Many of you have passed you MCQ exam but did you know you can - TopicsExpress

Many of you have passed you MCQ exam but did you know you can still use those old MCQ questions for studying for future exams. For example here is an MCQ: Luisa, 26 years old, presents to your practice with complaints of excessive restlessness, palpitations and weight loss with no relevant history. Physical findings include enlarged thyroid gland with node, painless on palpation, lymphoadenopathy, BP 145/90 mm Hg, PS 140 /min irregular. What is the most appropriate treatment? A - Subtotal thyroidectomy plus treatment with b-blockers B - Subtotal thyroidectomy and 131I ablation C - Carbimazol 45 mg daily for 18 months D - Lugol’s Iodine plus treatment with b-blockers and 131I ablation E - Total thyroidectomy and 131I ablation with Thyroxin replacement Now we can easily change it into a clinical exam question: Luisa, 26 years old, presents to your practice with complaints of excessive restlessness, palpitations and weight loss with no relevant history. Physical findings include enlarged thyroid gland with node, painless on palpation, lymphoadenopathy, BP 145/90 mm Hg, PS 140 /min irregular. - Discuss your differentials with the patient - Discuss management with the patient. OR Luisa, 26 years old, presents to your practice with complaints of excessive restlessness, palpitations and weight loss with no relevant history. - Ask examiner for physical examination - Discuss your diagnosis with the patient - Discuss management with the patient. Now we can easily make it a PESCI question: Luisa, 26 years old, presents to your practice with complaints of excessive restlessness, palpitations and weight loss with no relevant history. Physical findings include enlarged thyroid gland with node, painless on palpation, lymphoadenopathy, BP 145/90 mm Hg, PS 140 /min irregular. -What are your differentials? -How would you proceed? It doesnt matter that you know the answer off by heart. For each different exam you need to speak differently and behave differently. So it is perfect to focus on how you will respond :D

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