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PHILIPPINE 
PHYSICIAN LICENSURE 
EXAMINATION (PLE) 
A Primer for Serviam 
By 
Exequiel Dimaano, MD 
WVSU COM Class 2013
Steps to Skinning the PLE Alive! 
Step 1 
Know Your 
Enemy PRC List 
12 Subjects 
Style of 
Questions 
Scoring 
Testing 
Centers 
USMLE 
Reviewers 
Local 
Reviewers 
and 
Samplex 
Step 2 
Arm 
Yourself 
Step 3 
Find a 
Sparring 
Review 
Partner Center or 
Test Taking 
not? 
Review 
Centers 
Step 4 
Skinning 
the Enemy
Step 1 
Know Your 
Enemy 
12 Subjects 
Style of 
Questions 
Scoring 
Testing 
Centers
12 Subjects to Success 
 6 Basic Sciences – Days 1 & 2 
 6 Clinical Sciences – Days 3 & 4 
 100 Questions each 
 Select the Best or Except 
Time Day 1 Day 2 Day 3 
630am 
Filling up of 
Forms 
8am to 10am Biochemistry Physiology Pharmacology 
Pediatrics 
and 
Nutrition 
10am to 
11am 
Break 
11am to 1pm 
Anatomy and 
Histology 
Legal 
Medicine and 
Jurisprudence 
Internal 
Medicine 
Obstetrics 
and 
Gynecology 
1pm to 2pm Break 
2pm to 4pm 
Microbiology 
and 
Parasitology 
Pathology Surgery 
Preventive 
Medicine and 
Public 
Health
Step 1 
Know Your 
Enemy 
Style of 
Questions 
Scoring 
Testing 
Centers 
12 Subjects
The Process of Making Board Exam Questions 
Members of 
Board of 
Medicine 
divides the 12 
subjects among 
themselves 
Each submit 
thousands of 
questions to a 
computer 
Computer 
randomly picks 
100 questions 
per subject 
Members of 
Board of 
Medicine 
“incarcerated” 
in a room in the 
PRC Building 
during the 
exams 
NBI and Police 
guards them 
Computer 
randomly picks 
100 questions 
per subject
The Tricky Part 
 Hoarseness in post-thyroidectomy is caused by the transection of the recurrent 
laryngeal nerve most commonly on ligating the: 
 A) superior thyroid artery 
 B) inferior thyroid artery 
 C) tracheal artery 
 D) superior laryngeal artery
The Tricky Part 
 SLE is a multisystemic disease diagnosed via detection of anti-ANA, anti-dsDNA, 
anti-Smith. It affects the skin, the kidneys and vessels. The autoantibodies 
produced is caused by: 
 A) antigen-trapping in sun-damaged skin 
 B) polyclonal antibodies produced by B cells 
 C) antibody-trapping in sun-damaged skin 
 D) cross-reaction of antibodies to self antigens
The Tricky Part 
 Niacin is as an important micronutrient needed in the different metabolic pathways 
of the body with the vital characteristic involving: 
 A) localized pigmented rash (dermatitis); gastroenteritis (diarrhea); and widespread 
neurologic deficits, including cognitive decline (dementia) 
 B) it forms the nicotinamide ring in NAD and NADH 
 C) if left untreated, its deficiency leads to death 
 D) its deficiency leads to pellagra, characterized by dermatitis, dementia, diarrhea
Step 1 
Know Your 
Enemy 
Style of 
Questions Scoring Testing 
Centers 
12 
Subjects
Mean Passing Level: What is it? 
 Optical Mark Reader (OMR) Technology 
 Passing Criteria: Average of at least 75, with no grade < 50 
 3 Ways of Measuring MPL 
 Nedelsky Method 
 Reciprocal of the number of items that cannot easily be removed 
 1 / 2 = 0.5 
 MPL = 0.5 
 Angoff’s Method 
 Assign a value from 0.25 - 1.00 
 Probability of borderline examinee getting the correct answer 
 MPL is equal to this value
Mean Passing Level: What is it? 
 Ebel’s Method  Transmutation 
Type No. of 
Questions 
Rating TOTAL 
Recall 
Easy 40 0.9 36 
Medium 
20 0.85 17 
Difficult 10 0.80 8 
Analysis 
Easy 20 0.70 14 
Medium 
5 0.60 3 
Difficult 5 0.50 2.5 
MPL 80.5 
[(SS-MPL) (100-PS)/(100-MPL)] + PS = TS 
SS= Student Score 
PS = Passing Score (PLE = 75) 
TS = Transmuted Score (the score that is reported to you) 
MPL = Mean Passing Level
Step 1 
Know Your 
Enemy 
Style of 
Questions 
Testing 
Centers 
12 Subjects Scoring
Homecourt Advantage? 
