 What is up guys karma medic here and welcome back to another dose if you're new to the channel Hi, my name is Nasser and I'm now a fourth year medical student studying at King's College London in today's video I'm gonna be studying and preparing for my upcoming oski exams here in medical school So those are objective structured clinical exams, and I'm gonna be using this book here to do it I'm using this book because it was recommended to me by a bunch of older years. They said it's very very helpful And I can completely agree I've been going through it for a couple of days now, and I think it's fantastic I've recently come to a bit of a crazy realization. So let me tell you guys about that My two big upcoming exams in May and June one is a written exam So a normal multiple choice test and the other one is an oski exam Those two exams count for 50% of my entire time in medical school So how I'm breaking this down every day is that I'm still studying in my four-hour blocks I'm spending two hours in the morning working on oski related things. The oski exam is broken down into many sub sections There's communication stations, there's actual exam stations, clinical procedures, explaining of diseases, etc And then I'm spending another two hours going through practice paper questions on my computer Using Notion and past medicine as you guys will have seen in a previous video linked up over here. Alright guys, that's pretty much it I've got my coffee and I'm good to go and now because I've already made this schedule I don't have a difficult time about figuring out what it is that I need to do because I've already told myself What I need to do so I look at my schedule and it says that today I'm gonna be studying vivas or vivas from my oski book So I'm gonna turn to that chapter and continue where I left off last time Pro tip if you're having difficulty starting studying or starting a studying session always decide what you're gonna do before you actually sit down It's not when you sit down. There's nothing to think about. There's no like Deliberating process you just sit down and you're already being told what you need to study. Alright, so I'm gonna whip out my thousand colored pens Because everybody knows you need a thousand colored pens in order to start studying and be productive I'm gonna get started with pulmonary fibrosis I'm gonna do this for an hour and then for the second hour of my two-hour session focused on oskies I'm gonna focus on examinations and I have something interesting to show you guys with that. So we'll get to that in a bit All right, so I've just finished going through two sections And I thought it might be interesting to show you guys how it is that I annotate these pages and what my thought process are as I go Through them So here's a bit of an overview of what my note-taking looks like most of this is just repetition of what is already written down I do a lot of things like over here write down sort of silly ways to remember the thing that I'm trying to Memorize for example the ways that I remember the causes of upper zone fibrosis They're all the things that I would naturally think of as being lower or down towards the ground So example silica and cold are found down towards the ground I'm closing something like this causes lower back pain so low towards the ground radiation comes from the Earth's course So low towards the ground so all these things that are low low low low low cause upper zone fibrosis and so anyways It's kind of just more and more of that I go through all the different notes And I try and write down and recall as many things as I can from memory I try and rewrite the information that's already there from my memory to see if I know it step one step two step three The color coding system is not as strict as it used to be back in the day But I still use different colors for different things to help me memorize information. All right. Hope that was useful I'm gonna continue on with this until that first hour is over and I'll catch up with you guys after that All right So the second thing that I want to do from Oski practice today is clinical Examinations now usually without coronavirus I would be meeting up with some of my friends and we would be practicing these examinations on each other in person But since I can't do that. I've come up with an alternative Which is this guy over here So this is a hedgehog that I won maybe two years ago at a huge festival in London called Winter Wonderland And it's basically been collecting dust for a long time waiting for Oski practice So finally his time has come. He's about to be useful finally And so basically instead of practicing my examinations on another human since I don't have one I can practice my examinations on this hedgehog and I can listen to his heart in all the different places That I need to I can also take his lungs for equal and bilateral air entry to listen to his bases, etc You guys get the idea. So I actually got this idea from Rachel Sutter She uses a Winnie the Pooh like toy to practice her Oski's on I think it's a fantastic idea Now I actually haven't named this hedgehog So I'm gonna let you guys name it so leave a comment down below saying what we should name this guy And you're probably gonna see him in future videos as well. Anyways for now I'm gonna throw him on the bed gonna take this off and prepare for the exam So the exam that I'm gonna prepare for today is the abdominal exam Now that hedgehog over there doesn't have much of an abdomen So I don't think it's gonna be very easy, but we can use as a general replacement for a human for this All right, so that's all the reading done and theory prepped for now What's left to do is to actually examine mr. Hedgehog over there. I'm going to put this out of sight So I can't cheat this here All right, so usually for our exams we have six minutes to do these examinations I'm gonna set it anyway. Just get a general sense of the time. All right. Good morning. My name is Nasser karma I'm one of the fourth year medical students here on the board today. Could I please confirm your name and date of birth? Fantastic, thank you. So today what I've been asked to do is come and do an abdominal exam on you or a tummy exam What this is gonna involve is me having a look listen and feel of your hands your arms your face And then you're a tummy area as well. Would that be okay with you? Perfect, thank you or before we start is it okay if I explain what I'm doing to my colleague