Year 1 OSCE June 2015

Year 1 OSCE June 2015

Day 1

Station 1 – Patient interview (Mental Illness)
– Interviewing a patient with depression.
– Deduce information about her problem and how it is effecting her life.

Station 2 – Anatomy of the pelvis
– Identify structures on resource room models of the pelvis. Identify ischial tuberosity, pubic synthesis, trigone of the bladder (and what forms it’s borders), muscle of the bladder, two places the ureter narrows, levator ani (and function), round and broad ligaments, rectouterine pouch (clinical relevance), prostate (2 most common problems).

Station 3 – Drug dilutions
– Calculate volume of drug required.
– Pick correct volume and syringe and make up solution.

Station 4 – ECG
– Connecting wires, using all leads 1, 2 & 3 for 20 seconds.
– Knowing your intervals and segments
– Calculating instantaneous heart rate at beginning and end and commenting on the difference in heart rate.

Station 5 – IT
– Nominal, ratio or ordinal data.
– Use =AVERAGE, =COUNTIF
– Perform a t-test and decide whether to reject or accept hypothesis

Station 6 – Histology (testis)
– Set up microscope, draw and label low and high power drawing and identify the slide.
– Identify structures on a model.

Day 2

Station 1 – Cranial nerve testing
– Asked to test for cranial nerves 3, 5, 7 and 11 on a simulated patient (who had been in a crash)

Station 2 – Anatomy CNS
– Identify various parts of the central nervous system:
– Pre-central gyrus, Primary visual gyrus, spinothalamic tract, dorsal column (and their functions), substantia nigra and it’s clinical relevance, dura mater, function and location of superior sagittal sinus, broca’s area, pons (and two cranial nerves that originate from it), middle meningeal artery rupture (what kind of haemorrhage would this cause)

Station 3 – PCR
– Make a patient sample and control sample (volumes needed on sheet).
– Pipette two samples into gel wells.

Station 4 – Genetics and pedigree analysis
– Interview a GP about a patient with family history of Tay Sachs disease.
– Create a genetic pedigree and deduce inheritance type of disease.
– Calculate risk of patient being a carrier.
– State that in order to use this information in you portfolio you would need to ask for consent and make it anonymous.

Station 5 – Chest exam (heart)
– Auscultate heart valves on simulated patient (no other examination needed).
– Identify valves on a heart model.
– Show surface markings of the heart on a skeleton.
– You must talk though what you’re looking for and doing at each stage of the station.