 4 Accredited Areas: Manila, Cebu, Davao, Iloilo 
 Aug 2014: 
 Total Takers –2,730 
 Manila – 2,400+ 
 Cebu - ~130 
 Davao - ~130 
 Consider: 
 Review Centers 
 Cost – Board and Lodging 
 Traffic 
 Rainy Season 
 Sites to see/unwind
Step 2 
Arm 
Yourself 
PRC List USMLE 
Reviewers 
Local Reviewers 
and Samplex
Recommended by PRC 
 Biochemistry 
 Harper’s Biochemistry (Murray, Granner, Mayes and Rodwell) 
 Biochemistry (Mckee and Mckee) 
 Biochemistry (Mathews and VanHolde) 
 Anatomy and Histology 
 Clemente, C.D. Edition; Anatomy, A. Regional Atlas of the Human Body, 4th 
Edition, Williams and Wilkins, Philadelphia 1977. 
 Snell, R.S.; Clinical Anatomy for Medical Students, 5th Edition, Little Brown and 
Company, Boston 1995 
 Cormack, D.H.L. Clinical Integrated Histology, Lippincott-Raven, Philadelphia 
1977
Recommended by PRC 
 Microbiology and Parasitology 
 Zinzzer Microbiology, Current Edition 
 Beaver Clinical Parasitology, current Edition 
 Jawetz Medical Microbiology, current Edition 
 Physiology 
 Textbook of Medical Physiology by Guyton Lamb, Ingram Johnson and Pitman: 
 Essentials of Physiology 
 Review of medical Physiology by William F. Ganong 
 Human Physiology and Mechanism of Disease by Arthur C. Guyton and John E. 
Hall 
 Legal Medicine 
 Legal Medicine by Pedro Solis, MD, LlB. 
 Medical Jurisprudence (The Practice of Medicine and the Law) by 
Pedro Solis, MD, LlB.
Recommended by PRC 
 Pathology 
 Cotran, R.S., Kumar, V. & Collins, T: Robbins Pathologic Basis of Disease; 6th 
Edition; W.B. Saunders Company, Philadelphia 1999. 
 Danjanor, I. And Linden, J.: Anderson’s Pathology, 10th Edition, Volume 1 and 2, 
Mosby, Boston 1996. 
 Pharmacology 
 Goodman & Gilman’s the Pharmacological Basis of Therapeutics, Ninth Edition 
 Basic and Clinical Pharmacology by Bertram G. Katzung, MD, PhD. 
 Pediatrics and Nutrition 
 Textbook of Pediatric by Waldo Nelson 
 Textbook of Pediatric and Child Health by by Fe del Mundo, Felix Estrada, Perla 
D. Santos-Ocampo, Xerxes Navarro 
 Red-Book Committee on Infectious Diseases, American Academy of Pediatrics, 
24th Edition, George Peter-Editor
Recommended by PRC 
 Surgery 
 Basic Surgery (Poll, Gardnesr and Stone) 
 Textbook of Surgery (Sabiston) 
 Textbook of Surgery (Schwartz) 
 Ophthalmology, Principles and Concepts (Dewell) 
 Ophthalmology,, Secrets (Vander and Gault) 
 Fundamental of Otorlaryngology (Adams, Boies and Hilger) 
 Internal Medicine 
 Cecile, Textbook of Medicine, current Edition 
 Harrison, Textbook of Medicine, Current Edition 
 Obstetrics and Gynecology 
 William Obstetrics, 20th Edition Textbook of Obstetrics 
 Novak’s Gynecology, 12th Edition comprehensive Gynecology, 3rd Edition
Recommended by PRC 
 Preventive Medicine 
 Foundations of Statistical Analysis for Health Sciences by Ophelia Mendoza, 
Maridel Borja, Caridad Ancheta. Ofelia Saniel. Jesus Sarol 
 Research Methods in Health and Medicine (Philippine Council for Health 
Research and Development), Department of Science and Technology, Volume I 
by F.S. Sanchez, S.I. Morelos, J.C. Baltazar 
 Reading in Preventive Medicine II (UST, Dept. of Preventive and Social Medicine) 
 Bioethics by A. Angles Tan-Alora, MD 
 The Implementing Rules And Regulations of the National Health and Insurance 
Act of 1995. 