here my examiner Perfect. Thank you Can I ask you to hold up your hands like this straight ahead and then cock your wrists back and just hold them their feet, please Watch mr. Hedgehog. That brings us to the end of the exam. I'm gonna sit you back up in your chair Good timing. I'm gonna sit you back up in your chair and you can get dressed now. Thank you very much. Do you have any questions? No, okay. Thank you for your time hand gel and scrub out I know that probably looked crazy. You guys probably think I'm crazy But it's very very helpful to actually practice those things out because imagine without mr. Hedgehog What would I be doing? I'd be talking to my chair And I would just do what pretend to palpate an abdomen here pretend to percuss something It's just very very helpful when you have a physical object to do it on. So, yeah Leave me a comment down below. Let me know what you want to name him I'm gonna reread through the theory over here to see if I missed anything It's forgot to palpate for lymph nodes and more specifically the superclavicular lymph node here on the left Which is a sign of gastrointestinal cancer most commonly gastric cancer So I think now I've done enough oscule practice for the morning So I'm gonna switch over to doing past paper questions on my computer now Usually I go through past paper questions by myself I have my past medicine on the right-hand side of the screen and my note-taking on the left-hand side of the screen But recently when preparing for exams, I've been meeting up with either one or two classmates over zoom And we're going through the questions together now The benefit of this is that we explain to each other the reasoning behind how we arrived at the answers for the different questions And this kind of just forces me to think a little bit more about why I'm choosing what I'm choosing and that thinking process that thought process of Recalling those in pieces of information is really really helpful when it comes to consolidating your knowledge And so that's what I'm gonna do right now I've recruited one of my friends to go through these questions with me So I'm gonna call her on zoom and we're gonna go through them together. How's it going? Yeah, good. Thank you. So Georgina, welcome to my video Oh, thanks! I was talking to the camera before and I was saying like you might remember Georgina from like a really old vlog Thinking like second year or something I briefly said hi to everybody in your Oddway Ball video Have you clicked start test? Yeah Oh Lord, alright fair enough Okay, yeah, have you got an answer? Yeah, I've got an answer So the question is asking how do we know that this is bulimia and anorexia? So I think BMI is 25, right? Yeah, exactly So it's like a core feature of anorexia that's missing in bulimia nervosa. That's BMI less than 18 The calluses on my hands, what are they caused by? Is it because you're putting your things in your mouth? Yeah, exactly So purposefully trying to regurgitate and you can also get like erosions in the mouth from the acid as well Oh erosion of teeth enamel So sometimes they'll come in complaining of like difficult like painful eating in the teeth That's like another sign Okay, let's move on to the next one Yeah, yeah, go for it What are we thinking is the organism here? Well, I'm thinking what do each of these organisms cause? So gram-negative dipocytes gonorrhea Yep, yep The symptoms sound like they could cause gonorrhea Yeah, that's my top choice What did you know what the others cause? There's a lot of flageolated protozoa, but I think they're thinking of trichomonas there Which causes like a vaginal infection that has like yellowy, this yellowy green discharge Like besides that it's the only reason I'm going for a gram-negative dipococytes Because I know it's treated with sub-triaxone But what is the rectal pain? I didn't know you could get rectal pain with gonorrhea You can get rectal gonorrhea Oh, okay So that's the possibility I think go for it. Are you confident in it? Or is it rectal sickness? Yeah, I'm confident. Should we go for it? Yeah, go for it I always hear your reaction before your computer shows me the answer I have a disproportionate sense of victory when I get these questions right Alright, so very solid past paper question session with Georgina Now it is 1.20, so definitely time for lunch Nor and I are having this amazing food It is orzo and beef stifado Tell me that doesn't look amazing Alright, so that actually needs a bit more time in order to boil off some of that water So in the meantime, I just received a notification that a very fun package has arrived So let's go get that Very big package. I can barely hold this with one hand Alright Now, as much as I want to open up that package I'm pretty hungry, so I think I'm going to have lunch first and then we'll do that Alright guys, so food is at the ready Nor and I have been watching this show called Murder Among the Mormons It's okay, we're only about one episode in And that's what we're going to watch with lunch Also we've got some cheeky cheeky parmesan thrown top Mostly because I'm a cheese monster Absolutely love eating cheese Not because it particularly goes well with this dish You know what you want some parmesan? Alright guys, so we're done with food And in classic Nor and I fashion, we're in a post-food coma So we set a four minute timer on my phone And then scroll tick tock for four minutes And the timer's there to make sure we don't stay here for hours on end This guy's hilarious Let me just take a quick look Timer has rung That's it, got a close tick tock real fast Otherwise you'll be here for a while Okay, I'm going to put the food away and come get you in a sec Alright guys, food is over I've got my coffee to help deal with the post-food coma As promised, I'm going to open up this package over here So, this package was sent by a company called Grovemade In the United States Full disclosure, this was sent to me for free But this is not a sponsored video They haven't paid me to talk about it Or say anything about it or anything like that I just think that they're going to be very cool And I'm excited to share it with you So I'm going to open it on camera I feel like maybe I should make a PO box And start like a mail time segment on my vlogs I feel like that would be really fun Oh my gosh, where do I even start? Nice This is to put a little plant inside of Oh nice This is an iPad stand Put my iPad on on the desk Oh wow, this is a