SURGICAL FINALS Passing the Clinical - PasTest

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S E C T I O N 1have been covered in surgical journals over the last year online and whenyou find ones that interest you read them in detail – you may have to visitthe library to find the full text. The examiners will have read the samematerial and will enjoy the discussion – good luck.V I V A T E C H N I Q U ENote the following points:impression of calm confidence.Keep eye contact with at least one of them.an answer. However, do not hesitate too long because this makes youappear uncertain.ready for the next question.have positive factual knowledge to offer. Drop your voice slightlyon the final sentence so that the examiners know that you havecompleted your statement; try not to peter out.‘I think’. If an examiner says ‘Are you sure?’, this does not necessarilymean that you are wrong. If, however, an examiner tells you that youare wrong, accept it, even if you are certain that you are right. This isnot the time for argument or confrontation.something about which you know little or nothing. The examiner couldvery well ask you to elaborate (‘Oh yes, tell me more about that’).pleased to have some light relief during a heavy day’s examining. However,do not go out of your way to be funny because this can fall very flat.16
G E N E R A L P O I N T Sdecides the finishing point, not you. When the end is signalled, smileand thank the examiners, regardless of your feelings. Leave quietly at anormal pace. Try not to trip, knock over the chair or slam the door!O R G A N I S A T I O N O FI N F O R M A T I O NAlways show the examiners that you can classify information. Thefollowing ‘time-honoured’ mnemonics will help you organise yourinformation, but if you make up your own they will be more memorable.A diseaseYou may be asked to talk about a particular disease. Use a pathologysieve to structure your answer. One aide-mémoire is ‘Dressed In aSurgeon’s Gown A Physician Might Make Progress’: Definition, Incidence,Sex, Geography, Aetiology, Pathogenesis, Macroscopic pathology,Microscopic pathology, Prognosis. This is modified to form a clinicalsieve ‘… a physician Should Succeed In Treatment’: Symptoms, Signs,Investigations, Treatment.AetiologyExaminers often ask the causes of a condition. Remember to mentioncommon causes before rarer ones. If you have not memorised a listfor that condition, again refer to a sieve. You may find the followingmnemonic useful: CIMETIDINE – Congenital, Infective, Inflammatory,Metabolic, Endocrine, Traumatic, Iatrogenic, Degenerative, Idiopathic,Neoplastic, Everything else!An easy surgical specific mnemonic is TIMEC: T: tumour/trauma;I: infection, inflammation,ischaemia; M: mechanical, metabolic; E:endocrine; C: congenital17
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