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PRAISE ,HONOR & GLORY BE TO JESUS ,i passed
took exam may 5th,
resource: FA & NEERAJ notes
preparation time:6 wks
N.B. PRACTICE IS KEY
exam: 1st encounter run out time(w/c helps me to act boldly & aggressively on the subsequent encounters so that i shall not repeat the same, in doing so u may be forced to omit(trim) some hx qns & P/E but helps u to finish the case in time & do short & nice closure and also no body will expect u to be perfect c this restrained time.
i benefitted from this forum on may issues regarding the exam & now,i'll try my best to answer if u have any qns or concern!
the SPs are cooperative
good luck for those preparing to take the exam!
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Congratulations, Tibebe!
Would you mind telling me what kind of hx questions and P/E can be omitted? Did you mean systemic review questions? As for P/E, did you focus only on the system involved?
Thanks!
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hi maria
yes i mean just elaborate the chief complaint as much as possible but w/n trying to r/o or rule in D/DX for ex for hypothyroidism u may ask only feeling of cold intolerance (u may omit wt gain, change of voice , skin & hair changes but if u managed to have ample time u can ask all)
regarding P/E u shud be pertinent as much as possible & for others like chest & heart exam ,w/c are routine ones ,u don't have to auscultate many places(what i've done in exam ,chest auscutation: anterior 2 places(one rt & one lt) the same posteriorily
and also for pertinent exam like CNS, u don't have to do procedures that tests simmilar fn
eg for testing cerebellar fn just choose one among the heel to shin, pronation-supination or finger to nose test for me i choose to ask pt to alternatively pronate -supinate the hand aft i demonstrated to the pt,it is economical time wise than others........u have to decide on others while doing timed practices c live partners ,it 'll help u a lot !
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Thanks, Tibebe. That's really helpful. Did you encounter any neuro exam in the exam? I always find that I don't have enough time. Do you know of a shorter version? What about MMSE? Do I ever need to do a complete MMSE?
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hi maria
i didn't encounter CNS case but as u said CNS P/E is very time taking one's decision may vary but u shud practice c a live partner & know how much time u'r behind ,practicing repeatedly will give u a skill & may also shorten the time significantly but still if u have time issues as i said u have to concentrate on big picture & try to do @least one from each group (for me on CNS P/E ,i will prioritize CN exam,then sensory , motor & DTR ,for cerebellar fn u may do gait if u have time if not do one pronation-supination test ,for MMSE ,i will assess only the TPP( time,person & place)if i have time shrtage,or i'll add short term memory test on 3 objects, if i 've a little bit extra time may add concentration test(asking the pt to do simple tasks ,execute orders)& the best thing is to know w/r ur weakness is & try to correct it asap
for routine CVS exam ,u need to aucultate @most in 2 places(mital & any other eg aortic or tricuspid area)
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hi partner gulshan ,i'm very much delighted that u made it!
good luck c ur ck & matching!
thanks for ur input too!
God bless
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Thank you so much, Tibebe. I was going to say you're an angel but then I realized that I don't even know if you're a male or female. Hahaha. Good luck with matching!
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