Exam 13 May 2018, questions and answers PDF

Preview

Summary

th Year OSCE guide Brian McMillan [email protected] of contents - 1 POG.................................................................................................................................................................................. (Hold <Ctrl> key and click to g...

Description

4th Year OSCE guide Brian McMillan [email protected]

Table of contents (Hold key and click to go straight to the page you want)

1

POG..................................................................................................................................................................................4 1.1 PAEDIATRICS.............................................................................................................................................................4 1.1.1 Information giving stations.................................................................................................................................4 1.1.1.1 1.1.1.2 1.1.1.3 1.1.1.4 1.1.1.5 1.1.1.6 1.1.1.7 1.1.1.8 1.1.1.9

1.1.2 1.1.3

Gastro-oesophageal reflux........................................................................................................................................ 4 Immunization............................................................................................................................................................ 5 Febrile Convulsion................................................................................................................................................... 6 Constipation.............................................................................................................................................................. 7 Epilepsy.................................................................................................................................................................... 8 Newly diagnosed asthmatic......................................................................................................................................9 Bed Wetting............................................................................................................................................................10 Weaning..................................................................................................................................................................11 Neonatal jaundice...................................................................................................................................................12

Paediatric history.............................................................................................................................................13 Paediatric examination.....................................................................................................................................14

1.1.3.1 1.1.3.2 1.1.3.3 1.1.3.4 1.1.3.5 1.1.3.6 1.1.3.7 1.1.3.8 1.1.3.9 1.1.3.10 1.1.3.11

Developmental exam..............................................................................................................................................14 Cardiovascular examination....................................................................................................................................15 Respiratory examination......................................................................................................................................... 16 Abdominal examination..........................................................................................................................................17 Squint..................................................................................................................................................................... 18 Gait examination.....................................................................................................................................................19 Types of Gait.......................................................................................................................................................... 20 Peripheral Neurological function examination........................................................................................................21 Central Neurological function examination............................................................................................................24 Apgar scoring.........................................................................................................................................................25 Assessment of the newborn.....................................................................................................................................26

1.2 OBSTETRICS & GYNAECOLOGY..............................................................................................................................27 1.2.1 Information giving stations...............................................................................................................................27 1.2.1.1 1.2.1.2 1.2.1.3 1.2.1.4 1.2.1.5 1.2.1.6 1.2.1.7 1.2.1.8 1.2.1.9 1.2.1.10 1.2.1.11 1.2.1.12 1.2.1.13 1.2.1.14 1.2.1.15 1.2.1.16 1.2.1.17 1.2.1.18 1.2.1.19 1.2.1.20 1.2.1.21 1.2.1.22 1.2.1.23 1.2.1.24 1.2.1.25 1.2.1.26

Combination Oral Contraceptive Pill Counselling..................................................................................................27 Progestogen Only Pill Counselling.........................................................................................................................28 Emergency contraception........................................................................................................................................29 Post menopausal bleeding.......................................................................................................................................30 Cervical smear explanation.....................................................................................................................................31 Infertility counselling..............................................................................................................................................32 Pelvic Inflammatory Disease (PID)........................................................................................................................33 Hormone replacement therapy................................................................................................................................34 Endometriosis......................................................................................................................................................... 35 Urodynamics interpretation.....................................................................................................................................36 Genuine Stress Incontinence (GSI).........................................................................................................................36 Urge Incontinence...................................................................................................................................................37 Heavy menstrual bleeding / Menorrhagia...............................................................................................................38 Explanation of hysterectomy..................................................................................................................................39 Induction of labour/ Management of post dates pregnancy.....................................................................................40 CTG interpretation..................................................................................................................................................41 Bleeding and pain in early pregnancy.....................................................................................................................43 Intra Uterine Growth Restriction............................................................................................................................ 44 Pre-eclampsia.........................................................................................................................................................45 Gestational diabetes................................................................................................................................................46 Miscarriage counselling.......................................................................................................................................... 47 Analgesia in labour.................................................................................................................................................48 Explanation of malposition / malpresentation.........................................................................................................49 Explanation of caesarean section............................................................................................................................50 Ectopic pregnany.................................................................................................................................................... 51 Management of twin/multiple pregnancy................................................................................................................52

