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2: Sickle cell anaemia explanation for Medical Student OSCE
3: Warfarin therapy for Medical Student OSCE
4: Diabetes Management for Medical Student OSCE
5: Blood Pressure Management for Medical Student OSCE
6: Asthma medication: Inhalers, spacers, peak flow, individual management plan for Medical Student OSCE
7: Expalining Procedures: Barium Enema, CT Scan, Bronchoscopy, Colonoscopy etc. for Medical Student OSCE
8: Venupuncture for Medical Student OSCE
9: Suturing for Medical Student OSCE
10: Otoscopy for Medical Student OSCE
11: Eye Exam / Opthalmoscopy for Medical Student OSCE
12: ECG for Medical Student OSCE
13: Chest X-Ray for Medical Student OSCE
14: Catheterisation for Medical Student OSCE
15: Cannulation for Medical Student OSCE
16: Urine dipstick for Medical Student OSCE
17: Abdominal X-Ray for Medical Student OSCE
18: Digital Rectal Examination for Medical Student OSCE
19: Breast Examination for Medical Student OSCE
20: Skin Examination for Medical Student OSCE
21: Lump Examination for Medical Student OSCE
22: Ulcer Examination for Medical Student OSCE
23: Varicose Vein Examination for Medical Student OSCE
24: Peripheral Vascular Examination (Leg Arteries) for Medical Student OSCE
25: Thyroid Gland Examination for Medical Student OSCE
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OSCE Free Revision Notes
1: MDT Meeting: discussion of care plan for Medical Student OSCE
Meeting led by one of the allied health professionals; fill in any gaps in care plan
Introduction
Introduce name and role: Sent by Registrar, Dr Peters, to gather information regarding Mr
2: Sickle cell anaemia explanation for Medical Student OSCE
Explain condition – abnormal ? peptide chains results in HbS production. Common in black Africans. Homozygous = sickle cell anaemia; heterozygotes have sickle cell trait – no dis
3: Warfarin therapy for Medical Student OSCE
Introduce, identify, explain, consent
Explain: ‘warfarin is a drug that thins your blood and makes it less likely to clot. You are taking it because you are suffering from a conditio
4: Diabetes Management for Medical Student OSCE
Introduce, identify, explain, consent
Explain: ‘I understand you have been diagnosed with DM, is that correct? What do you understand by the term diabetes? Do you have any issues or
5: Blood Pressure Management for Medical Student OSCE
Introduce, identify, explain, consent
Ask
Noticed any symptoms of HTN such as headaches, vomiting, visual disturbances, fits?
More than 2 raised bp readings on 2 separate occasions?
6: Asthma medication: Inhalers, spacers, peak flow, individual management plan for Medical Student OSCE
Peak flow measurement to diagnose asthma:
‘I understand you have had symptoms of a night cough and wheeze for a while, so I wish to carry out a peak flow test to rule out the possibi
7: Expalining Procedures: Barium Enema, CT Scan, Bronchoscopy, Colonoscopy etc. for Medical Student OSCE
General scheme:
Introduce, identify, explain, consent
Establish purpose of meeting
Ask if pt has had procedure before
Discover what pt already knows
Explain procedure in simple terms
8: Venupuncture for Medical Student OSCE
Introduce, check I.D., explain: ‘To check how well you are responding to treatment, I need to take some blood from you. This will involve placing a band around your arm and then insert
9: Suturing for Medical Student OSCE
Introduction + ‘I understand that you have an open wound. To help the healing process and prevent gross scar formation the wound needs to be stitched closed using a needle and special
10: Otoscopy for Medical Student OSCE
Introduce, identify, explain, consent.
Assessing hearing – rustling test, Weber’s test, Rinne’s test
Otoscopy
‘I need to look inside your ears using an otoscope, which
11: Eye Exam / Opthalmoscopy for Medical Student OSCE
Introduce, identify, explain, consent
Would test visual acuity, near sight, colour vision (Ishahara plates), visual fields, blind spot, visual neglect, pupillary reflexes, eye movements and
12: ECG for Medical Student OSCE
Recording the ECG
‘I have been asked to perform and ECG tracing of your heart. This is a device that records the rhythm and electrical activity of the heart, and involves attaching s
13: Chest X-Ray for Medical Student OSCE
Identify
Describe film
PA / AP (falsely magnifies heart shadow)
Rotation
Inspiration – 6 anterior ribs. More than 10 posterior ribs = hyperinflation
Penetration
Artefacts
14: Catheterisation for Medical Student OSCE
‘Because of the symptoms you have been experiencing I am going to insert a flexible plastic tube through your penis into your bladder to relieve the pressure. It should not be painful but
15: Cannulation for Medical Student OSCE
‘I have been asked to set up a drip and give you some fluids. It is a simple procedure involving inserting a thin plastic tube into a vein on the back of your hand. The tube will then
16: Urine dipstick for Medical Student OSCE
Introduce, identify, explain, consent
Check expiry date of BM test pot
Make sure pt knows how to perform MSU - clean area before, do not touch side of collection tube.
Wash hands befor
17: Abdominal X-Ray for Medical Student OSCE
Prepare by turning of any stray lights. Slip film into X-ray viewer. Read pt details from envelope and film
Describe type of X-ray
Supine / erect / decubitus (e.g. right lateral decubitus
18: Digital Rectal Examination for Medical Student OSCE
Introduction
Introduce, identify, explain, consent, WASH HANDS!
Explain procedure:
“Because of the history you have presented with, the doctors would like me to perform an examin
19: Breast Examination for Medical Student OSCE
Introduce, check I.D., explain, obtain consent
Inform pt that you require a chaperone
WASH HANDS!
Ask pt to go behind curtain, remove garments from upper body, and sit on couch. Cover self wit
20: Skin Examination for Medical Student OSCE
Introduce, identify, explain, consent, WASH HANDS!
Check for pain
Inspect
Colour - erythema
Shape – macule (flat area of discolouration), plaque (raised, flat top)
Size &ndas
21: Lump Examination for Medical Student OSCE
Introduce, identify, explain, consent, WASH HANDS!
Inspection
Site – ventral / dorsal etc. Distance to nearest bony prominence.
Size – w x l
Shape – spherical / irregular;
22: Ulcer Examination for Medical Student OSCE
Introduce, Identify, Explain, Consent
Inspection
Site – anterior, posterior, medial, lateral etc. Measure distance from nearest bony prominence
Size – w x l
Shape – circula
23: Varicose Vein Examination for Medical Student OSCE
Introduce, identify, explain, consent
Inspection: pt standing
Shape – beer bottle shape (oedema + venous compromise)
Varicose veins – location and distribution. Especially i
24: Peripheral Vascular Examination (Leg Arteries) for Medical Student OSCE
Introduce, identify, consent
Inspection
Colour
White
Blue
Black
Red
Mottled
Trophic changes
Shiny skin
Atrophy
Hair loss
Ulcers
Thinning of skin
Specific cardiovascular
25: Thyroid Gland Examination for Medical Student OSCE
“I have been asked to examine your thyroid, a gland in your neck, and all the parts of the body affected by the gland”
Introduce, identify, explain, consent. WASH HANDS!
Genera
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