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MCQs, AKT
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AKT Exam

Published on Mar 18, 2016

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PRESENTATION OUTLINE

Applied Clinical Knowledge Exam

Preparation and Approach to MCQs 
MCQs, AKT

Understanding Applied Clinical Knowledge Qs

  • The scenario - all the information you need to know, no more and no less
  • The lead-in question - guides your thinking
  • The choices - all good choices if written well and one is most correct
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YOUR MINDSET

The examiner is not out to trick you
Stick to facts and information presented
Do not read too much into the scenario
Do not be bothered by information you would like but cannot have - it is a written test - so stop asking the paper for answers
Do not add information to the story
Pay attention all the information and cues
Do not make assumptions of patients in the scenario eg farmers are not all stoic, Aboriginal people don't all drink alcohol

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PREPARATION

takes you half way there 

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KNOW WELL WHAT IS BEING TESTED

Know what is being tested and at what level - review your curriculum
Do a knowledge gap analysis - what you are good at, what patients present to your clinic
Check with peers their level of knowledge and skills
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Learn in Context

Patients and Case Analysis 
Use patients and case analysis to learn in context
Use point-of-care resources often if not all the time to make clinical decisions eg:
- RCPA Manual for pathology choices
- imagingpathways.health.wa.gov.au for radiological choices
- eTG for drug choices
Use guidelines that are up to date
Read textbooks to revisit basic anatomy, physiology and management steps
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Types of Questions

  • Making choices - investigations, treatment and management options
  • Making diagnoses
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Approach: making choices

  • List the cues/data provided
  • Highlight 1-2 key features in the cues
  • Make the diagnosis
  • NOW - look and choose from the list of choices (3-5 depending on the number of choices given)
  • Considerations before making a final choice
considerations:
tests - specificity, sensitivity, costs, availability, safety
drugs - patient profile, SE
management - best, next, initial, immediate, most appropriate
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Approach: making diagnoses

  • List the cues
  • Note 1-2 key features in the cues
  • NOW - look at the choices and choose 1-3 possible diagnoses
  • Do all the cues fit with the diagnosis
  • Considerations
Considerations:
syndromes
patient demographics - age, sex, ethnicity
epidemiology - most common
drug side effects
what should not be missed

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