Comprehensive TOACS Stations for FCPS IMM Exam Preparation

A complete guide to preparing for 12 clinical and diagnostic stations in FCPS IMM.

🩻 Radiology Stations

1. Chest X-Ray Interpretation – Pneumonia

Interpretation of chest X-ray to diagnose pneumonia.
Clinical Scenario: A 45-year-old male presents with fever, cough, and chest pain.
Candidate’s Task:
✅ Identify pneumonia type and location (lobar or bronchopneumonia).
✅ Discuss management (antibiotics, hydration).
✅ Outline risk factors and prevention strategies.

2. CT Brain – Stroke Assessment

Interpretation of CT scan to identify signs of stroke.
Clinical Scenario: A 60-year-old female with slurred speech and right-sided weakness.
Candidate’s Task:
✅ Identify ischemic vs hemorrhagic stroke.
✅ Discuss immediate management (thrombolysis, antiplatelet therapy).
✅ Explain how to differentiate between stroke types.

3. Abdominal Ultrasound – Gallstones

Interpretation of abdominal ultrasound to identify gallstones.
Clinical Scenario: A 30-year-old female presents with right upper quadrant pain and nausea.
Candidate’s Task:
✅ Identify gallstones and complications (e.g., cholecystitis).
✅ Discuss management (surgical vs conservative).
✅ Address risk factors for gallstone formation.

💓 ECG Interpretation Stations

4. ECG Interpretation – Acute Myocardial Infarction (MI)

ECG analysis for ST-elevation myocardial infarction (STEMI).
Clinical Scenario: A 55-year-old male presents with crushing chest pain and diaphoresis.
Candidate’s Task:
✅ Identify STEMI and leads involved.
✅ Discuss management (thrombolysis, PCI).
✅ Address secondary prevention strategies for cardiovascular disease.

5. ECG Interpretation – Atrial Fibrillation

ECG analysis to diagnose atrial fibrillation.
Clinical Scenario: A 60-year-old female with palpitations and shortness of breath.
Candidate’s Task:
✅ Identify irregular rhythm and absence of P waves.
✅ Discuss rate and rhythm control options.
✅ Discuss anticoagulation therapy to prevent stroke.

🩺 Clinical Examination Stations

6. Abdominal Examination

Performing abdominal examination to assess for underlying pathology.
Clinical Scenario: A 40-year-old male presents with diffuse abdominal pain and bloating.
Candidate’s Task:
✅ Perform inspection, palpation, percussion, and auscultation.
✅ Identify signs of peritonitis, ascites, or organomegaly.
✅ Provide a differential diagnosis (e.g., IBS, GI obstruction, liver disease).

7. Neurological Examination

Conducting a neurological examination to diagnose neurological conditions.
Clinical Scenario: A 50-year-old female with weakness on one side of her body.
Candidate’s Task:
✅ Perform head-to-toe neurological examination.
✅ Identify signs of upper vs lower motor neuron lesions.
✅ Localize the lesion (cerebral cortex, brainstem, spinal cord).

8. Cardiac Examination

Performing a focused cardiac examination for heart-related symptoms.
Clinical Scenario: A 65-year-old male with exertional dyspnea and palpitations.
Candidate’s Task:
✅ Auscultate for heart sounds and murmurs.
✅ Identify signs of heart failure (e.g., S3 gallop, displaced apex).
✅ Discuss possible causes of dyspnea (e.g., heart failure, valvular disease).

💬 Counseling Stations

9. Counseling – Smoking Cessation

Providing counseling for smoking cessation and lifestyle modification.
Clinical Scenario: A 40-year-old male with a 15-year history of smoking presents for a routine check-up.
Candidate’s Task:
✅ Explain the health risks of smoking (lung cancer, COPD).
✅ Discuss methods for quitting smoking (nicotine replacement, medications, therapy).
✅ Address patient concerns and provide motivational support.

🖼️ Picture Interpretation Stations

10. Picture Interpretation – Skin Lesion

Identifying and interpreting skin lesions in a patient.
Clinical Scenario: A 35-year-old female presents with a new lesion on her face.
Candidate’s Task:
✅ Identify the type of skin lesion (e.g., melanoma, basal cell carcinoma).
✅ Discuss the diagnostic approach (biopsy, dermoscopy).
✅ Provide management options (surgical excision, monitoring).

📝 History Taking Station

11. History Taking – Hypertension

Taking a focused history for the diagnosis and management of hypertension.
Clinical Scenario: A 55-year-old male presents for a routine check-up with a family history of hypertension.
Candidate’s Task:
✅ Ask relevant questions about symptoms (headaches, dizziness, chest pain).
✅ Inquire about comorbidities (diabetes, hyperlipidemia, family history).
✅ Discuss lifestyle factors (diet, alcohol consumption, physical activity).

🔬 Blood Gas Interpretation Station

12. Blood Gas Interpretation – Respiratory Acidosis

Interpreting blood gas results to diagnose and manage respiratory acidosis.
Clinical Scenario: A 50-year-old patient presents with rapid shallow breathing and confusion.
Candidate’s Task:
✅ Interpret the blood gas results (pH, PaCO₂, HCO₃⁻).
✅ Identify the underlying cause (e.g., COPD, drug overdose).
✅ Discuss management (respiratory support, electrolyte correction).

Disclaimer

The content is designed to support learning and is not a substitute for hands-on clinical practice or expert consultation.

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