lot larger than I thought it would be This is a stand for my MacBook So yeah, I've decided to replace the metal ones on my desk So I think these wood ones look a lot better And more professional, more adulty and more mature This is huge So this is actually really really nice This is something to put by the door As you're about to leave the house And you can hang your keys down here They've got these three little hooks inside And then up here you can just put everything that's in your pockets As soon as you enter the house That's amazing, I'm impressed Very very nice Oh I like that So this is a pen holder Super super aesthetic in my opinion Matte black with dark walnut And it just sits on your desk so you always have a pen at hand Probably my favorite thing Now I feel like I just need a bigger desk Because I feel like I have no space to put them on On my desk right now Alright, and then this is a desk mat Which you roll out And it sort of neatly organizes your keyboard Your mouse and your trackpad So they all kind of know where to go on your desk And I think it looks kind of cool That is a lot of stuff NASA Thanks, enjoy your new setup Cute Oh my gosh I've made such a mess Jesus Alright Give me a sec to clean this up Alright so Got a couple of things on the desk But I think for the remainder of the items We're gonna have to wait until I get a bigger desk Because it is as crowded as can be right now But I quite like this It gives a lot of visual spatial organization Nice Alright and I'm back on my desk Ready to get some work done A mighty fine looking desk If I can say so myself So what I've been trying to do Is meet up with two friends once a day Or as much as we can But around once a day In order to have practical talking Communication History taking sessions with each other So we've got this online resource With hundreds of different scenarios That might come up in our oski exam And we sort of pick one for each other And then go through it As if it was a real life oski exam And that way we get in the actual talking And physical communication practice in So the first friend is Georgina Who you saw earlier in this video And then the second one is Kenji From Kenji Tamita Vlogs I'll leave a link to his channel In the description down below He was my very first friend At King's College London So check out his stuff And support him over there And that is him right now Inviting me to a zoom So let's get started Let me actually put my back on his blood Because I don't want it to get damaged I think we can just do the same That we've been doing individually But we'll just have two sets of feedback Does that work? Sounds good Hi, good afternoon My name is Nasser I'm one of the doctors here at the GP practice How are you doing today? I'm good, thank you, how are you? I'm fine, thank you Could I please confirm your name And your date of birth? Yeah, so I'm Mr. Costa My case is bad It's 20th February, 1999 Okay, thank you very much And understand that you've come in today For your son, Max? Yeah, that's right Okay, could you tell me What's been going on? So, today I took a collateral history From Mr. Carter Who came in with his one-year-old son, Max Their chief presenting complaint Is that Max has been not gaining weight He's noticed no changes to Max's feeding Or drinking His urinary habits Or opening his bowels What was your boyfriend saying about that? How is he responding to all this? Well, he's brought me here So he's obviously not happy Yeah Well, maybe it's not having a good run See you later Thanks, Georgina Have a good night See ya Okay, that was long Took a lot of cognitive effort And pretty draining I'm kind of tired right now But very, very helpful This three-person system that we have Where one person's the doctor One person's the patient And one person just listens, takes notes And gives feedback at the end Is very, very useful Find yourself two friends that you trust That you know will tell you If you've done something wrong Or if you had a very bad History-taking session or whatever You need people who you can trust Who are going to tell you That you're doing things wrong Otherwise there's no point If they just keep telling you Yeah, you're good, you're good, you're good I don't know what I'm going to do now I think I'm going to take a small break And then study for a bit more And then call it a day So I'll catch up with you guys When I'm sat back at my desk for that And otherwise, peace All right, guys So I'm back It hasn't been that long And like I said I'm feeling a bit tired Not really that motivated To sit down and do a little bit more studying And so I've tricked myself I'm going to reward myself with some coffee And my favorite thing of all time Sour candies Oh, that is the good stuff right over there These are the methods of incentive that I'm using To get myself to do a little bit more work Maybe half an hour, 45 minutes Something like that And then I'm going to call it a day All right, I think I'm going to call it here That was a good set of questions I am happy with that I think it's been a pretty productive day, honestly I'm just going to relax and chill for the rest of the evening Probably edit the upcoming video for next Thursday And then hopefully play some video games With either my sister or a couple of friends Chill, have some dinner, watch something It's going to be a good night Very, very soon I will be moving to another city Outside of London For my next placement block So you guys are going to get another moving vlog And a moving out vlog And a moving in vlog So yeah, lots of good content coming soon Lots of vlogs, study with me Talking head videos Whatever you like Just let me know in a comment down below All right, and I think that's it If you guys enjoyed this video Please don't forget to leave a like on it And also subscribe to my channel To see more content from me in the future And if you really want to help out You can share this video with any of your friends And yeah, I think that's it for me I'll catch you guys in the next one Peace I'm trying to do a smooth transition turn And it's not working out All right, see you in a bit Oh my goodness It has just shed so much hair All over my desk All right, buddy Well, it's literally like a real animal Cause I have I'm out to practice for quite some longer Blah blah blah blah blah blah blah Blah blah blah blah blah blah blah blah Blah blah blah blah blah blah Why can't I say this right? Oop, that's completely fogged up my lens