MEQ Modified Essay Questions What is MEQ It

MEQ; Modified Essay Questions

What is MEQ • It is a problem based structured essay question • Introduced by JD KNOX in 1975 • First used by the Royal college of GP, UK • Presents a typical problem faced in daily clinical practice www. similima. com 2

SEQ and MEQ Traditional essay Describe the diagnosis and management of Thyrotoxicosis (15 marks) SEQ 1. a)Describe the symptoms and signs of thyrotoxicosis (5 marks) b)Outline the investigations (5 marks) c)What are the various modes of treatment? (5 marks) www. similima. com 3

Evaluation of MEQ The above SEQ can be made problem based A 46 year old female patient comes to you with a history of generalized weakness, palpitation, excessive sweating, and heat intolerance for the last one year. In spite of a good appetite, she has lost 10 kg of weight during this period. a) What is your provisional diagnosis? Justify (2 marks) b) What investigations will you advise to support your diagnosis? (5 marks) c) Outline the steps in the management of this patient (8 marks) www. similima. com 4

The MEQ question has questions that deal with problems typically encountered in general practice that might present to a GP The content may vary from common clinical problems or an environmental issue, which impacts on the community It is designed to test decision-making skills. It aims to assess the candidate's ability to identify the issues involved and logically resolve them using their own skills

MAIN OBJECTIVES • To assess the student’s skills in • Clinical appraisal • Problem solving • Decision making www. similima. com 6

Design & Construction of MEQ • Begins with a brief scenario of patients presenting problem Followed by short answer questions • Seeks explanation or justification based on knowledge of underlying mechanism involved in the problem • Allocate marks and time for each item • Marking by using predetermined model answers www. similima. com 7

MEQ Matrix • • History Clinical/ Physical examination Diagnosis and assessing the condition Management including investigations Complication Prognosis Health education and prevention www. similima. com 8

Advantages • Relevant • Meaningful • Allows multidisciplinary involvement • Has criteria of good assessment • Test minimum level of competency www. similima. com 9

Example of Structure Mohammed is a 52 -year-old man with a 6 months history of low back pain, presents to you requesting MRI scan for his back. Out line the approach to this patient and How would you manage?

Ayesha is a 48 -year-old lady with the history of hypertension. Her BMI is 32, blood pressure 170/95. She takes amlodipine 5 mg/day. Out line the approach to this patient How will you manage

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