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Oral Examination Review PHM 421

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management of chemotherapy induced diarrhea. Sleep disorders: ... types of side effects with the various agents (some common ones, some that may ... – PowerPoint PPT presentation

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Title: Oral Examination Review PHM 421


1
Oral Examination ReviewPHM 421
2
Exam Overview
  • Format
  • Logistics of day
  • Content

3
Format of Exam
  • 40 of course mark
  • duration 3 hours
  • two parts to exam
  • Part A 80 of exam - oral component
  • Part B 20 of exam - written component

4
Format of Exam
  • Part A 80 of exam - oral component
  • Total time 2 hours
  • Evaluated on
  • - integration/application of knowledge (80)
  • - verbal communication skills (20)
  • Two examiners will evaluate each student

5
Format of Exam
  • Part A (2 hours)
  • On entering the exam room, you will be asked to
    put away all books. You will be given a card to
    write your name on.
  • You will then be given a patient case examiner
    will indicate specific areas to be discussed
  • You will have 15 minutes to review the case and
    make any notes (paper available)
  • Examination will then start total time 1hr, 45
    mins all exams will be audio-taped

6
Format of Exam
  • Part A (2 hours)
  • Examiner will ask students to list signs and Sx
    and urgency will be written on board or
    flip-chart (this component not included on exam)
  • Students will then be asked questions about the
    case using the therapeutic thought process to
    identify DRPs and to develop a pharmacy care plan
    (approximately 7-9 questions each)

7
Format of Exam
  • Part A (2 hours)
  • One examiner will ask questions the other will
    be observing, making notes, etc.
  • Examiners are instructors from the Therapeutics
    courses (lectures CSS)
  • You will not have an instructor who would have
    evaluated you in a CSS

8
Format of Exam
  • Part A (2 hours)
  • All examiners are trained during a 3-hour
    workshop
  • There will be 16 examiners (7 or 8 exams will
    take place at one time)
  • Case and expected responses will be set by
    coordinator and examiners will be instructed on
    the expected level
  • Assessment forms are the same as for PHM 321

9
Format of Exam
  • At the end of Part A, all papers will be
    collected.
  • The material for Part B will be given out
    invigilators will remain in room.
  • At the end of Part B, students will be directed
    to use the back stairs to exit the Faculty

10
Format of Exam
  • Part B 20 of exam - written component
  • Duration 1 hour
  • Consists of
  • - multiple choice questions short-answer
    questions (15)
  • - documentation question (5) - similar to the
    format discussed in class

11
Logistics of the day
  • Please ensure that you are in the student lounge
    at least 15 minutes before your scheduled exam
    time!
  • If you arrive after exam has started, you will
    not be permitted to join your group.
  • You will be escorted to your exam room 5 minutes
    before the exam start time.

12
Logistics of the day
  • If you have any potential conflict with an
    instructor, please ask to speak to me right away!
  • For session I, you will be asked to stay in the
    exam room until the completion of the exam
  • If you have any constructive feedback about the
    exam, please pass them to me

13
Helpful tips in preparing for the exam
  • Review cases discussed in class review readings
  • then, looking at the case, try to think how the
    management of this patient would change if he/she
    had different RF or presented differently
  • i.e. know how options would change based on
    patient presentation and know when would drug B
    be more appropriate than drug A, etc.
  • discuss cases / questions with a study partner

14
Content
  • Topics include
  • Oncology - Pain, Diarrhea, Sleep disorders,
    Anxiety, depression, BAD, Psychosis, Seizure
    disorders, Migraine, CRF, ARF, CHF.
  • Oncology pain
  • appropriate agents to use for cancer pain
  • adverse effects of pain relievers and management
  • appropriate administration/regimens

15
Content
  • Oncology - diarrhea
  • drugs which induce diarrhea
  • management of chemotherapy induced diarrhea
  • Sleep disorders
  • as per class discussion - case and integrated
    case
  • thought process for insomnia, comparison of
    pharmacological agents (between and within
    classes), ability to choose appropriate agent
  • endpoints and outcomes

16
Content
  • Anxiety
  • pros and cons of different therapeutic choices
    for anxiety as reviewed yesterday (BZD,
    buspirone, SSRIs)
  • Depression
  • as per class discussion - case and integrated
    case
  • thought process for depression, risk factors,
    comparison of pharmacological agents (between and
    within classes), adverse effects, drug
    interactions, ability to choose appropriate
    agent, endpoints

17
Content
  • BAD
  • focus on adverse effects of agents, their
    management and monitoring for effect or adverse
    effects
  • Psychosis
  • do not need to know specific antipsychotic doses
  • comparison of agents categories - atypical vs
    typical
  • types of side effects with the various agents
    (some common ones, some that may be less common
    but serious)

18
Content
  • Seizure disorders
  • as per class discussion readings are good review
  • thought process for seizures, symptoms, reasons
    to treat patients, comparison of pharmacological
    agents, ability to choose appropriate agent, care
    plan
  • Migraine
  • as per class discussion, readings are good review
  • thought process for treatment prophylaxis,
    symptoms, triggers, comparison of pharmacological
    agents, ability to choose appropriate agent, care
    plan
  • need to understand pathophysiology, but do not
    need to know it in extensive detail

19
Content
  • CRF ARF
  • based on class discussion
  • complications of conditions and appropriate
    management
  • monitoring of these conditions progression
  • monitoring of drug therapy
  • CHF
  • multiple choice questions
  • will not be a topic for the oral exam portion

20
All the best on your exam and I wish you an
enjoyable and relaxing holiday season!!
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