1. Endocrinology
- Case 1: Weight Gain
- Key Topics: Diagnosis and management of unexplained weight gain, consideration of medication effects.
- Candidate Performance: Struggled to prioritize presenting symptoms over past medical history, incorrect diagnoses.
- Improvement Areas: Focus on symptom-based assessment and interpretation of diagnostic results.
2. Pediatrics and Psychiatry
- Case 2: Postpartum Concerns
- Key Topics: Infant weight gain, breastfeeding issues, postpartum mental health.
- Candidate Performance: Inadequate initial management of breastfeeding issues, failure to recognize acute mental health deterioration.
- Improvement Areas: Accurate reading of questions, urgent management of postpartum mental health crises.
3. Cardiology
- Case 3: Post-Myocardial Infarction Management
- Key Topics: Medication adjustment post-MI, addressing patient concerns.
- Candidate Performance: Incorrect focus on long-term unrelated medications, inadequate patient education.
- Improvement Areas: Focus on relevant post-MI medication adjustments, specific advice tailored to patient concerns.
4. Otorhinolaryngology
- Case 4: Chronic Rhinosinusitis
- Key Topics: Differential diagnosis for chronic rhinosinusitis.
- Candidate Performance: Misinterpretation of symptoms for diagnoses, consideration of unlikely differentials.
- Improvement Areas: Accurate differential diagnosis based on common presentations.
5. Obstetrics/Gynecology
- Case 5: Medical Termination of Pregnancy
- Key Topics: Contraindications for medical termination, management of retained products of conception.
- Candidate Performance: Inappropriate topic selection, inadequate management of complications.
- Improvement Areas: Appropriate management of medical termination and its complications.
6. Dermatology
- Case 6: Photodermatitis
- Key Topics: Differential diagnosis and management of photodermatitis, long-term sun damage management.
- Candidate Performance: Misidentification of presentation, inadequate specific management strategies.
- Improvement Areas: Specific management excluding sunscreen, long-term sun damage care.
7. Radiology
- Case 7: X-ray Interpretation
- Key Topics: Lesion description on X-ray, differential diagnosis.
- Candidate Performance: Incorrectly provided diagnoses instead of findings, inadequate consideration of provided information.
- Improvement Areas: Accurate X-ray findings description, relevant differential diagnoses.
8. Addiction Medicine
- Case 8: Management of Scheduled Drug Use
- Key Topics: History exploration for scheduled drug use, management rationalization.
- Candidate Performance: Premature management solutions, inadequate exploration of patient history.
- Improvement Areas: Thorough history taking, rationalizing scheduled drug management.
9. Gynecology
- Case 9: Suspected Endometriosis
- Key Topics: Identification and investigation of endometriosis.
- Candidate Performance: Repetition of case stem information, selection of irrelevant investigations.
- Improvement Areas: Specific history taking and targeted investigations for diagnosis confirmation.
10. Neurology
- Case 10: Evolving Neurological Condition
- Key Topics: Differential diagnosis of neurological conditions, appropriate investigations.
- Candidate Performance: Neglect of new symptoms, focus on past musculoskeletal issues.
- Improvement Areas: Inclusion of all symptoms in differential diagnosis, targeted neurological investigation.
11. Reproductive Medicine
- Case 11: Male Factor Infertility
- Key Topics: Causes of male infertility, interpretation of semen analysis.
- Candidate Performance: Inadequate identification of history elements, inappropriate reassurances regarding fertility.
- Improvement Areas: Detailed history to refine diagnosis, specific counseling on fertility outcomes.
12. Dermatology
- Case 12: Acne and Facial Palsy
- Key Topics: Management of resistant acne, identification and management of facial palsy.
- Candidate Performance: Incorrect management choices for acne, failure to provide specific Bell’s palsy management.
- Improvement Areas: Tailored acne treatments, immediate and specific management for facial palsy.
13. Gastroenterology
- Case 13: Gastrointestinal Symptoms
- Key Topics: Differential diagnoses for GI symptoms, essential history, and investigations.
- Candidate Performance: Repeating information, irrelevant past medical history exploration.
