05-25-2009, 10:30 AM
dear forum, I have been trying to gather as many data as posible to get a guide to know the chances I got to either pass or fail this attempt,I took it in Houston exam center everything including SP and proctors were fine,too in the morning time,
What I did in every case:
meeting and greeting professinally by my last name treated sp by his her last name too and told them my position
Asked about comfort of SP in the room
Asked permission for everything I did in there, replying thnx in all case (sitting asking Qs and doing PE)
Used transitional phrases after each Q block (LIQORAAA,PAMHUGSFOSSSoda and from Qs to PE)
I was compassionate (said sorry after knowing CC and after every hard news, also after the problem Q from SP I always used this start skript. I am sorry and I understand ur concern and then went on with my response)
followed religiously LIQORAAA and on top of it for associated symptoms asked directly about symptoms I was looking for according to SP's CC
thanked SP after each set of Q (LIQORAAA to PAMHUGSFOSSSODA and from it to PE)
thanked SP after PE
start skript for closure: Well ms /mr --- thnx very much now I need to sit down with you and discuss about my impression,ok? htnx,then said just summarizing(desribed CC and main items of it) on the PE I found (let them know what was found out),then said:at this point my suspission is that you might have(DD in lay man terms just 2 0r 3),but to pin point the actual cause of your symptoms I need to order some tests and then said in lay man terms what work up was needed, with results of them handy I'll sit down w you again to discus about the final diagnosis and a proper treatment for you,ok? after that I said,well in the mean time I will give you my contact info so in case of need you can easily reach me as I'll be ready to help you,ok?Ill also give you some web site addresses where you'll find more info about your symptoms and ho many tools we have to help you fix it,ok? do you have any Q for me? thnx and left, on PE always kept doing bla bla bla as it counts for info sharing: I used to say well now I need to check(ur chest,tummy,back,head and neck eyes and so and requested permission word (OK?),let them know what I was to do and what was found i mean it is normal here there is no scar,no masses,I see some streaks in your belly,it is tender here oh I am so sorry about! and so forth,in SODA whenever they said I drink even 1 glass of wine a month I asked CAGE q's and for the rest of stuff I did councelling about all these habbits smoking sex EtOH etc, always asked them about their appetite sleeping, body weight household members and problems there,in some of my encounters I could not finish my closure although I could start my closure skripts and saying DD in all cases,In all encounters I could paraphrase,councelling,answer problem Q's,said main DD in all case I shaked hands at very beginning and before living SP room,always smailed at very beginning at was reassuring I mena
-Good morning are you Mr/ms-----,thnaks I am dr------I'll be ur physician tday,nice to meet ya, then I would like asking you some Q's and do a PE is it OK w u?thnx,then said Mr/MS-- are u ok woth the settings of this room? Thnxs Anyway I will do something just to help you feel more comfortable ok?(draped),Dont u mind if I sit down and write down some notes based on what you say?thnx and started LIQORAAA, after CC always said oh I am so sorry to hear about that,as I know it is a hard time x you,but I want you to know I'll do my best x for ok????and went with rest of Qs,
I always helped them sitting up lying down standing up, tying and untying gown after letting them know about and asking their permission,took care of draping and handling w table extensors after permission to do so,when ran out of time my excuse was I was paged and shaked their hands at the same time I told them Mr/Ms I am so sorry but I have an emergency call,as soon as I finish it I will be back to go on helping you ok?
For PN which was my previous failing item I typed them this time,I could finish all of them but I know I did more PE and Q s that as irrelevant I did not write in PN I always used gloves In every case I did HEENT neck chest belly and exts plus the focussed exam part for heent and neck always used light sources so I was forced to do fundi and otoscpy I also inspected w it nose and mouth
answering problem Q's all the Qs they asked could be luckilly answer by a reasonable skript something like:
Well Mr Ms-I am sorry and I understand ur concern (compassion and understanding) but to give u a proper answer I first need to do a PE and order some test and with them handy I will be able to sit down w u to discuss(involving Sp in course of actions and follow up) about the final D and a proper treatment that really help you getting better (letting them know about what s next and follow up course) never said dont worry about or I dont think so rather be compassive reassuring and after that say well it might be one of the causes of ur symptoms although other conditions such as bla bla blas can also cause them)
always tried to use lay man terms
palpate- press
percuss tap
auscultate listen to (ur lungs heart guts belly)
inspect take a look at ur-----
examine-check
work up-tests
US sound wave picture
XR picture
CT MRI series picture
ANgiography veins picture
cervical culture -front passage fluid test
bacteria-bug
puncture-tap
motor -muscle strength
reflex muscle response
sensation sharp and dull check
deambulation-gait
endoscopy-watching the inside of ur(airways,belly,guts bladder)
lay man terms used for DDs
cancer-mass
itis-inflammation or infection
hemorrhoids varices-vein dilatation
gastric duodenal ulcer- spots in your stomach or gut
uterus womb
lithiasis-stome
secretions and body fluid main qualificationmelly,bloody,color(yellowish,brownish greenish etc) amount(spoonful,teaspoonful,cupful)more frequent time mori=ning,afternoon,evening sleeping time
Dear forum sorry for being so extensive but I tried to share w u guys own experiences,and based on it please let me know what you think about it,I tried to be as inclusive as posible anyway let me know in case of any Q and please remember positive and negative opinions will be highly valued as they will help in my future study
