Falls in the Elderly
	18. Collapse
	19. Hoarseness of Voice
	20. Sore Throat
	21. Weight Loss
	22. Musculoskeletal Pains
	Sample Marking Sheets
Section 3 Medicine - Counselling
	Introduction
	1. Diabetic Retinopathy
	2. Chronic Fatigue Syndrome
	3. Epilepsy
	4. Uncontrolled epilepsy
	5. Chronic Renal Failure
	6. Multiple Sclerosis
	7. Giant Cell Arteritis
	8. Blood Transfusion
	9. Smoking Cessation
	10. Obesity
	11. Post Mortem Counselling
	12. Hypothermia
	13. Asthma
	14. Stroke History Taking and Counselling
	15. Heart Failure Life Style Modification
	16. Post-MI Counselling
	17. Elderly Abuse
	18. Diabetes Mellitus in an Elderly Man
	19. Diabetic Ketoacidosis in a Young Woman
	20. Rheumatoid Arthritis
	21. Chronic Headaches in a Young Woman
	22. Lung Cancer - Breaking Bad News
	Counselling Marking Sheets
Section 4 - Surgery
	History Taking Proforma
	General Approach to All Counselling Stations
	1. Urinary Obstruction
	2. Testicular Pain
	3. Testicular Swelling
	4. Knee Pain
	5. Bleeding Per Rectum
	6. Haematuria
	7. Dysphagia
	8. Abdominal Pain (RIF)
	9. Abdominal Pain (RUQ)
	10. Abdominal Pain
	11. Abdominal Pain
	12. Ulcer/Mole on the Back
	13. Tingling and Numbness in Hands (Carpal Tunnel Syndrome)
	14. Irritable Bowel Syndrome
	15. General Approach to All Operations
	16. Appendectomy
	17. Transurethral Resection of the Prostate
	18. Vasectomy
	19. Colonoscopy
	20. Nephrectomy
	21. Hemicolectomy
	22. Colostomy
	23. Herniorrhaphy Cancelled Due to Lack of Fasting
	24. Hypertension in a Pre-Operative Patient
	25. Herniorraphy/Hernioplasty
	26. Herniorraphy Cancelled Due to Anaemia
	27. Anaemia History Taking
	28. Post-Operative Wound Infection
	29. Total Hip Replacement
	30. Hemiarthroplasty
	31. Total Knee Replacement
	32. Pain Management in a Terminally Ill Patient
	33. Post-Operative Pain Management
	34. Discharge Planning in a Terminally Ill Patient
	35. Back Pain History Taking
	36. Morphine Counselling
	37. Ankle Sprain
	38. Gout Counselling
	39. Upper GI Endoscopy
	40. Pre-op Assessment in a Child
	41. MRSA Infection
		MRSA Colonisation
	42. Abnormal Liver Function Tests
	43. Lipoma Excision Under Local Anaesthesia
		Skin Papilloma
	44. Jaundice
	Counselling Marking Sheets
Section 5 - Obstetrics and Gynaecology
	History Taking Proforma
	1. Laparoscopic Sterilisationg
	2. Incomplete Miscarriage
	3. Missed Miscarriage
	4. Ectopic Pregnancy
	5. Contraception
	6. Abdominal Pain
	7. Amenorrhea
	8. Infertility
	9. Ovarian Cystectomy
	10. Pain Relief in Labour
	11. Down’s Syndrome Screening
	12. Urinary Incontinence
	13. Pre-Eclampsia
	14. Eclampsia
	15. Eclampsia –Telephone Conversation
	16. Dyskaryosis
	17. Cervical Cancer
	18. Intrauterine Death
	19. Antepartum Haemorrhage
	20. Pelvic Inflammatory Disease
	21. Sexually Transmitted Infections
	22. Menorrhagia
	23. Diabetic Patient Planning for Pregnancy
	24. Gestational Diabetes
	25. Hyperemesis Gravidarum
	26. Dysmenorrhoea
	27. Termination of Pregnancy
	28. Hysterectomy
	29. Irregular Periods History Taking
	30. Hot Flushes
	31. Hormonal Replacement Therapy
	32. Osteoporosis
	33. Pre-HIV Counselling
	34. Antenatal Follow up in a Young Woman
