参考までに、自分が受験した時の問題１６問を掲載しておきます。
全て記憶頼りなので、正確性には乏しいですが、雰囲気が伝わればいいなと
16問中、2問はスコアの対象にならないパイロット問題で、14問中10問パスで合格です。
どれがパイロットかはやっている時は不明。
各問題1-7点でスコアされ、4点でその問題はパスです。採点基準は明確にはなっておらず、キーワードをどれくらい抑えたか、クリティカルなミスをしていないか、でスコアされるということに一応なっています。
- 30 yo Marathon runner with foot pain
- perform relevant physical examination
- diagnosis/differentials and reasons - Phone call from midwife looking after 28yo pregnant lady labouring for 9 hours
- history taking and ask for relevant physical exam from Nurse
- give diagnosis and plan with reasons - 30yo known to have bipolar disorder on lithium, about to travel.
- History taking
- give travel advice related to bipolar disorder - 25yo seeking re-prescription for tamazepam
- take history
- management - Father of 4yo girl with asthma, seeking advice for flu shot
- take history
- answer his question - Abdominal pain 30yo
- take history
- give diagnosis and differentials with reasons - 48yo man with tremor, concerning Parkinson’s disease
- perform a relevant physical examination
- give diagnosis and differentials with reasons - Pregnant 37weeks lady, came to you for routine checkup
- perform physical examination
- management - 24 yo woman, vaginal bleeding
- take history
- give diagnosis and differentials with reasons - 28 yo lady, 6 weeks post delivery, nipple crackle and tiredness
- history taking
- give diagnosis and differentials with reasons - 35yo lady PI bleeding, Hb 55, Jehovah's witness
- History taking
- give diagnosis and management - 18 yo boy, had a "funny turn"
- history taking
- give diagnosis and differentials with reasons - Mum of 16 yo girl who had loss of consciousness after running under hot and humid weather
- history taking from Mum
- give diagnosis and differentials with reasons - 60yo man known to have COPD, came with swollen leg
- take history
- give diagnosis and differentials with reasons - Mum worried about her 9 mo baby as he is not sitting up as the other babies
- take history
- give diagnosis and differentials with reasons - 30yo worried about STI
- perform a genital examination
- give management and plan
ほら、もう小児集中治療の知識とスキルはほとんど役にたたんつたいね
