These are all topics in cardiovascular section in new map. I have not read all Dr Mo notes. Are these topics covered in the notes. Do you recommend reading these topics from NHS website too?
Thanks for updating. Alright some of these topics are not discussed in notes.
Now I would rather do the topics that I have available my reasoning is this you right now have time wait for recalls and see what they test on . The thing is some these cases are above the fy2 level. And some the cases come in as councelling.
I’ll give you an example : Heart failure case comes in simman due to AF or valvular disorder and you have to manage.
However, in person cases it comes as councelling. Either ERECTILE DYSFUNCTION, HEMATURIA, TIREDNESS.
So reading the guidelines blindly won’t really help your cause. So i would say that practice the topics that are available.
Also ulcers used to come as examination stations some time back but they stopped coming altogether. So my point is master the topics that are available to you and that are being repeated. If you have done that then focus on the new maps. And keep yourself updated with recalls as well.
Don’t get into studying topics that you don’t find anywhere resulting in a disaster of missing topics that are already there.
If I still didn’t answer your question please let me know I’ll try to
Thank you!! you have answer my question perfecty well except thatshould I also read topics from the NHS website apart from reading Mo notes?
I got your point. I should continue finishing Mo notes and some of these cardiology topics will come in other chapters like Simman will cover heart failure or cardicac arrest. And the remmaining ones in new map will be covered in Recalls. Thank you. Now I have better understanding what I need to focus on for now.
Hello, so the HPV station. Firstly, in recent algorithm first they test for HPV first if it is positive then they do cytology . Cervical screening care pathway - GOV.UK here is the link as well you can have a look.
But still regardless of that let us break down the station so bear with me.
Now either it is going to be a test result station or a telephonic conversation. Both have a few lines in start I believe you know those lines. If you don’t hit me up I will write them down.
So depending upon type of station do your introduction.
TIP: please ask her why she had the test done? ( this will tell you how much she knows and how much you have to explain in management)
Now the purpose of our consultation i.e your propoganda is to rule out wheter your patient has any symptoms of cervical cancer (you have to ask any discharge from front passage, any bleeding from front passage, any trouble with water works, take a good yet sensitive sexual history (asking for safe sex, use of sexual toys and wheter she covers them or not - as these are risk factors), ask about period, pill, pregnancy and PREVIOUS PAP SMEAR RESULT ( but be careful if she is like 25 and you know this is her first smear then don’t ask this question, I am telling this cause I myself lack common sense and you won’t necessarily be like me but still better safe than sorry :0). Ask about weight loss. Take a brief Medical, allergic and family history.
This is the stuff that you need to ask in history briefly.
BUT, like I said this is YOUR PROPOGANDA , the PATIENT also has PROPOGANDA. Now understan this please the patient in this case WILL NOT have any symptoms she only came for routine screening. She might get scared so do CONCERNS and EXPECTATIONS ALOT.
Cause for her this is a routine screening and she might try to throw you off by (doctor you are scaring me with all these questions what is going on) so just assure her that you wanna make sure everything is fine with her and that you are asking these questions so that you can explain her the results in best way possible.
In MANAGEMENT : explain test ( if in hx she doesnt know about it)
Explain dyskaryosis ( changes in cell but are not cancerous)
tell her that HPV is negative and she doesn’t have any symptoms
She will need to come again in 3 years like usual
-if safe sex (tell her she is doing the right thing and that she should continue this)
-if not (advice condoms)
Tell her we will discuss HPV vaccine with her at some point in time
SAFTEY NET : for cancer
GOLDEN TIP ; This case will be scored on basis of IPS and patient concerns
PATIENT MAIN CONCERN ; doc is it cancer? ( now dont jump that yes she finally asked nah act like a pro) Ask why are you concerned about this (with a really worried expression)
then address by telling all negatives
TECHnICAL POINT ; I dont get why they give this case as guidelines that i read they dont do cervical cytology without HPV being positive
Regardless just look at the algorithm.
Any questions regarding this do hit me up and sorry for long post .
GOOD LUCK!
If there’s a scenario with emergency in GP, (like AACG, ectopic pregnancy) do we send labs in the GP or just tell them they will have blood taken in the hospital?
Like one of the users replied SEND TO ED .
Also I don’t think an acute emergency will come in GP.
But if it does the point where you realize the diagnosis calmly inform the patient and arrange ambulance for them.
How long did you take to prepare? How did you practice, I don’t have any friends or seniors I know personally who are giving this exam? How to prepare without such resources. Its my second attempt
Hello, well this forum is perfect for you then. You can find a lot help and practice buddies here.
I personally took 4 months. I was doing an ED job so first two and half months I studied along with job. And rest I studied without job and spent 4 weeks in UK.
HOW TO PRACTICE ?
Alot of time when I asked for help I was told the same so let me break that down for you. There are two approaches to practice.
A. Branch wise (CVS respo gynae)
B. Recalls wise
BEST METHOD : unfortunately just like life there is no hard and fast rule to practice.
What I did I found people to practice. You can through this forum . They have a link for finding study partners.
You can start of by doing branch wise practice and then in last two three weeks you can focus only on topics that have been coming in recalls.
Forum notes are nice. You can use them along with Mosohby notes or NICE CKS.
Yes without senior and friends you can ask for help here.
And go to study buddy link and you will find someone to practice
If you need any other help I’m here to help
Hello Dr Hope you doing well congratulations on passing the exam .
I have questions
Like in Mo shoby notes in every management do we need to involve seniors
Second do we need to refer the autistic child immediately to Autism team kindly tell the management in points .Thank you
Best place to start is from here. This will get you verified, help you join into private group and all the free study material. We’ll connect with you on WhatsApp and give you personalised guidance. This all is for free. We’re just paying back to the community.
I also need to research.