2021年3月份香港医生LMCHK考试如何备考？

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How to strengthen the consolidation of knowledge points?

I can give example- for retain the knowledge we need to do several similar questions related to the topics.

See exam- Lets say we study diffuse axonal injury, after studying a topic we need to do a question. This is a must

A 23 year old man was driving a car at high speed whilst intoxicated, he was wearing a seat belt. The car collides with a brick wall at around 140km/h. When he arrives in the emergency department he is comatose. His CT scan appears to be normal. He remains in a persistent vegetative state. Which of the following is the most likely underlying cause?

A. Extradural haemorrhage

B. Sub dural haemorrhage

C. Sub arachnoid haemorrhage

D. Intracerebral haemorrhage

E. Diffuse axonal injury

一名23岁的男子醉酒驾车高速行驶，他系着安全带。汽车以140公里/小时的速度撞上一堵砖墙。当他到达急诊科时，他已经昏迷了。他的CT扫描显示正常。他一直处于植物人状态。下列哪一项最有可能是潜在的原因?

A:硬膜外的出血

B硬膜下出血

C蛛网膜下腔出血

D .颅内出血

E.弥漫性轴索损伤

Then again we need to repeat similar questions-Like this.

2. A baby is brought to casualty unconscious and in a vegetative state. She has cigarette burns on her legs.一个失去知觉的植物人婴儿被送到急诊室。她的腿上有香烟烧伤。

A.Acute sub dural haematoma

B. Intra cerebral haematoma

C. Extra dural haematoma

D.Diffuse axonal injury

E. Basal skull fracture

This is how we can consolidate a learned memory.

What subjects need to focus on review?

What subjects can I give up?

First of all, I would like to tell part3 we can be more selective on topics because the patient in the exam patient must be stable for an examination so we can skip the unstable patients for example you will not have a real patient having Acute Pancreatitis, or Myocardial infarction for the exam so we can easily skip them, but part1 is a more broad-spectrum, and questions can be from anywhere because it is a written examination, so learning as much as possible is key, but there are several things which exam focuses more like clinical presentation, so focus should be on is how to recognize patients and how to rule out the differential diagnosis. For example, they like to ask more on rare syndromes so we need to learn those more, like Wilson disease, Neurofibromatosis,Tuberous sclerosis, VHL so on and so on, need to do many questions to master them well.

So this kind of topics are very important, see below.

A 17 years old jingo complains with a background of Marfan syndrome presents to the emergency department with palpitations and sweating He was hypertensive on admission at 198/101 mmHg. He is also complaining of the development of nodules on his torso and cheek which provide a pins and needle like sensation. A 24 hour urinary catecholamine has been sent and is currently pending. What is the most likely underlying diagnosis?

17岁jingo主诉，马凡综合征背景，心悸出汗，入院时高血压198/101 mmHg。他还抱怨说，他的躯干和脸颊长出了结节，给人一种针扎般的感觉。24小时尿儿茶酚胺已被发送，目前正在等待。最可能的潜在诊断是什么

A. Thyroid carcinoma

B. MEN type 2A

C. MEN type 1

D. MEN type 2B

E.Pheochromocytoma

How many years of real exam questions should we solve , how to brush the title correctly?

I recommend at least past 5-year questions ideally you should do 10 years. -Past paper questions are important, but you need to do other questions banks to have more confidence, like solving pass medicine, Pastest, MRCPCH, MRCS questions, and so on, so you must do more questions to increase your speed.

During the study, you must mark some points or print out some important points which are easily forgotten, so that you can review them later.

During the study, you must mark some points or print out some important points which are easily forgotten, so that you can review them later.

During the study, you must mark some points or print out some important points which are easily forgotten, so that you can review them later. Clinical findings you don't have to review so much as one can recognize if one has learned the disease so it does not need a review just before the exam. Some memory-based topics you need to bookmark and make a note for review. . I hope you got point.

What should you do for your first exam?