- Improvement Areas: Focused history taking, selection of investigations to refine diagnosis.
14. Vascular Medicine
- Case 14: Postpartum Thrombophlebitis
- Key Topics: Diagnosis of thrombophlebitis, impact of medical history on management.
- Candidate Performance: Misidentification of superficial thrombophlebitis, inadequate use of case information.
- Improvement Areas: Recognition of clinical signs, tailored management considering past history.
15. Cardiology
- Case 15: Chest Pain in a Remote Setting
- Key Topics: Differential diagnosis of chest pain, interpretation of ECG.
- Candidate Performance: Ignoring non-cardiac signs, focusing on irrelevant history.
- Improvement Areas: Broad differential diagnosis, specific management based on ECG findings.
16. Infectious Diseases
- Case 16: Travel-Related Illness
- Key Topics: Infectious causes of fever, joint pain, and arthritis after travel.
- Candidate Performance: Failure to identify infectious causes, inadequate physical examination.
- Improvement Areas: Specific infectious disease consideration, targeted physical examination findings.
17. Ophthalmology
- Case 17: Dry and Irritated Eyes
- Key Topics: Diagnosis of eye conditions based on clinical findings.
- Candidate Performance: Incorrect diagnosis, overlooking relevant clinical findings.
- Improvement Areas: Accurate eye examination, appropriate management based on diagnosis.
18. Cardiology
- Case 18: Resistant Hypertension
- Key Topics: Investigation and management of resistant hypertension.
- Candidate Performance: Inadequate consideration of patient information, mismanagement of hypertension.
- Improvement Areas: Comprehensive evaluation of causes, optimization of antihypertensive therapy.
19. Pulmonology
- Case 19: Hemoptysis and Possible Tuberculosis
- Key Topics: Diagnosis of TB, management including public health measures.
- Candidate Performance: Non-specific responses, inadequate investigation selection.
- Improvement Areas: Specific investigations for TB, immediate management with infection control.
20. Palliative Care
- Case 20: Palliative Patient with Respiratory Symptoms
- Key Topics: Management of dyspnea and edema in palliative care.
- Candidate Performance: Misinterpretation of lab results, inappropriate pharmacological focus.
- Improvement Areas: Identification of symptom causes, non-pharmacological management strategies.
21. General Medicine
- Case 21: Fatigue in a Young Female
- Key Topics: Differential diagnosis for fatigue, appropriate investigation selection.
- Candidate Performance: Repetition of case information, unnecessary diagnostics.
- Improvement Areas: Specific history for fatigue causes, judicious use of investigations.
22. Pediatrics
- Case 22: Unwell Child
- Key Topics: Severity assessment of pediatric illness, management planning.
- Candidate Performance: Generally good, but some lacked specificity in management.
- Improvement Areas: More detailed management plans, avoiding generic reassurances.
23. Endocrinology
- Case 23: Amenorrhoea
- Key Topics: Differential diagnosis, investigation interpretation, management of complications.
- Candidate Performance: Inadequate focus on the question, non-pharmacological management suggestions.
- Improvement Areas: Focused answers on differential diagnosis, specific pharmacological management.
24. Psychiatry
- Case 24: PTSD in a Clinical Colleague
- Key Topics: Identification and management of PTSD, addressing professional concerns.
- Candidate Performance: Misidentification of symptoms, inadequate management strategies.
- Improvement Areas: Comprehensive history taking, immediate and supportive management.
25. Psychiatry
- Case 25: Mental Health Deterioration
- Key Topics: Acute mental health management, preconceptual counseling in context of mental health.
- Candidate Performance: Failure to recognize acute symptoms, inappropriate agency involvement.
- Improvement Areas: Immediate mental health intervention, tailored preconceptual advice.
26. Infectious Diseases
- Case 26: Recurrent Fevers in an Aboriginal Child
- Key Topics: Differential diagnosis for recurrent fevers, consent issues.
- Candidate Performance: Inappropriate diagnostic focus, misunderstanding of consent process.
- Improvement Areas: Tailored diagnostics for recurrent fever, appropriate consent procedures.
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