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SPK Test 236

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8 views8 pages

SPK Test 236

Uploaded by

Ý Nhi Ý Nhi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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I – READ A PARAGRAPH (no time to prepare, 1 minute to read out loud)

1/ US hospitals and clinics have undergone a revolution from use of paper patient charts to
computerization of most written or record keeping activities. With strong US government
support since 2006, most US hospitals and clinics have adopted the electronic health record.
Institutions are required to fully implement the electronic health record by 2015.
2/ The electronic medical record system supports computerization of entry of physician's orders,
nursing documentation of medication, treatments and observations. The system offers
reminders, protocols and clinical decision making support. Information is easily shared within the
hospitals and other institutions.
3/ Medical history provides the basis on which diagnosis and treatment are developed. An
uninterrupted setting in a quiet room with only the examiner and the patient present ensures
that patients can openly discuss their concerns and reinforces the patient-physician relationship.
Depending on the patient's concerns, additional and/or more targeted questions may be
appropriate.
4/ Medical histories vary in their depth and focus. For example, an ambulance paramedic would
typically limit their history to important details, such as name, history of presenting complaint,
allergies, etc. In contrast, a psychiatric history is frequently lengthy and in depth, as many details
about the patient's life are relevant to formulating a management plan for a psychiatric illness.
5/ A physical examination (more popularly known as a check-up) is the process by which a
medical professional investigates the body of a patient for signs of disease. It generally follows
the taking of the medical history - an account of the symptoms as experienced by the patient.
Together with the medical history, the physical examination aids in determining the
correct diagnosis and devising the treatment plan.
6/ The purpose of the laboratory is to provide physicians and other health care professionals with
information to detect disease or predisposition to disease; confirm or reject a diagnosis; establish
prognosis; guide patient management; and monitor efficacy of therapy. The laboratory also plays
a leading role in education and research, information technology design and implementation,
and quality improvement.
7/ Communicating patient care information to colleagues and other health professionals is an
essential skill regardless of specialty. Internists have traditionally given special attention to case
presentation skills because of the comprehensive nature of patient evaluations and the various
settings in which internal medicine is practiced. Students should develop facility with different
types of case presentation: written and oral, new patient and follow-up, inpatient and outpatient.
8/ When done correctly, oral case presentation is a powerful clinical skill. A fluent case
presentation allows for efficient and effective transitions between providers. Such
communication is essential within and between provider teams and between physicians and
supporting staff. The oral case presentation also serves as a useful proxy for assessing student
competency in clinical reasoning and patient care.
9/ Breaking bad news is one of a physician's most difficult duties, yet medical education typically
offers little formal preparation for this daunting task. Without proper training, the discomfort
and uncertainty associated with breaking bad news may lead physicians to emotionally disengage
from patients.
10/ Numerous study results show that patients generally desire frank and empathetic disclosure
of a terminal diagnosis or other bad news. Focused training in communication skills and
techniques to facilitate breaking bad news has been demonstrated to improve patient
satisfaction and physician comfort.
11/ Therapy is any of various techniques used in the treatment of physical or mental illnesses.
Therapy is used not only during the course of a disease but also after recovery if the patient
suffers lingering effects. Although some disorders may be treated by only one form of therapy, a
combination of therapeutic techniques is often required.
12/ Historically, the first preventive strategies were based on the awareness that disease
transmission can be stopped by public hygiene measures such as quarantining people who are
ill, removing the dead, and providing sewage systems. A major advance was the discovery that
immunization can protect people against many infectious diseases.
13/ Researchers in human health problems also uncover actions that people can take individually
to improve their health. Primary among these are maintaining a nutritious and balanced diet with
a low fat content, getting sufficient sleep and regular exercise, and having periodic medical and
dental examinations. Many physicians recommend reducing the intake of cholesterol in the diet
to cut down heart disease.
14/ Immunization is a method of stimulating resistance in the human body to specific diseases
using microorganisms that have been modified or killed. These treated microorganisms do not
cause the disease, but rather trigger the body's immune system to build a defense mechanism
that continuously guards against the disease.
II – DESCRIBE A PICTURE (30 seconds to prepare, 1 minute to describe a picture
in at least 5 sentences)
1/ Hospital lounge

2/ Medication room
3/ History taking

4/ Physical examination
5/ Lab test

6/ Oral case presentation


7/ Giving bad news 1

8/ Giving bad news 2


9/ Animal-assisted therapy

10/ Hand hygiene


11/ Immunization

III – CONVERSATION – HISTORY TAKING (30 seconds to prepare, 5 minutes to


complete the checklist)
1/ Abdominal pain
2/ Painful urination
3/ Painful arm
4/ Chest pain
5/ Severe cough
6/ Headache
7/ Back pain

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