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Guidelines_English_Final
تحميل الدليل التدريبي

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Students Exams are written and clinical. 

A.  Clinical Exams come in different forms:

·        Long case: The Student is given one hour to take full history and physical exam.  After that, two examiners will interview the student asking him/her to present full history and physical for the patient and to demonstrate some exam techniques.

 

·        Short case: The student is given seven minutes to examine one system in the presence of two examiners, and then following seven minutes, the examiners will ask him/her to give the findings and diagnosis if possible.

 

·        Objective Structured Clinical Examinations (OSCEs): The length of the OSCE station is generally 4-5 minutes. You will perform a surgical encounter with a standardized patient (SP) just like a real medical encounter. In some OSCE exams, an examiner (a physician)  will be present during these encounters to assess your clinical skills and communication skills based on a standard checklist.

 

B.   Multiple choice questions:  

MCQs are used in the written exams in courses 351 and 451.   You may check the link on how to answer MCQs question.  We are presenting here some examples which is the single best format.

 

 

  نماذج الإختبارات والإجابات المثالية

 

Examples questions:

 

Multiple choice questions may be  in one of these formats:

 

  1. Single “Best Answer” type question where main stem of question is followed by 4 or 5 options. One has to choose one correct answer.

 

  1. “True” and “False” type questions where all options have to be responded by stating True or False.

 

Single best answer question:  May be in the form of a clinical problem (case scenario) or memory recall.

 

Example I (clinical problem):

 

A 20-year female presents with abdominal pain which was initially felt in the centre of abdomen but now felt in the right iliac fossa. She denies any other symptom. Her LMP was 5 days ago. Examination reveals low fever (37.9°C) and tender right iliac fossa. What is the most likely diagnosis?

 

  1. Intestinal obstruction.
  2. Acute appendicitis.
  3. Mid-cycle pain (Mittelschmerz).
  4. Urinary tract infection.
  5. Mesenteric adenitis.

 

Explanation & Answer: Intestinal obstruction presents with a symptom triad of abdominal pain, vomiting and absolute constipation which is absent in this patient.  Mid cycle pain is due to rupture of graffian follicle at the time of ovulation which usually occurs at mid of menstrual cycle.

Urinary tract infection is usually associated with symptoms of frequency and dysurea which is absent here.

Mesenteric adenitis related abdominal pain is common in children who recently had upper respiratory tract infection.

Acute appendicitis is the most likely diagnosis here with a typical features of shifting pain and right iliac fossa tenderness.                                        

Answer: (b) 

 

Example II ( memory recall):

 

Which is the most common malignant tumour of the thyroid gland?

 

  1. Follicular carcinoma.
  2. Hurthle cell carcinoma.
  3. Medullary carcinoma.
  4. Papillary carcinoma.
  5. Anaplastic carcinoma.

 

Explannation & Answer: Papillary carcinoma accounts for two third (60-70%) of thyroid carcinoma. The next most common variety is follicular carcinoma (18-20%). Other types are less common.                   Answer: (d)

 

 

True / False type questions: Respond to each option by stating “True (T)” or “False (F)” against it. Each option carries a mark.

 

Example III: 

 

The following cysts are of congenital origin.

 

a.       Cystic hygroma.   

b.      Sebaceous cyst.

c.       Branchial cyst.

d.      Thyroglossal cyst

e.       Hydatid cyst.

 

Explanation: Cystic hygroma- congenital origin from sequestrated lymph sac.

                     Sebaceous cyst- acquired, from blocked sebaceous gland.

                     Branchial cyst- congenital, from remanats of 2nd branchial cleft.

                     Thyroglossal cyst- congenital, from remanants of thyroglossal duct.

                     Hydatid cyst- acquired, a parasitic infestation.

                    

 

Answer:  a. (T) 

                b. (F) 

                c. (T)

                d. (T)

                e. (F)

(OSCEs)     

 

 Student Name & Number:

 Station #                      

 Examiner’s Name & Signature:                               

 

Question #1:  What is this instrument?

Answer:                                                                 (   /1)

 

Question #2: List 3 sites where it can be safely inserted:

  1.                                                                     (   /1)
  2.                                                                      (   /1)
  3.                                                                      (   /1)

 

Question #3: List 2 main indications for its use:

  1.                                                                       (   /1)
  2.                                                                       (   /1)

 

Question #4: List 4 common complications of its use:

  1.                                                                         (   /1)
  2.                                                                         (   /1)
  3.                                                                         (   /1)
  4.                                                                         (   /1)

     

 TOTAL                                   (    /10)

 

 

Student Name & Number:

 Station #                         

 Examiner’s Name & Signature:                               

 Question #1:  What is this instrument?

  Answer:                                                                (   /2)

 

  Question #2: List (3) main indications for its use:

  1.                                                                        (   /1)
  2.                                                                        (   /1)                                                               

       

Question #3: What is this instrument?

  1.  Answer:                                                      (   /2)                                                                                                  

 

    Question #4: Identify its components.

  1.                                                                     (   /1)
  2.                                                                     (   /1)        
  3.                                                                     (   /1)                                                                                            

     

  TOTAL                                                                (    /10):

 

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