Year 3 OSCE April 2014
Station 1 – Venepuncture
– Usual thing, fill a form in and label the bottles.
– No questions.
Station 2 – History
– Presentation of sudden onset right sided pleuritic chest pain, haemoptysis, swollen calf/ ankle.
– History of recent foreign travel, on HRT and a family history of cancer.
– What is the likely diagnosis…[PE] Why?
Station 3 – Triadic interviewing
– Insidious onset memory loss.
– Asked for likely diagnosis (dementia) and differentials, wife and husband, wife noticed the loss of memory husband felt tearful.
Station 4 – Peripheral vascular exam (lower limb)
Asked how you could assess the severity at the bedside.
– History of tiredness, lethargy, anxiousness, change of bowel habits, heat intolerance, palpitations, family history of Coeliac & T1 Diabetes.
– Asked the likely diagnosis and why… Thyrotoxicosis.
Station 6 – Upper limb neuro motor
– Asked what grading of power was (MRC grade’s – each specifically) and also asked what nerve roots for biceps, triceps and supernator reflex.
– Asked how to increase reflex (clench teeth and pull hands).
Station 1 – ECG
– Perform a 12 lead ECG and interpret.
Station 2 – Explain cardiac drugs
– Ramipril, Simvastatin, Aspirin, Clopidogrel.
– Explain side effects and why taking them.
Station 3 – Paediatric history of fever / breathlessness
– Asked to interpret bloods and observations.
Station 4 – CV exam
– Asked about aortic stenosis.
Station 5 – Abdo exam
– Asked about findings in peptic ulcer disease.
Station 6 – Breast history
– Woman found a lump.
– Asked to take a history and explain all about the examination and gain consent to examine (did not actually have to perform examination).