You are on page 1of 2

‘Life is a bed of roses and thorns. To get to the roses, you have to deal with the thorns.

’ The following is some information/advice I got from my seniors who are currently Med 5. They deliberately asked those who have taken viva exam before and I hope this is useful as a reference—just a REFERENCE. So please do not rely on this entirely. The answers are SUGGESTED answers ONLY. *When you don’t know how to answer the questions, tell the examiners that you don’t know that in a professional way, like saying you are not ‘familiar’ with the topic, instead of just saying ‘sorry I don’t know.’ *They want some SAFE doctors. So be 淡定, 稔清楚先好答。Be logical, Give organized answers. *Even if you want to make a guess ‘撞’ (risky!), make sure there is sufficient educational ground for your answer because there will be follow up questions *Know the commonnest things Topics asked previously: Pharmacology (important) - Give definitions of 1st and 2nd order pharmacokinetics - Pharmacokinetics and pharmacodynamics are important topics, may refer to MED 2 PMDT Bridgitte’s notes (I remember there are two lectures on these two topics) - NSAID side effects - Phenytoin, warfarin - Drug-drug interaction** - Drugs especially in PCAR - Digoxin toxicity: management, symptoms, complications treatment: Digixab(not sure if the spelling is correct): bind digoxin intravascularly. Hence there’s a concentration gradient between extracellular and intracellular drug concentration, hence the drug diffuses out of the cells Anatomical and Cellular Pathology - Cirrhosis: cause, presentation - TMN Staging of CRC - May take a look at pathology of common diseases

Chemical pathology - Thyroid function test

- Hashimoto’s disease (it was asked by external examiner) Fe-deficiency anaemia Renal/Thyroid/Liver function test: may ask about the parameters. urinary tract. hypotensionmanagement .g.shock (clinically): Give DDXHx and P/E to differentiate the ddxmanagement. PPI.g. which antibiotics to use? .classify shock: warm peripheryseptic shock. sepsismanagement according to the source of infectionit could be biliary. investigation .GIB+if need to take NSAIDSapproach: -any indications? -give prophylaxis.hemicolectomy postop day3 fever  likely complication (e. e. its concentration increases with biliary tree obstruction) There’s one candidate actually did good in surgical osce and hence the examiners asked him a lot of surgical knowledge.. e.antibiotics profile: certain antibiotic covers what organisms? .how to resuscitate . . -how to follow up .g.sepsissymptoms . etc.g.NSAID with ulcerManagement .g. What is ALP or ALT? What is it measuring? (e. draninage) e. cold peripherythen check JVPwith ↓JVP hypovolemic shock with ↑JVP cardiogenic shock . anastomotic leak) and management (e.g. Alkaline phosphatase is an enzyme present on the biliary canaliculi. antibiotics. H2 blocker…. if it’s skin flora.e.COX2: increased cardiogenic side effect Microbiology .g. anaphylactic shock.