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11 mlootes fot cooJlJote to be ossesseJ oo O5c stotloo


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xomlootloo skllls
lotetptetotloo of lovestlqotloos
loltlol moooqemeot















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1bls ls oo 11-mloote exomlootloo stotloo to test tbe cooJlJotes oblllty to
cotty oot o competeot ooJ floeot 3."/%0"1%&0 of tbe cotJlovoscolot
system. lt ls oot o vlvo ot test of koowleJqe pet se bowevet
lotetptetotloo ooJ loteqtotloo of slqos loto o Jloqoosls ot Jlffeteotlol
Jloqoosls ls tepolteJ. 4(3 &0+5 163 7#&/71( 7#&'%$3$.

=9+4)49/1- "9-GA 1he candldaLe ls an l1 on Lhe medlcal admlsslons unlL.
A 64-year-old genLleman has been senL ln vla hls C wlLh a hlsLory of
chesL paln and palplLaLlons. 1hey wlll be requlred Lo examlne Lhe paLlenL
and presenL Lhelr flndlngs.

%HI1C/)B1-
1he candldaLe should:
1. CommunlcaLe well wlLh Lhe slmulaLed paLlenL
2. erform a comprehenslve cardlovascular examlnaLlon
3. lnLerpreL an LCC
4. SuggesL an approprlaLe dlagnosls
3. knowledge of lnlLlal managemenL of ACS


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?ou are an l1 docLor worklng ln Lhe medlcal admlsslons unlL. A 64-year-
old genLleman has been senL ln vla hls C wlLh a hlsLory of chesL paln
and palplLaLlons.


"9-G

1. Lxamlne Lhe paLlenL
2. resenL your flndlngs Lo Lhe examlner
3. Answer any quesLlons
























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blstoty ftom yoo.



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oo bove boJ some cbest polo ooJ beeo seot bete by yoot Cl

1be cooJlJote wlll exomloe yoo
1be exomloet wlll be tespooslble fot oskloq poestloos









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5totloo coottesy of ut c. kowoo
@90G !X11/Y !"#$%&'"()*+"# -."/%0"1%&0 21"1%&0
Lxamlner's name: CandldaLe name:

Scorlng: 0=lnadequaLe/noL done, 1=adequaLe, 2/3 =done well
1he global score reflecLs Lhe general aLLlLude and compeLence of Lhe candldaLe
- now woolJ yoo feel oboot tbls 5
tb
yeot beloq yoot oew l1 colleoqoe?

Sklll

Marks CommenLs
ALLlLude lnLroducLlon, approach Lo paLlenL, clarlLy of lnsLrucLlons, empaLhy

0 1
AdequaLe hand hyglene

0 1
LxamlnaLlon Lxposure and general lnspecLlon- breaLhlessness, anxleLy,
dlscomforL, cyanosls
0 1
AssessmenL of hands e.g. C81, clubblng, slgns of lnfecLlve
endocardlLls (spllnLer haemorrhages/oslers nodes/[aneway leslons)
0 1
AssessmenL of pulses- rhyLhm, volume, characLer
(radlal, collapslng, caroLld, radlal-radlal delay)
0 1


Asks Lo check 8 (does noL need Lo perform)

0 1
CorrecL examlnaLlon of !v and face (cenLral cyanosls, anaemla)

0 1
LocaLlon of apex beaL and palpaLlon of chesL for heaves and Lhrllls

0 1 2
AusculLaLlon ln Lhe 4 maln areas plus poslLlonlng of Lhe paLlenL Lo
accenLuaLe mlLral and aorLlc murmurs & radlaLlon
0 1 2
AusculLaLlon of lung bases

0 1
Checklng for ankle swelllng and sacral oedema (lf approprlaLe)

0 1
uescrlpLlon of
flndlngs
Summary of flndlngs- succlncL 0 1 2
lnLerpreLaLlon lnLerpreLaLlon of LCC 0 1 2
Maklng Lhe dlagnosls 0 1 2
ManagemenL of ACS- A8CuL approach. Cxygen lf requlred,
morphlne, asplrln + Llcagrelor/clopldogrel/fondauparlnex, nlLraLes,
Cl lf S1LMl (musL be able Lo dlfferenLlaLe managemenL of nS1LMl
versus S1LMl)
0 1 2
lmpresslon

Agreed global score examlner & slmulaLed paLlenL- professlonal,
empaLheLlc and -961 approach
0 1 2 3
1oLal /24

Lxamlners please make Lhls [udgemenL:
Clobal !udgemenL
Clear fall 8orderllne Clear pass very Cood
pass
LxcellenL
pass





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5totloo coottesy of ut c. kowoo
5D884 01-3D/-:

QH 140 &9 138 =;T <3
Z== 6.21 . 3.6 "08[8+)+ 900
TD/ 300 <019 6. 4 $&; 1.1
=019/ 80