2015年3月21日 星期六

Final MB OSCE 試後報告

Surgery

Station 1: Prof ST Fan 

VV,其實唔明顯,係gaiter area少少黑左,不過見到個tourniquet,幾帶都話vv 

Station 2: straight forward thyroid


Station 3: 葉sir 
一見到,葉sir問「你之前係咪去過廣華架?」,「係呀」 (葉sir以前話跟過佢廣華既佢唔會肥,唔係咪顯得佢好渣)
Ganglion喺腳,我以為係lipoma,不過ddx有ganglion,葉sir收貨


Station 4: indirect inguinal hernia,差到嘔泡
咳極都唔覺有cough impulse,examiner話我差d肥
不過差d肥即係啱啱pass啦
 


Medicine


Station 1: Ethics ICU冇床位,Prof BMY Cheung, Dr James Ho,吹下水啫

Station 2: General,唔使睇眼
Prof TM Chan考acromegaly
"Can you talk to the patient? "
"你好,我係港大醫科生呀... (Urrrgh, talk to the patient?)... 你咩事入醫院呀?"
"Nono, ask him what has he eat for breakfast... "
之後突然覺得個樣好acromegaly,脷好大,得左
External考psoriasis,冇使眼
最後"Are you aware of a new treatment for psoriasis?"
"Yes, I think there is a new biologic" (其實唔識,吹下水)
"Good! Do you know the name?"
"I'm not aware of the name"
"Nvm, it's called xxxxxxmumab, a study from last year shows that the results are promising..." 變左bedside,佢極nice

Station 3, 4: ecg, imaging

Station 5: Dr WWW Mak, CVS
Pulse好bounding, 甚至有collapsing,頸都好似有corrigan sign,但真係聽唔到AR murmur,MR同TR就ok肯定既
Station 6: Dr Leonard Li, resp
General exam手有rash,"你對手有冇痛呀?我盡量唔整痛佢" (其實想順便take history)
"有呀,d關節好痛,手同腳都有" 
即係Pulmonary fibrosis啦,再聽亦都真係有fine crepitations,正

Station 7: Prof CS Lau , abdomen
"Patient admits for evaluation for hematuria" -> PKD啦
另有個transplant kidney
Ballotable kidneys其實自己唔係好信服啦,試左幾次,"I think there are ballotable kidneys, but it vague, it's difficult because the abdomen is very distended"
不過星星station完左話good,所以ok啦

Station 8: Prof HF Tse
Gait淨睇到reduce arm swing over left,冇做heel toe walking, Romburg,以為唔關事,有d後悔
LL left increase tone, hyperteflexia, plantar equivocal, right normal
UL left resting tremor, increase in tone, reflex normal, cerebellar好似有? Intentional tremor, Dysdiadochokinesia??? 但佢本身已經好震,唔多肯定
最尾話Parkinson,教授幾滿意,叫我睇埋mask face同gabellar tab
後尾聽人講佢其實做唔到heel toe walking, 所以d cerebellar sign係真架,係OPCA之類既Parkinsonian plus 
是但啦

之後被軟禁幾個鐘唔走得,玩下大電視,超好玩,勁興奮
總之考哂啦,pass唔pass就聽天由命啦,總之要玩返夠本

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