 Epidemiology Manual by Dr. Rosa Santos-Carreon (UST) 
 Lectures and manuals on Preventive Medicine from different Philippine Medical 
Schools. 
 San Beda Prev Med Reviewer
Step 2 
Arm 
Yourself 
PRC List 
USMLE 
Reviewers 
Local 
Reviewers 
and 
Samplex
My 2-cents Opinion: Physiology
My 2-cents Opinion: Biochemistry
My 2-cents Opinion: Microbiology
My 2-cents Opinion: Pathology
My 2-cents Opinion: Anatomy and Histology
My 2-cents Opinion: Pharmacology
My 2-cents Opinion: Surgery
My 2-cents Opinion: Internal Medicine
My 2-cents Opinion: Pediatrics
My 2-cents Opinion: Obstetrics
My 2-cents Opinion: Preventive Medicine
My 2-cents Opinion: Legal Medicine 
 SOLIS! 
 UPEC 
INSERT PICTURE HERE!
Step 2 
Arm 
Yourself 
PRC List 
USMLE 
Reviewers 
Local 
Reviewers 
and Samplex
How True? 
Samplex have no assurances 
Even if 2008 and earlier copies are authentic 
But DO PRACTICE-TESTS daily! 
Get a copy of T---o--h Notes!
Step 3 
Find a 
Sparring 
Partner 
Review 
Center or 
not? 
Review 
Centers
Decisions! Decisions! 
Know your study habits 
Know your goal 
Know your resources
Step 3 
Find a 
Sparring 
Partner 
Review Center 
or not? 
Review 
Centers
Schools of Thought??? 
Topnotch 
 New Manila, Fairview 
 Cracking D’ Board 
 Cebu, Manila 
Primus 
 Davao, Cebu 
UST 
 Taft 
Makar 
 Manila
Step 4 
Skinning 
the Enemy 
Test Taking
Fighting the Good Fight 
PRAY! 
BE early! 
Keep calm 
Bring food 
Do some light read 
Use time wisely 
Fight! Fight! Fight!
REGISTRATION 
What You Need 
1. Birth Certificate (must be NSO certified) 
2. Certificate of Graduation from Medical School(COG) 
3. Certificate of Internship(COI) 
4. Community Tax Certificate (Cedula) 
5. Medical Transcript of Records(TOR) 
6. Four 2x2 full-face photographs, with name tag (Last 
Name, First Name and Middle Name) 
7. Postage Stamps 
8. One long brown envelope, pencils(Mongol #2) and 
erasers, black ball pen, paste 
9. One government-issued ID
WIN 
BIG!!! 
GOD 
BLESS!!!! 
“The harder the 
struggle, the greater 
the glory.”

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Philippine physician licensure exam primer

  • 1. PHILIPPINE PHYSICIAN LICENSURE EXAMINATION (PLE) A Primer for Serviam By Exequiel Dimaano, MD WVSU COM Class 2013
  • 2. Steps to Skinning the PLE Alive! Step 1 Know Your Enemy PRC List 12 Subjects Style of Questions Scoring Testing Centers USMLE Reviewers Local Reviewers and Samplex Step 2 Arm Yourself Step 3 Find a Sparring Review Partner Center or Test Taking not? Review Centers Step 4 Skinning the Enemy
  • 3. Step 1 Know Your Enemy 12 Subjects Style of Questions Scoring Testing Centers
  • 4. 12 Subjects to Success  6 Basic Sciences – Days 1 & 2  6 Clinical Sciences – Days 3 & 4  100 Questions each  Select the Best or Except Time Day 1 Day 2 Day 3 630am Filling up of Forms 8am to 10am Biochemistry Physiology Pharmacology Pediatrics and Nutrition 10am to 11am Break 11am to 1pm Anatomy and Histology Legal Medicine and Jurisprudence Internal Medicine Obstetrics and Gynecology 1pm to 2pm Break 2pm to 4pm Microbiology and Parasitology Pathology Surgery Preventive Medicine and Public Health
  • 5. Step 1 Know Your Enemy Style of Questions Scoring Testing Centers 12 Subjects
  • 6. The Process of Making Board Exam Questions Members of Board of Medicine divides the 12 subjects among themselves Each submit thousands of questions to a computer Computer randomly picks 100 questions per subject Members of Board of Medicine “incarcerated” in a room in the PRC Building during the exams NBI and Police guards them Computer randomly picks 100 questions per subject
