Introduction to FCPS-2/ MCPS Clinical Exams
Obs & Gyn (Long Cases)
By Dr Mahjabeen Hira
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FCPS Clinical Exams - Paper Pattern & Marks Distribution
Duration: Time 60 Minutes Total Marks 100 : Passing Marks 60
First
30 min: For taking history, GPE from patients and requesting Investigation from examiners
Second 30 Min : For presenting history and discussions with the examiners
Sequence of exam:
Starting bell
30 min
history exam
asking investigation
Bell
8 min to narrate history
Bell
11 min first examiner
Bell
11 min second examiner
Bell
End
(Infact you have 38 minutes to win your case including first 30 min and cruci(al 8 min of presenting history, while examiners have only 22 minutes)
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Marks Distribution : (Although it is Not religiously followed by all examiners)
Interviewing / Clinical Examination (30 Marks : 30 + 8 Minutes )
History Taking Skills - 10
Physical Examination Skills - 10
Presentation Skills - 5
Correctness of Findings - 5
Viva with examiners (70 Marks )
Examiner 1 Viva ( 35 Marks: 11 minutes)
Logical Interprattion of findings - 15
Suggestion / justifies investigation - 10
Differential diagonosis - 10
Examiner 2 Viva (35 Mark: 11 minutes )
Management Plan & Justifiction - 20
Follow up compications & Prognosis - 10
Relevent recent Advances - 5
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How to best use your first 30 minutes
· Take History in 10 to 12 minutes
· GPE 10 to 12 minutes
· Compose history and summary 2 to 4
minutes
· Ask investigation in remaining 4 minutes
(Total 30 Minutes Over)
Note:
· A smart candidate can lead his case by his own way while avoiding irrelevant question in history/avoiding making irrelevant dd and by asking practical and relevant investigations with ethical and polite attitude towards his patient.
16 golden points narrated in video lecture Art of taking history by Dr Mahjabeen Hira available free on youtube channel . Link below
Click to Join My YouTube channel for FCPS exams easy and simple videos lectures.
Discussion with examiners -1
Possible Viva Questions:
· He will ask about certain features of history points like why you have asked this question (any question) from patient ,give a reason ,
ü Indications
ü Cost effect
ü Onward routine procedure you may plan to do further
ü Justification for your next plan in your specific case
- · Summarize your case
- · Risk Factors/your concerns in this
patient
- · What is your provisional diagnosis
justify it
- · What are your differentials diagnosis
justify them
Discussion examiner - 2
Possible Questions:
Onwards now manage your patient
· Answer case related different scenarios and manage them with sound reasoning
let us suppose why this C/S, NVD, TAH,MIRENA ,BSO etc
· Recent advances
Some Basics Rules for Preparation of Cilinical Exams
from the diary of DR Mahjabeen Hira
Believe in yourself and ask Allah for blessing. Tell yourself that its your right to pass.
Know the diagnosis at the start. Ask the patient the reason for admission and she will reply with the diagnosis.
Knowledge plays 60% role,20% your personnel exam taking techniques / confidence and 20 % is the luck factor.
Keep your viva simple. Give the simplest possible answer to every question. Only answer the question asked. Don’t try to impress the examiner by giving out of the way answer to make the impression that I also know this.
Never think that there is hidden trick in the question. Take the question as it is said. Generally viva finishes on day to day management and time is not left for recent advances, new developments, n researches unless you yourself invite the trouble.
Vivas are not made difficult by examiners but the candidates.
Don’t show your extra knowledge
Prepare your practice bags today with all tools which u are going to use at your exam day
Make your own dedicated key book only at differentials at important gyne/obs presening complaints
Make a dedicated key book at recent advances for all important Obs/Gyn cases .
Make a dedicated book at short keys lets suppose at DM/ Anemia / HMB/ mass abdomen, so u can use these templates in any where in any case with slight +/- modifications..
Make group of 2 or 3 similar students and practice with each other.
initially u will take a lot of time but with practice u will learn. self practice is only key for long case success
Record your cases sent it to others for peer review and listen it infront of others / in group on speaker and continue till you are confident to present your case.
It will untwist your tongue and kill shyness.
Keep yourself organized and follow 16 golden points narrated in video lecture Art of taking history by Dr Mahjabeen Hira available free on youtube channel . Link below
Join My YouTube channel for FCPS exams easy and simple videos lectures.
https://www.youtube.com/channel/UC05u7ewjBZHjCrWmxAMGszw
You may also join my Facebook pages & groups to keep updates at following link
1. Group for written & Viva exams preparation
Click to join the FB group for CPSP written exams preparation
You may also join my Facebook pages & groups to keep updates at following link
1. Group for written & Viva exams preparation
Click to join the FB group for CPSP written exams preparation
Regards
Yours mentor
Dr Mahjabeen Hira
(FCPS)