	35. Per Vaginal Bleeding
	Counselling Marking Sheets
Section 6 – Paediatrics
	General History Taking Proforma
	1. Coeliac Disease
	2. Needle Stick Injury in a Child
	3. Intra-Abdominal Injury and Femur Fracture in a Young Boy
	4. Meningococcal Septcaemia
	5. Rectal Bleeding in a Child
	6. Vomiting in a 7-Year-Old Child
	7. Vomiting in a 2-Month-Old
	8. Diarrhoea in a Child
	9. Head Injury in a Child
	10. Down’s Syndrome
	11. Irritable Hip Syndrome
	12. Idiopathic Thrombocytopenic Purpura
	13. Diabetes Mellitus in a Child
	14. Hypoglycaemia in a Child
	15. Neonatal Jaundice
	16. Febrile Convulsions
	17. Infantile Colic
	18. Foreign Body Ingestion in a Child
	19. Peanut Allergy
	20. MMR Vaccination
	21. Scabies
	22. Vaginal Discharge in an 8-Year-Old Child
	23. Upper Respiratory Tract Infection in a Child
	24. Blood Transfusion in a Young Child
	25. Non-Accidental Injury
	26. Non-Accidental Injury - Telephone Conversation
	27. Delayed Walking
	28. Spacer
	29. Collapse in a Young Girl
	30. Fever in a 2-Year-Old Child
	31. Diarrhoea - Telephone Conversation
	32. Meningitis - Telephone Conversation
	33. Epilepsy in a Child
	34. Heart Murmur in an 18-Month-Old Child
	35. Screaming Episodes in an Infant
	36. Obesity in a Child
	Marking Key Examples
Section 7 – Psychiatry
	Introduction
	1. Depression
	2. Anorexia Nervosa
	3. Insomnia
	4. Obsessive Compulsive Disorder
	5. Post-Traumatic Stress Disorder
	6. Patient on Amitriptyline
	7. Panic Attack
	8. Mini Mental State Examination
	9. Post-Natal Depression
	10. Patient on Paroxetine/Fluoxetine
	11.Mental State Examination
	12. Suicidal Risk Assessment
	13. Drug Abuse
	14. Drug Abuse – Psychosis
	15. Psychosis in a Calmer Person
	16. Alcohol History and Management
	17. Agoraphobia
	18. Bipolar Disorder
	Psychiatry Marking Sheets
Section 8 – Miscellaneous
	General History Taking Proforma
	ATLS - Advanced Trauma Life Support
	1. Primary Survey
	2. Secondary Survey
	3. Whiplash Injury
	4. Discharge Prescriptions - General Approach
	5. Asthma Discharge Prescription
	6. Post-Myocardia Infarction
	7. Warfarin
	8. Extra Discharge Prescription Medications
	9. Needlestick Injury - General Principles
	10. Needlestick Injury Stations
	11. Dose Calculation
		Dose Calculation Questions
	12. Hand Washing
	13. Pre-Op Assessment
	14. MRSA Wound Dressing
	15. Medical Negligence
		A. Patient Who is Not Happy With Your Junior Colleague
		B. A Patient With a Missed Ankle Fracture
		C. Dealing With Your Colleagues
	16. High Fidelity Manikin Stations
		A. Status Asthmaticus
		B. Infective Exacerbation of COPD
		C. Pneumonia
		D. Pulmonary Embolism
		E. Urinary Tract Infection
		F. Acute Limb Ischaemia
		G. Cardiovascular Examination
		H. Pre-Operative Assessment In A Talking Manikin
	Sample Marking Sheets
Section 9 - Data Interpretation
	Normal Values in Data Interpretation
	Basic ECG Facts
	Quick ECG Interpretation
	1. ST – Elevation Myocardial Infarction
	2. Acute Coronary Syndrome
	3. Paracetamol Poisoning
		Paracetamol Poisoning Scenarios
	4. Acid Base Disturbances (ABG Analysis)
	5. Diabetic Ketoacidosis
	6. General Approach to Telephone Conversations