  • 7. The Tricky Part  Hoarseness in post-thyroidectomy is caused by the transection of the recurrent laryngeal nerve most commonly on ligating the:  A) superior thyroid artery  B) inferior thyroid artery  C) tracheal artery  D) superior laryngeal artery
  • 8. The Tricky Part  SLE is a multisystemic disease diagnosed via detection of anti-ANA, anti-dsDNA, anti-Smith. It affects the skin, the kidneys and vessels. The autoantibodies produced is caused by:  A) antigen-trapping in sun-damaged skin  B) polyclonal antibodies produced by B cells  C) antibody-trapping in sun-damaged skin  D) cross-reaction of antibodies to self antigens
  • 9. The Tricky Part  Niacin is as an important micronutrient needed in the different metabolic pathways of the body with the vital characteristic involving:  A) localized pigmented rash (dermatitis); gastroenteritis (diarrhea); and widespread neurologic deficits, including cognitive decline (dementia)  B) it forms the nicotinamide ring in NAD and NADH  C) if left untreated, its deficiency leads to death  D) its deficiency leads to pellagra, characterized by dermatitis, dementia, diarrhea
  • 10. Step 1 Know Your Enemy Style of Questions Scoring Testing Centers 12 Subjects
  • 11. Mean Passing Level: What is it?  Optical Mark Reader (OMR) Technology  Passing Criteria: Average of at least 75, with no grade < 50  3 Ways of Measuring MPL  Nedelsky Method  Reciprocal of the number of items that cannot easily be removed  1 / 2 = 0.5  MPL = 0.5  Angoff’s Method  Assign a value from 0.25 - 1.00  Probability of borderline examinee getting the correct answer  MPL is equal to this value
  • 12. Mean Passing Level: What is it?  Ebel’s Method  Transmutation Type No. of Questions Rating TOTAL Recall Easy 40 0.9 36 Medium 20 0.85 17 Difficult 10 0.80 8 Analysis Easy 20 0.70 14 Medium 5 0.60 3 Difficult 5 0.50 2.5 MPL 80.5 [(SS-MPL) (100-PS)/(100-MPL)] + PS = TS SS= Student Score PS = Passing Score (PLE = 75) TS = Transmuted Score (the score that is reported to you) MPL = Mean Passing Level
  • 13. Step 1 Know Your Enemy Style of Questions Testing Centers 12 Subjects Scoring
  • 14. Homecourt Advantage?  4 Accredited Areas: Manila, Cebu, Davao, Iloilo  Aug 2014:  Total Takers –2,730  Manila – 2,400+  Cebu - ~130  Davao - ~130  Consider:  Review Centers  Cost – Board and Lodging  Traffic  Rainy Season  Sites to see/unwind
  • 15. Step 2 Arm Yourself PRC List USMLE Reviewers Local Reviewers and Samplex
  • 16. Recommended by PRC  Biochemistry  Harper’s Biochemistry (Murray, Granner, Mayes and Rodwell)  Biochemistry (Mckee and Mckee)  Biochemistry (Mathews and VanHolde)  Anatomy and Histology  Clemente, C.D. Edition; Anatomy, A. Regional Atlas of the Human Body, 4th Edition, Williams and Wilkins, Philadelphia 1977.  Snell, R.S.; Clinical Anatomy for Medical Students, 5th Edition, Little Brown and Company, Boston 1995  Cormack, D.H.L. Clinical Integrated Histology, Lippincott-Raven, Philadelphia 1977
  • 17. Recommended by PRC  Microbiology and Parasitology  Zinzzer Microbiology, Current Edition  Beaver Clinical Parasitology, current Edition  Jawetz Medical Microbiology, current Edition  Physiology  Textbook of Medical Physiology by Guyton Lamb, Ingram Johnson and Pitman:  Essentials of Physiology  Review of medical Physiology by William F. Ganong  Human Physiology and Mechanism of Disease by Arthur C. Guyton and John E. Hall  Legal Medicine  Legal Medicine by Pedro Solis, MD, LlB.  Medical Jurisprudence (The Practice of Medicine and the Law) by Pedro Solis, MD, LlB.
