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NZREX Must Know List (1)

3/2/2017

8 Comments

 
Below is a list of history taking cases that you need to study as you prepare for NZREX
This list was compiled to give an idea about some of the cases that may be included in the NZREX. People who passed the exam before me wrote the original list and I just added some more cases.

History Taking
  1. Chest Pain (Cardiac related, Anxiety, GORD, Pleuritic chest pain)
  2. Ankle Pain
  3. Loss of consciousness
  4. Depression
  5. Chronic cough (Adult)
  6. Hearing loss + vertigo + tinnitus
  7. Headache (SAH, temporal arteritis, Migraine, SOL)
  8. Weight loss + vomiting + amenorrhoea
  9. 1st trimester abdominal pain
  10. Recurrent cough in children
  11. Blurring of vision + carotid bruit
  12. Sore throat
  13. Jaundice (adult and children)
  14. Hypertension
  15. Knee pain
  16. Anaemia
  17. High blood pressure in pregnancy
  18. Disruptif behaviour in children
  19. Suicide / self harm
  20. Vaginal discharge + lower abdominal pain
  21. Shortness of breath (CHF, Pneumothorax, PE, Asthma, Pneumonia, COPD)
  22. Bloody diarrhoea + abdominal cramping
  23. Post menopausal bleeding
  24. Abdominal pain in left illic fossa
  25. Hyperthyroidism
  26. Pre-op assessment
  27. Epigastric pain
  28. Abdominal pain + vaginal bleeding in pregnancy
  29. RUQ pain in the last trimester of pregnancy
  30. Lightheadedness + one sided weakness
  31. Amenorrhoea (primary and secondary)
  32. Hip pain
  33. Red urine in children
  34. Delirium post-op
  35. Rashes in children
  36. Child with edema and proteinuria

How to use the list above?
  • Check all the differential diagnosis of each case in John Murtagh's.
  • Check the management plan including therapy, more investigation and follow up plan in RMO book.
  • Plan your list of questions, before approaching the patient.
  • Make sure you do not forget questions that can eliminate your differential diagnosis or lead you to your primary diagnosis
  • Prepare at least three differential diagnosis for each case
  • Know your management plan according to your diagnosis or differentials

I purposely wrote the cases in random manner, as I like to have a mix in my study each day to avoid boredom and bias. I found it better than when I study one system at the time, especially for the beginning of my study. 

There might be some other cases that I have missed, please add in the comment section below if you know of  any. All the  cases in the NZREX are often found in New Zealand hospitals or GP clinics. Also read my post for counselling stations.
8 Comments
Ghadeer
30/3/2017 05:06:26 pm

Hi Imelda
Thanx a lot for sharing ur experience
Would mind if u put the list of the counselling and physical examinations

Thanks in advance

Reply
dr iram zahid
5/5/2017 07:25:11 pm

hi.. would like some help regarding AMC PART 1 and permannet residency for doctors,.. your journey is interesting..full of struggle...it hs inspired me...")

Reply
Imelda
7/5/2017 10:21:39 am

Hi Iram,

Thank you for reading my blog. I would be happy to help in any way I could. Fell free to ask questions if you have any.

Kind regards,
Imelda

Reply
Odette Hernandez
31/5/2017 01:50:46 pm

Hi Imelda! thank you again for sharing your knowledge in NZREX and a big congratulations for passing! I have commented on your blog before under your amc journey and glad to share that i have also cleared it this march. I am now processing my NZREX application and hope to have more tips and advices from you in clearing the exam. Would you know where to get the study materials and any study group i could join in? Im based in Auckland. Thank you dear, more blessings on your way! :D

Reply
Arun Prasath
6/2/2018 01:46:23 am

Hi Imelda Im a doctor from Srilanka, I have just finished my internship & thinking about a future career. While searching i came across your website. I have two que.
1 What is that RMO book? I could not find it anywhere.
2 What are the chances of getting a job after nzrex, if so is that a internship job, does that include first oncalls??

Reply
Imelda
8/2/2018 11:34:33 am

Hi Arun,

Congrats for completing your intership.

RMO hand book is an ebook that was compiled by NZ doctors for the RMO to use, it contain some guidelines. I can be found in the hospital internal computer system. Prior to NZREX you have to fulfil all the requirement including passing USMLE step 1&2 or AMC-MCQ or PLAB 1, and proof your english ability.

After NZREX you have to apply for PGY1 position or post graduate year 1 or Junior house officer or in other countries also called intern, and compete with around 400 New Zealand graduates, more than 60 other NZREX graduates, and some Australian graduates. So I won't say it will be easy. The weight of responsibility will increase with more time and experience you have as a house officer.

Kind regards,
Imelda

Reply
Karen Abraham
13/1/2020 09:45:02 am

Would you please let me know how to get on a viber group for the same?

Sadaf
15/1/2021 07:24:21 am

Can you please add me in the viber group. +916005157577

Reply



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