Body Mass Index

Patient A: weight 70 kg, height 168 cm.
Patient B: Weight 120 kg, height 174 cm


Question

1) Demonstrate how do you take the body weight and height for the patient
2) Calculate the BMI of the patient and comment on the finding.



Answer:


Body Mass Index (BMI) is a simple index of weight-for-height that is commonly used to classify underweight, overweight and obesity in adults. It is defined as the weight in kilograms divided by the square of the height in metres (kg/m2)



Taking the weight

- Make sure that the weighting scale is set to zero.
- Remove all the accessories from body. The best is to naked but for patient’s modesty, wear a shirt and pants.
- Ask the patient to stand on the weighting scale in normal anatomical position.
- take the reading with one decimal point.


Taking the height.

- Ask patient to stand upright and still
- measure the height in inch first and look at the other side of the measuring tape which is in cm. this is to reduce error.
- convert the reading to meter.


BMI classification.


18.5 or less Underweight
18.5 to 24.99 Normal Weight
25 to 29.99 Overweight
30 to 34.99 Obesity (Class 1)
35 to 39.99 Obesity (Class 2)
40 or greater Morbid Obesity

OSCE For Respiratory Instrument 3

Questions


1) Name the tool in the above picture
2) What are the function of the above tool
3) Demonstrate how to use the tool.
4) What are the alternative to aerochamber if patient could not afford to buy it.

for answer to this question, click [here]

OSCE For Respiratory Instrument 2

Questions

1) Identify the tools and it’s function
2) Give two indication of the above tool.
3) Demonstrate the technique of using the above tool.


for answer, click [here]

Obstetric & Gynecology Instrument

Question

1) Labelled A to J
2) What is the use of H
3) What is the use of J and G?
4) When to choose whether to use G or J
5) Perform the Pap Smear on the menaking.


For answer to this question, click [here]

OSCE For Respiratory Instrument

Questions
1) Name the device
2) what is the indication for the device
3) How do you instruct the patient to use the device?


for answer to this question, click [here]

Preterm Labour

32 years old malay lady, G3P2 at 30W + 2/7 POA presented to labour room after noticing a gushing of clear fluid pass through her vagina at the morning. below is her CTG on admission

Questions

1) comment on the CTG

2) Outline your management to her

for answer to this question, please click [here]

Complicated twin pregnancy

29 Years old Malay lady, G1P0, twin pregnancy at 24/52 was admitted because of frothy color urine and headache.

Questions

1) What is your provisional diagnosis and justify your answer?

2) What is twin to twin transfusion syndrome?

3) Factors contributes to preterm delivery

4) How do you manage this patient?

for answer to this question, click [here]

Twin pregnancy

35 years old Malay lady, G5P5 (1 pair twin) at 26/52 of pregnancy was admitted to wards because of premature contraction and twin pregnancy.

Questions

1) What history that could give you idea that you are dealing with cases of multiple pregnancy?

2) How do you diagnosed multiple pregnancy through physical examination

3) How do you classify multiple pregnancy

4) Complication of multiple pregnancy

for answer to this question, click [here]

Term lady with gushing of fluid per vaginally

25 years old Malay lady, G3P2 at 40 weeks + 2/7 of pregnancy presented to you because of gushing of clear fluid from vagina. However, there is no contraction pain

Questions

1) Differential diagnosis and further history to support your diagnosis

2) What complication that should concern you that may occur to the mother and baby.

3) How do you manage this patient

for answer to this question, click [here]