Year 4 OSCE Aug 2016 (resit)

Year 4 OSCE August 2016 (resit)

 
Station 1 – Hip Examination
– Asked to examine patients hip, painful on movement
– Asked for differential diagnosis and management
– Probably osteoarthritis

Station 2 – History of painless haematuria
– GP setting
– Asked to take history and negotiate a management plan with the patient, no questions asked.
– Probably bladder cancer

Station 3 – Paediatric history – triadic interviewing
– GP setting, mother and child
– Asked to take history and give management plan to patient, no questions asked.
– Probably otitis media

Station 4 – Downs Results
– 40yr old lady has recently had downs screening and has risk of 1/80.
– Asked to explain the result and discuss her options, (she was looking for further Ix query termination)

Station 5 – History and management of anxiety
– Asked to take history and negotiate a management plan with the patient, no questions asked.
– Presented with SOB in social and high pressure situations.

Station 6 – Pulse and ECG (over half of people failed)
– Asked to take pulse and perform ECG on patient with a syncopal episode.
– Given an ECG and asked to interpret and give a differential diagnosis.

Station 7 – GI Jaundice
– GP setting, asked to take history and give management plan to patient, no questions asked.
– Painless jaundice, probably pancreatic cancer.

Station 8 – History of chest pain – Angina
– Asked to take history and give differentials and management plan to examiner.
– Initially let towards reflux but was exertional, smokes and has FH of MI.

Station 9 – Fibroid history
– Asked to take history and give differentials and management plan to examiner.
– Heavy painful periods, no IMB, in 30s, concerned about endometrial cancer.

Station 10 – Parkinson’s disease examination
– Asked to examine patient with suspected Parkinson’s disease and present to the examiner as you would in a clinical setting
– Examiner then asked for differentials and management both pharmacological, physio and social etc.

Station 11 – Paediatric history of constipation
– Just mum, no child
– Asked to take history and give differentials and management to examiner, probably just idiopathic.

Station 12 – Surgical history – Right inguinal Hurnia
– Asked to take history and give differentials and management to examiner.
– Told he has a lump in groin, reducible, painless.

Station 13 – Respiratory examination
– Asked to examine the patient, present findings to the examiner as you would in a clinical setting and give differentials.
– My patient had had two lobectomies due to lung cancer.

Station 14 – Rectal examination
– Given hx of painless rectal bleeding in 20yr old male on instructions.
– Asked to perform rectal examination.
– Asked to present findings to examiner, (nil as was model), and give two further investigations that would have been performed in clinic (proctoscopy and sigmoidoscopy.)

Station 15 – Management of breech presentation
– 36 week para1 in breech.
– Told to council and explain options.
– No questions asked.

Station 16 – Mental health history – Mania
– Asked to asses the patient.
– Examiner then asked for a differential, then to explain the risk, say whether you think he should be detained or not and give two reasons other than risk why you think this.
– Patient recently detained by police for trying to remove his children from school wants to take them to Spain on holiday in plane he can’t fly, admits to hitting wife. Acting stereotypically manic.