God bless all of oyu guys,sincerely Nitforum
What I did in every case:
meeting and greeting professinally by my last name treated sp by his her last name too and told them my position
Asked about comfort of SP in the room
Asked permission for everything I did in there, replying thnx in all case (sitting asking Qs and doing PE)
Used transitional phrases after each Q block (LIQORAAA,PAMHUGSFOSSSoda and from Qs to PE)
I was compassionate (said sorry after knowing CC and after every hard news, also after the problem Q from SP I always used this start skript. I am sorry and I understand ur concern and then went on with my response)
followed religiously LIQORAAA and on top of it for associated symptoms asked directly about symptoms I was looking for according to SP's CC
thanked SP after each set of Q (LIQORAAA to PAMHUGSFOSSSODA and from it to PE)
thanked SP after PE
start skript for closure: Well ms /mr --- thnx very much now I need to sit down with you and discuss about my impression,ok? htnx,then said just summarizing(desribed CC and main items of it) on the PE I found (let them know what was found out),then said:at this point my suspission is that you might have(DD in lay man terms just 2 0r 3),but to pin point the actual cause of your symptoms I need to order some tests and then said in lay man terms what work up was needed, with results of them handy I'll sit down w you again to discus about the final diagnosis and a proper treatment for you,ok? after that I said,well in the mean time I will give you my contact info so in case of need you can easily reach me as I'll be ready to help you,ok?Ill also give you some web site addresses where you'll find more info about your symptoms and ho many tools we have to help you fix it,ok? do you have any Q for me? thnx and left, on PE always kept doing bla bla bla as it counts for info sharing: I used to say well now I need to check(ur chest,tummy,back,head and neck eyes and so and requested permission word (OK?),let them know what I was to do and what was found i mean it is normal here there is no scar,no masses,I see some streaks in your belly,it is tender here oh I am so sorry about! and so forth,in SODA whenever they said I drink even 1 glass of wine a month I asked CAGE q's and for the rest of stuff I did councelling about all these habbits smoking sex EtOH etc, always asked them about their appetite sleeping, body weight household members and problems there,in some of my encounters I could not finish my closure although I could start my closure skripts and saying DD in all cases,In all encounters I could paraphrase,councelling,answer problem Q's,said main DD in all case I shaked hands at very beginning and before living SP room,always smailed at very beginning at was reassuring I mena
-Good morning are you Mr/ms-----,thnaks I am dr------I'll be ur physician tday,nice to meet ya, then I would like asking you some Q's and do a PE is it OK w u?thnx,then said Mr/MS-- are u ok woth the settings of this room? Thnxs Anyway I will do something just to help you feel more comfortable ok?(draped),Dont u mind if I sit down and write down some notes based on what you say?thnx and started LIQORAAA, after CC always said oh I am so sorry to hear about that,as I know it is a hard time x you,but I want you to know I'll do my best x for ok????and went with rest of Qs,
I always helped them sitting up lying down standing up, tying and untying gown after letting them know about and asking their permission,took care of draping and handling w table extensors after permission to do so,when ran out of time my excuse was I was paged and shaked their hands at the same time I told them Mr/Ms I am so sorry but I have an emergency call,as soon as I finish it I will be back to go on helping you ok?
For PN which was my previous failing item I typed them this time,I could finish all of them but I know I did more PE and Q s that as irrelevant I did not write in PN I always used gloves In every case I did HEENT neck chest belly and exts plus the focussed exam part for heent and neck always used light sources so I was forced to do fundi and otoscpy I also inspected w it nose and mouth
answering problem Q's all the Qs they asked could be luckilly answer by a reasonable skript something like:
Well Mr Ms-I am sorry and I understand ur concern (compassion and understanding) but to give u a proper answer I first need to do a PE and order some test and with them handy I will be able to sit down w u to discuss(involving Sp in course of actions and follow up) about the final D and a proper treatment that really help you getting better (letting them know about what s next and follow up course) never said dont worry about or I dont think so rather be compassive reassuring and after that say well it might be one of the causes of ur symptoms although other conditions such as bla bla blas can also cause them)
always tried to use lay man terms
palpate- press
percuss tap
auscultate listen to (ur lungs heart guts belly)
inspect take a look at ur-----
examine-check
work up-tests
US sound wave picture
XR picture
CT MRI series picture
ANgiography veins picture
cervical culture -front passage fluid test
bacteria-bug
puncture-tap
motor -muscle strength
reflex muscle response
sensation sharp and dull check
deambulation-gait
endoscopy-watching the inside of ur(airways,belly,guts bladder)
lay man terms used for DDs
cancer-mass
itis-inflammation or infection
hemorrhoids varices-vein dilatation
gastric duodenal ulcer- spots in your stomach or gut
uterus womb
lithiasis-stome
secretions and body fluid main qualificationmelly,bloody,color(yellowish,brownish greenish etc) amount(spoonful,teaspoonful,cupful)more frequent time mori=ning,afternoon,evening sleeping time
Dear forum sorry for being so extensive but I tried to share w u guys own experiences,and based on it please let me know what you think about it,I tried to be as inclusive as posible anyway let me know in case of any Q and please remember positive and negative opinions will be highly valued as they will help in my future study
God bless all of oyu guys,sincerely Nitforum