Essential OSCE Topics for Medical and Surgical Finals

Kaji Sritharan, Vivian A. Elwell, Guy Molyneux

Radcliffe Publishing, Aug 20, 2007 - Medical - 444 pages

Objective Structured Clinical Examinations (OSCEs) are commonly encountered at all levels of medical school including the final MBBS examination. OSCEs also play an important role at postgraduate level and are used to assess competency in the Foundation Years. One of the fundamental requirements of passing the OSCE is an understanding of the standard which is expected and an appreciation of how to demonstrate this. This book discusses 170 commonly encountered OSCE scenarios, with a step-by-step approach to maximise your chances of success in the examination. The scenarios are presented with sufficient background information to enable candidates to tackle variations. This comprehensive book, covering both surgery and medicine, overcomes any problems of a tick-box approach and insufficient detail faced by some alternative texts. The clear, straight-forward style and logical layout make this book perfect preparation for OSCE examinations.

Contents

• History taking: 1
• Chest pain: 4
• Shortness of breath: 6
• Cough: 9
• Abdominal pain: 11
• Weight loss: 13
• Dysphagia: 16
• Jaundice: 18
• Constipation: 21
• Diarrhoea: 23
• Haematemesis: 26
• Examining the cardiovascular system: 27
• Per rectal bleeding: 29
• Per vaginal bleeding: 32
• Examining an ulcer: 33
• Haematuria: 35
• Headache: 38
• Expressive dysphasia: 40
• Fits faints and funny turns: 43
• Leg weakness: 46
• Loss of vision: 48
• Fever pyrexia of unknown origin: 50
• Swollen legs: 52
• Leg ulcers: 54
• Swollen knee: 56
• Rash: 59
• Taking a gynaecological history: 61
• Taking a paediatric history: 64
• Psychiatric assessment: 68
• Assessing gait: 96
• Orthopaedic examination of the hip knee shoulder: 102
• Ear nose and throat ENT examination: 110
• Airway adjuncts: 116
• Oxygen delivery devices: 123
• Pleural aspiration: 129
• Setting up a blood transfusion: 134
• Pulse oximetry: 136
• Blood pressure measurement: 138
• Measuring ankle brachial pressure index: 140
• Twelvelead ECG: 142
• Sizing a hard collar: 146
• Urinary catheterisation: 148
• Suprapubic catheterisation SPC: 153
• Urinalysis and interpretation: 155
• Nasogastric NG tubes: 160
• Digital rectal examination proctoscopy and rigid sigmoidoscopy: 163
• Performing a Papanicolaou PAP smear test: 166
• Measuring blood glucose: 168
• Venepuncture: 171
• Intravenous cannulation: 173
• Intravenous infusions: 176
• Setting up a syringe driver: 178
• Central venous line insertion: 181
• Administering an intravenous injection: 184
• Administering an intramuscular injection: 186
• Administering a subcutaneous injection: 188
• Blood culture: 191
• Taking a bacterial wound swab: 193
• Performing a simple dressing change: 195
• Removing surgical skin clips and sutures: 197
• Joint aspiration: 199
• Surgical scrubbing gowning and gloving: 201
• Suture material and suturing: 203
• Preparing baby formula milk: 206
• Stomas and stoma care: 208
• DVT prophylaxis: 213
• Surgical drains: 216
• Chest drains: 218
• Diagnostic peritoneal lavage DPL: 222
• Ascitic tap: 224
• Lumbar puncture: 226
• Radiology: 230
• Interpreting abdominal Xrays: 233
• Interpreting orthopaedic Xrays: 234
• Interpreting computerised tomography CT scans of the head: 235
• Written skills: 239
• Completing blood forms: 240
• Writing prescription charts on the ward: 242
• Writing a GP prescription: 288
• Writing a discharge summary: 290
• Writing a transfer letter: 292
• Referring a patient: 293
• Completing an Xray request form: 294
• Explaining operations: 296
• Laparoscopic cholecystectomy: 299
• Open inguinal hernia repair: 303
• Transurethral resection of the prostate TURP: 306
• Laparoscopic nephrectomy: 309
• Explaining radiological procedures: 313
• Colonoscopy: 316
• Barium enema: 319
• Endoscopic retrograde cholangiopancreatography ERCP: 322
• Bronchoscopy: 325
• Renal biopsy: 328
• Coronary angiography: 331
• Ultrasound scan: 334
• MRI scan: 337
• CT scan: 339
• Management: 342
• Sectioning a patient and the Mental Health Act: 345
• Managing epilepsy including driving and childhood epilepsy: 347
• Managing asthma: 349
• Managing hypertension: 352
• Managing high cholesterol: 354
• Managing warfarin: 356
• Managing obesity and measuring BMI: 359
• Explaining antipsychotic therapy: 361
• Managing depression: 364
• Discussing contraception: 366
• Managing a patient with acne: 368
• Giving sun protection advice: 370
• Discharging patients: 372
• Discharging a patient with COPD on steroids and oxygen therapy: 375
• Discharging an elderly patient: 377
• Discussing nursing home placement with the patients relatives: 379
• Communication skills: 381
• Endstage renal failure requiring dialysis: 384
• Diagnosis of rheumatoid arthritis: 386
• Belowknee amputation: 388
• Breast cancer: 390
• Malignant melanoma: 391
• Abnormal polyps found on colonoscopy: 393
• HIV counselling: 395
• Working as a doctor: 396
• DRE: 403
• Blood transfusion and the Jehovahs Witness: 410
• Ethics and law: 420
• Palliative care: 422
• Dealing with death: 423
• Confirming death: 429
• Death certification: 430
• Deaths that need to be reported to the coroner: 431
• Brainstem death: 435
• Index: 436

Bibliographic information

• Title: Essential OSCE Topics for Medical and Surgical Finals; Master pass; Radcliffe Series
• Authors: Kaji Sritharan, Vivian A. Elwell, Guy Molyneux
• Edition: illustrated
• Publisher: Radcliffe Publishing, 2007
• ISBN: 1846192188, 9781846192180
• Length: 444 pages
• Subjects: Medical / Diagnosis; Medical / General; Medical / Test Preparation & Review