History taking-

-Enlarge right tonsil - staright forward hist, make 2-3 differentials, investigation, etc

-Knee pain hist - Truamatic knee 25 years ago, early arthritis

Examinations-
-Cranial nerves examination - Memory problem, CN I and II findings, my advice do AMTS first and
then cranial nerves

-CVS exam - Pre-op examination, Valve replacement, ankle edema, on warfarin, do mention CPEX

-Lipoma exam - multiple lipoma on the back, easy station

-Varicose vein exam - eldery frail patient, varicosities on both greater and lesser saphenous vein
territory, you want to rush but patient was too frail so my advice take your time and discuss in 3
minutes with examiner

Communication-
-Patient with splenic injury, self discharge - explore concern , after 6 minutes do mention he needs to
sign for self discharge and make sure help available and tell him signs and symptoms of what to look
for in case if something goes wrong

-Speak to ICU reg about patient with ulcer perforation ( Pre-op planning, basic management, Fluids,
abx, ECG, CXR, will need ICU bed but could stay in recovery or to look for patients who could be step
down to the ward from HDU)

Skills-
-Abscess drainage

-Primary survey on manikin ( ATLS protocol, Airway - head tilt / chin lift, oxygen, geudel airway, bag
mask vetilation, neck immobilisation ( use your assistant), intubation ( call anaesthetist), surgical or
needle trachy ( duration we can keep both in) etc

Anatomy-
-Neuro anatomy ( MR brain with parietal meningioma), look for the body parts get affected by parietal
meningima

-Forearm anatomy; all muscle, nerves- very easy

-Neck anatomy, brachial plexus, injuries etc - Erbs and Klumpke palsy, root involved

Critical Care-
-Post hip replacement, shock, management ( Definition, types of shock, step by step management,
when to involve seniors)

-CVC ( landmarks technique , NICE guideline), pneumothorax, how to read CXR

Pathology-
-Bowel ca, different types, lab techniques to identify, transfusion reaction, SOB, wheeze, MI, from
where troponin released

-Gastric ulcer, phases of gastric acid secretions and hormones involved, CEPOD classification etc

Best of luck