First is mental preparation, you must know that you are going to become a very professional doctor when it comes to making a diagnosis with your clinical knowledge and clinical skills you will supersede your counterpart. When you know that it will upgrade your level you will take things in a more serious manner and give time for it. Also, it is important to invest time in the right direction, for that know little detail about what happens during the exam, you should know that the exam has been divided into 2 paper. Paper one you need to know medicine, pediatrics, and psychiatric very very well, and you should know the subject and topics which can be tested. For example, 60 scores from medicine come from neurology(the largest one), cardiology, respiratory, GI, rheumatology, endocrine, infection and allergy, dermatology, hematology, emergency, and old age diseases. For cardiology, they may have 4 to 5 questions and from neurology sometimes more than 4 so this is something we should know first and then you know where to invest your time, so the first thing is to know how you need to study then do relevant questions to master these topics well. You should start in a systemic fashion and solve questions one by one to clarify the topics.

To strengthen the clinical English level, what aspectscan we learn from?

Exam is not demanding that you must be very good in English your professional knowledge must be perfect because if you see part1 exam, we have translations see the example below like this, if your medical knowledge is good you can definitely pass part1 without any problem, because the paper is in Chinese and English both. See example to be more clear.

Which of the following is not a form of primary brain injury?

A. Sub dural haemorrhage after being hit in the head with a hammer

B. Meningitis resulting from infected CSF rhinorrhoea after a basal skull fracture

C. A truck driver is involved in a road traffic accident and suffers an axonal stretch injury

D. A man is hit with a baseball bat and suffers a cerebral contusion

E. A man suffers an intraparenchymal haemorrhage after being hit in head during a car crash

下列哪一项不是原发性脑损伤的一种形式?

A .头部被锤击后硬膜下出血

B.基底颅骨骨折后感染脑脊液鼻道引起的脑膜炎

C.一名卡车司机在一场道路交通事故中受到轴突拉伸损伤

D一名男子被棒球棒击中，造成脑挫伤

E.一名男子在车祸中头部被击中，导致脑实质内出血

So i would rather suggest you to give more energy on learning main subject rather them worrying too much about English for Part1.

But teacher Part2(total 40 score passing 50percent) is medical exam-

How can i ignore English?-Yes that's true that Medical English is involved,but 50 percent is comprehensive test, and i think most of the students speaking English may not be good but comprehension is OK.

So i think passing chances are high for part2.

How to make sure we can pass part 2?

We need to practice comprehensive test and improved reading skills by doing practice questions-below i have given a sample of how the exam questions is asked, you need to read the article and then mark true or false. 20 score in total. Wrong answer there is deduction of one score.

Will lecture help me learn english?

During classes in most of the lecture usually have Chinese subtitle(see below) and so need to bookmark English word which you do not know and need to review the word.

What if i make mistake in true or False- One mark will be deducted if you mark a wrong answer, so must learn how to write referral letter which has 10 scored. And another added questions which also has 10 score so we need to make sure we do well in these to make sure we can pass, they are very easy for i recommend students to do it first and then do the comprehensive test latter. But this can be done in 30 mins and you will have 2 and half hours for comprehensive test.

Writing a good referral letter will help you get 10 score and other one questions is case study which will also give you 10 score.So part2 is most easy among all.

Sample of referral letter.

Another is case study and some time need to write a death certificate.

Part3 as i told, most of the short cases are silent meaning you need to demonstrate you clinical skill not taking history and in long cases a translator will be providing during taking history if you do not know that language , lets say you encounter a patient who speak Cantonese, during exam application you can make a choice like if the patients speaks Cantonese i would like to have a mandarin interpretation. So again language is not forming a huge barrier. You clinical skill is way much more important then language, so do not feel that, my English is not good then i cannot past this examination. You can do well but of course if you learn more English that is plus point.

Wish you good luck with you study and finally it is finally you determination and consistency which will pay a key role but if you have a right road map you can reach the destination quicker.