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1-procedural sedation (pt with shoulder dislocation ‘’ do assessment and take

consent for sedation and teach junior doctor ) (pie chart : clinical reasoning –
teaching –communication skills ) and in station no junior Dr there only examiner
and pt .
2-speaking to angry pt (pt with moderate pneumothorax attend A&E yesterday
seen by junior Dr and sent home without x ray ‘’speak to him and deal with
conflict ) (pie chart : clinical reasoning – communication skills )
3-APLS (3 years old child is found in garden or pool ?? brought by ambulance ‘’
deal with child ) diag hypothermia and there was questions from examiner on
blood test needed after and your plan after ROSC (pie chart :clinical reasoning –
resuscitation skills –communication skills and leading )
4-ATLS (male pt involved in fire with explosion and inhalational injury ‘’ deal with
pt (in the station pt has hoarseness voice , drooling saliva ,sever burn 3rd degree
on chest and abdomen and hypotension )(pie chart :resuscitation skills –
communication skills and leading )
5-Difficult referral (C.P child with shunt 3 years ago came with fever ,repeated
vomiting , lethargic ,not tolerating orally and one of junior Dr refer pt to
neurosurgeon and you are in-charge and he is anger ‘’deal with conflict .there was
print out report on clinical status of child inside station and parents were there
)(pie chart :communication skills –clinical reasoning )
6-Breaking bad news (C.P child had status epilepticus for 45 mint arrested and
died ‘’ inform mother )(pie chart :communication skills )
7-Respiratory examination (pt came with shortness in breathing ‘’take hist and
examination .examiner will ask on DD and blood test )(pie chart :hist taking –
examination-clinical reasoning )
8-Knee examination (pt with rt lat knee trauma ‘’ do rt knee examination)(pie
chart :examination – clinical resonance )
9-Sudden visual loss (pt with acute visual loss 4 hrs ago ‘’ take hist and examine
eye)(pie chart :history taking-examination-clinical reasoning )
10-Post menopausal bleeding (pt with bleeding ‘’ take history and give her DD and
plan )(pie chart :history –clinical reasoning )
11-Cluster headache (male pt with headache’’ take hist and DD and plan )(pie
chart :history talking, clinical reasoning and communication skills )
12-Balanitis (child came with diff passing urine 2 days ago ‘’take history from
mother and DD and plan )(pie chart :history talking ,clinical reasoning and
communication skills )
13-Teaching ECG (old age pt with psvt and adverse signs ‘’ teach junior .There was
a lot of questions from junior Dr )(pie chart :teaching-clinical reasoning –
communication skills )
14-Teaching ABG (old pt with sever metabolic acidosis and sever hyperkalemia
and there was many questions from junior Dr )( pie chart :teaching-clinical
reasoning -communication skills )
15-Teaching reduction pulled elbow .
16-Teaching field infiltrative anesthesia .
17- depression ?? binge alcohol?? (pt went to bar with his friend to attend party
and drink alcohol he wasn’t regularly drinking and was drunk seen by police they
brought him to emergency” do mental state examination and plan and present
your findings to examiner )(pie chart : examination-communication skills –clinical
reasoning )
18-Sutur wound .

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