Year 1 OSCE June 2014

Year 1 OSCE June 2014
Day 1

Station 1 – Anatomy (Abdomen)
-Show the appendix, the splenic flexure, the unciate process of pancreas, the inferior mesenteric artery, ligamentum teres, falciform ligament, where is the portal vein, what drains into it? (on the cadaver)
– On the model: the splenic artery, what branch of aorta does it arise from, which part of the embryo does the IMA arise from (hindgut).

Station 2 – Drug kinetics
– Given water and drug, need to use the right pipette to fill water and drug in the colorimeter beaker, insert the water in colorimeter at 520nm, set it to 0, find the the value for the drug.
– Work out the concentration on the graph.
– Calculate clearance rate (need to know the equation).

Station 3 – Histology
– Set up the microscope, given the slide, mention and sketch the features, and in the end guess what it is.
– Later on shown the model and asked questions on it.
– Some of the slides given were muscle, bone or kidney.

Station 4 – Vital signs
– Check the patient’s blood pressure, pulse and respiratory rate, state the results to the examiner.
– Question: if the patient is exercising what are the accessory muscles they might use? Answer: Scalene, sternocleidomastoids, pec minor and pec major.

Station 5 – IT
– Asked to answer questions with functions such as COUNTIF, DATEDIF, =MEAN etc given.
– Asked the averages of columns and what functions you used to obtain the answer.
– Need to perform a t-test and state the P value. State what it meant if the P>0.05.

Station 6 – Patient interview (Mental Illness)
– Interview a depressed patient who has come to see her GP regarding her depression.
– Take an outline of her history of the condition, and how it is affecting her.

Day 2

Station 1 – PCR
– Given instructions to make 2 samples (20 microlitres each).
– Given a ready-made samples to insert in agarose gel.

Station 2 – Pedigree analysis
– Need to ask GP about patient family history in regards to a condition.
– Draw the genogram.
– Determine the mode of inheritance and the percentage chance of the patient being a carrier.

Station 3 – Anatomy (Lower Limbs)
– On model: show iliac crest, anterior superior iliac spine, anterior cruciate ligaments, their function
– On cadaver: show the sartorius, show the superior aspect of the femoral triangle, gluteus maximus, what supplies the medial compartment of the thigh, where does the sciatic nerve enter (what muscle), where is the grastronemius, where is the calcaneus tendon, what muscles make up the calcanues tendon (the gastronemius and soleus), show the adductor longus, what are the contents of the femoral triangle (NAVY – lateral to medial)

Station 4 – Cranial nerves
– Choose 2 cards from both easy and hard pile, and perform the appropriate tests (examiner has a model of the skull to ask questions about location of the cranial nerves)

Station 5 – Blood handling
– Properly take blood from prosthetic hand, disinfect with wipe, let it dry so the blood doesn’t spread, push down the glucolet pen and insert the needle, take the tip off and prick the hand.
– Make sure to discard just the needle and not the pen in the sharps bin.
– Next you have to take blood from a bottle and prepare a blood smear, make sure to discard the glass slide in the sharps bin.
– Finally have blood cells model and have to choose 2 cards from 4 and identify that cell and it’s features and state it’s functions.
– The 4 cards were neutrophil, monocyte, lymphocyte and eosinophil.

Station 6: Virtual station