  • 18. Recommended by PRC  Pathology  Cotran, R.S., Kumar, V. & Collins, T: Robbins Pathologic Basis of Disease; 6th Edition; W.B. Saunders Company, Philadelphia 1999.  Danjanor, I. And Linden, J.: Anderson’s Pathology, 10th Edition, Volume 1 and 2, Mosby, Boston 1996.  Pharmacology  Goodman & Gilman’s the Pharmacological Basis of Therapeutics, Ninth Edition  Basic and Clinical Pharmacology by Bertram G. Katzung, MD, PhD.  Pediatrics and Nutrition  Textbook of Pediatric by Waldo Nelson  Textbook of Pediatric and Child Health by by Fe del Mundo, Felix Estrada, Perla D. Santos-Ocampo, Xerxes Navarro  Red-Book Committee on Infectious Diseases, American Academy of Pediatrics, 24th Edition, George Peter-Editor
  • 19. Recommended by PRC  Surgery  Basic Surgery (Poll, Gardnesr and Stone)  Textbook of Surgery (Sabiston)  Textbook of Surgery (Schwartz)  Ophthalmology, Principles and Concepts (Dewell)  Ophthalmology,, Secrets (Vander and Gault)  Fundamental of Otorlaryngology (Adams, Boies and Hilger)  Internal Medicine  Cecile, Textbook of Medicine, current Edition  Harrison, Textbook of Medicine, Current Edition  Obstetrics and Gynecology  William Obstetrics, 20th Edition Textbook of Obstetrics  Novak’s Gynecology, 12th Edition comprehensive Gynecology, 3rd Edition
  • 20. Recommended by PRC  Preventive Medicine  Foundations of Statistical Analysis for Health Sciences by Ophelia Mendoza, Maridel Borja, Caridad Ancheta. Ofelia Saniel. Jesus Sarol  Research Methods in Health and Medicine (Philippine Council for Health Research and Development), Department of Science and Technology, Volume I by F.S. Sanchez, S.I. Morelos, J.C. Baltazar  Reading in Preventive Medicine II (UST, Dept. of Preventive and Social Medicine)  Bioethics by A. Angles Tan-Alora, MD  The Implementing Rules And Regulations of the National Health and Insurance Act of 1995.  Epidemiology Manual by Dr. Rosa Santos-Carreon (UST)  Lectures and manuals on Preventive Medicine from different Philippine Medical Schools.  San Beda Prev Med Reviewer
  • 21. Step 2 Arm Yourself PRC List USMLE Reviewers Local Reviewers and Samplex
  • 22. My 2-cents Opinion: Physiology
  • 23. My 2-cents Opinion: Biochemistry
  • 24. My 2-cents Opinion: Microbiology
  • 25. My 2-cents Opinion: Pathology
  • 26. My 2-cents Opinion: Anatomy and Histology
  • 27. My 2-cents Opinion: Pharmacology
  • 29. My 2-cents Opinion: Internal Medicine
  • 30. My 2-cents Opinion: Pediatrics
  • 31. My 2-cents Opinion: Obstetrics
  • 32. My 2-cents Opinion: Preventive Medicine
  • 33. My 2-cents Opinion: Legal Medicine  SOLIS!  UPEC INSERT PICTURE HERE!
  • 34. Step 2 Arm Yourself PRC List USMLE Reviewers Local Reviewers and Samplex
  • 35. How True? Samplex have no assurances Even if 2008 and earlier copies are authentic But DO PRACTICE-TESTS daily! Get a copy of T---o--h Notes!
  • 36. Step 3 Find a Sparring Partner Review Center or not? Review Centers
  • 37. Decisions! Decisions! Know your study habits Know your goal Know your resources
  • 38. Step 3 Find a Sparring Partner Review Center or not? Review Centers
  • 39. Schools of Thought??? Topnotch  New Manila, Fairview  Cracking D’ Board  Cebu, Manila Primus  Davao, Cebu UST  Taft Makar  Manila
  • 40. Step 4 Skinning the Enemy Test Taking
  • 41. Fighting the Good Fight PRAY! BE early! Keep calm Bring food Do some light read Use time wisely Fight! Fight! Fight!
  • 42. REGISTRATION What You Need 1. Birth Certificate (must be NSO certified) 2. Certificate of Graduation from Medical School(COG) 3. Certificate of Internship(COI) 4. Community Tax Certificate (Cedula) 5. Medical Transcript of Records(TOR) 6. Four 2x2 full-face photographs, with name tag (Last Name, First Name and Middle Name) 7. Postage Stamps 8. One long brown envelope, pencils(Mongol #2) and erasers, black ball pen, paste 9. One government-issued ID
  • 43. WIN BIG!!! GOD BLESS!!!! “The harder the struggle, the greater the glory.”