		A. Telephone Conversation Pneumothorax
		B. Telephone Conversation Strangulated Inguinal Hernia
		C. Telephone Conversations Non-Accidental Injury
		D. Telephone Conversation Eclampsia
		E. Telephone Conversation Hemicolectomy
	7. Peak Flow Meter
	8. Obesity in a Child
	Sample Marking Key for Telephone Conversation Scenarios
Section 10 – Manikins
	1. Adult Basic Life Support (CPR)
	2. Antenatal Examination
	3. Breast Examination
	4. Catheterisation
	5. Paediatric Basic Life Support (CPR)
	6. Per Rectal Exam
	7. Testicular Examination
	8. Intravenous Cannulation
	9. Blood Sampling (Venipuncture)
	10. Arterial Blood Gas (ABG)
	11. Suturing
	12. Bimanual Examination
	13. Cervical Smear (Pap Smear)
	14. Fundoscopy
	15. Otoscopy
	Sample Marking Sheets
Section 11 - Orthopaedic and Surgery Examinations
	The General Format of all Orthopaedic Examinations
	1. Shoulder Examination
	2. Elbow Examination
	3. Wrist Examination
	4. Rheumatoid Hand
	5. Neurological Examination of the Hand
	6. Knee Examination
	7. Hip Examination
	8. Spine Examination
	Surgical Examinations
	1. Peripheral Arterial Vascular Examination
	2. Thyroid Examination
	3. Abdominal Examination
	Orthopaedics Examination Marking Sheet
	Surgical Examinations Marking Sheets
Section 12 - Medicine Clinical Examinations
	1. II-VII Cranial Nerves Examination
	2. Diplopia Examination
	3. Visual Field Examination
	4. Eighth (8th)Nerve Examination
	5. Diabetic Foot Examination
	6. Alcoholic Foot
	7. Lymphoreticular Examination
	8. Cardiovascular Examination
	9. Respiratory Examination
	10. Cerebellar Examination
	11. Dizziness/Vertigo Examination
	12. Unconscious Patient
	13. Headache Examination/Meningitis Examination
	Medicine Examinations Marking Sheets
Section 13 - Clinical Assessment
	Clinical Assessment Exam
	Clinical Assessment Scenarios Covered Under PLAB 2 Section
	General Approach to All Clinical Assessment OSCE Stations
	I – Examinations
	1. Neurological Examination
	2. Rheumatoid Hand Examination
	3. Abdominal Examination in a Renal Transplant Patient
	4. Peripheral Arterial Disease Examination
		Upper Limb Examination
		Lower Limb Examination
	II - Explaining Procedures and Operations
	1. Laparoscopic Cholecystectomy
	2. Cystoscopy
	3. Carpal Tunnel Decompression
	4. Arthroscopy
	5. Coronary Angiography
	III – Miscellaneous
	1. Safe Drug Prescription and the Use of BNF
	2. Setting Up an IV Infusion
	3. Antibiotics Preparation
	4. ECG Recording and Interpretation
	5. Arterial Blood Gas (ABG)
	6. Handovers
	7. Intramuscular (IM) Injection
	IV- Extra Clinical Assessment Scenarios
	1. Counselling Scenarios
		Chest Pain
		Diabetic Ketoacidosis
		Psychosis
		Hypoglycaemia
	2. Examination Scenarios
		Chest Pain
	3. Prescription Scenarios
	4. Handover Scenarios
	5. Challenging Communication Scenarios
		Dealing With a Complaint
		Assessing Mental Capacity
	Marking Keys
Appendices
	1. Definitions in Counselling Stations
	2. Differentials in Medicine
	3. Differentials in Obs and Gyn
	4. Differentials in Surgery
	5. Differentials in Paedriatrics
	6. Differentials in Psychiatry
	7. References and Further Information