Anatomy II and Medical Communication: Check!!
May 30, 2013 § 2 Comments
2 down and 3 to go! The past few days have been just short of crazy. On Monday I attended both the histology and anatomy consultation, lost my phone, and spent the rest of the day cramming for my exam on Tuesday.
The exam was divided into 2 main parts: dissection room and office. In the office portion we were asked 4 questions: 1 histology, 1 embryology, and two anatomy. Here’s what I remember from my exam:
– Given internal genitals and asked, “What is this?”. The bladder was huge and I was nervous, so I didn’t know at first, but after some looking I found the uterus. Once I found that, I had to identify the uterine tubes, name the mesosalpinx and mesometrium, identify the ovary and the suspensory ligament, then the round ligament of the uterus.
– To identify the sternocostal surface of the heart, the right coronary artery, the superior and inferior venae cavae, the coronary sinus
– To identify the quadrate lobe of the liver, the portal vein, the round ligament
– To identify the ureter and the vas deferens entering the deep inguinal ring
– To identify the thyroid cartilage, mylohyoid and geniohyoid muscles, retropharyngeal space, hypoglossal nerve
– Histology: For this one I got the human liver. We are given a random slide and have to identify the specimen and then explain the details about it. This was my weakest point. She had to remind me to mention the space of Disse and I couldn’t name the Toshio Ito cells (which aren’t in our book but were mentioned in class) or describe the pathological unit of the liver in enough detail.
– Fetal Circulation: For this part, I did a drawing similar to this one. I had drawn the outline and then described the circulation while drawing in the blood path. I had to mention the ductus venosus and ductus arteriosus, describe the reason for the ductus arteriosus and the importance of it’s location and then what changes happen after birth and what the remnants of the different structures are.
– Anatomy I: For this part, I got the pancreas. I was really happy about this because it is one of my favorites. I drew a picture of the pancreas, stomach, liver, and duodenum and then included the ducts of the pancreas, Vater’s papilla and the minor duodenal papilla. I had to described its location, the blood supply, the passage of bile and the parts of the pancreas.
– Anatomy II: My last topic was inguinal canal!! Such an amazing coincidence after posting about it in my blog last week. You never know what is going to pop up!
After anatomy, I had one day to cram for my Medical Communication final. These were the exam topics:
1. Basic definitions in communication and their role in medical practice: basic elements, axioms and levels in communication; verbal communication.
2. The role of non-verbal communication.
3. The role of active listening and the role of empathy.
4. Doctor-patient consultation.
5. Communication issues of patient information.
6. Patient education and shared decision making.
7. Convincing strategies in medical practice: learning theories and cognitive models;
8. Convincing strategies in medical practice: the role of arguments, behavior change model.
9. The role of suggestions in doctor-patient communication.
1. Communication with acute patient.
2. Communication with ill children.
3. Communication with elderly patients.
4. Communication with somatizing patients.
5. Communication with alcohol and drug addictive patients.
6. Communication about sexual problems.
7. Communication aspects with patients committing suicide attempt.
8. Communication possibilities in prevention and handling aggression.
9. Communicating bad news.
For my exam, I got topic 1 from the A list and topic 5 from the B list. Here’s a little goody I found while studying for the exam. I had noted it down during one of the lectures.