1

1.2.1.27 1.2.1.28 1.2.1.29 1.2.1.30 1.2.1.31 1.2.1.32 1.2.1.33

1.2.2

Problem based obs & gynae histories..............................................................................................................60

1.2.2.1 1.2.2.2 1.2.2.3

1.2.3

Obstetric history.....................................................................................................................................................60 Gynaecological history...........................................................................................................................................61 Infertility History....................................................................................................................................................62

Obstetric / Gynae examination.........................................................................................................................63

1.2.3.1 1.2.3.2 1.2.3.3

2

Premature delivery..................................................................................................................................................53 Pre-term rupture of membranes.............................................................................................................................. 54 Bleeding in 3rd trimester / Antepartum haemorrhage (APH)...................................................................................55 Termination counselling..........................................................................................................................................56 Triple test counselling.............................................................................................................................................57 Placenta praevia explanation...................................................................................................................................58 Explanation of antenatal blood tests........................................................................................................................59

Gynaecological examination...................................................................................................................................63 Obstetrics examination...........................................................................................................................................64 6 week post natal check..........................................................................................................................................65

MSS.................................................................................................................................................................................66 2.1 EMERGENCY MEDICINE..........................................................................................................................................66 2.1.1 Procedures........................................................................................................................................................66 2.1.1.1 2.1.1.2

Wound suturing.......................................................................................................................................................66 Blood gas interpretation..........................................................................................................................................67

2.2 ANAESTHESIA, RESUSCITATION AND PAIN MANAGEMENT.....................................................................................69 2.2.1 Procedures........................................................................................................................................................69 2.2.1.1 2.2.1.2 2.2.1.3

Cannulation and setting up a drip............................................................................................................................69 Administer antibiotics intravenously......................................................................................................................70 Pre-operative assessment........................................................................................................................................ 71

2.3 DERMATOLOGY.......................................................................................................................................................72 2.3.1 Counselling.......................................................................................................................................................72 2.3.1.1 2.3.1.2 2.3.1.3

2.3.2

Genito Urinary Medicine..................................................................................................................................75

2.3.2.1 2.3.2.2 2.3.2.3

2.3.3

Communication assessment....................................................................................................................................80 Cognitive Assessment.............................................................................................................................................81 Choosing walking equipment..................................................................................................................................82 Orthotics - General.................................................................................................................................................83 Ankle and foot orthoses for children.......................................................................................................................84 Swallow test............................................................................................................................................................85 GAIT examination..................................................................................................................................................86

Oncology and Palliative Medicine...................................................................................................................86

2.3.5.1 2.3.5.2 2.3.5.3 2.3.5.4

3

ID / Travel history...................................................................................................................................................78 Hepatitis A, B & C..................................................................................................................................................79

Rehabilitation Medicine....................................................................................................................................80

2.3.4.1 2.3.4.2 2.3.4.3 2.3.4.4 2.3.4.5 2.3.4.6 2.3.4.7

2.3.5

Sexual history.........................................................................................................................................................75 HIV and AIDS counselling.....................................................................................................................................76 STI explanation.......................................................................................................................................................77

Infectious Diseases...........................................................................................................................................78

2.3.3.1 2.3.3.2

2.3.4

Psoriasis.................................................................................................................................................................. 72 Atopic Eczema........................................................................................................................................................ 73 Acne....................................................................................................................................................................... 74

Breaking bad news..................................................................................................................................................86 Describing cancer treatment options.......................................................................................................................87 Describing Radiotherapy........................................................................................................................................ 88 Chemotherapy.........................................................................................................................................................89

PPP..................................................................................................................................................................................90 3.1 PRIMARY CARE.......................................................................................................................................................90 3.1.1 Counselling.......................................................................................................................................................90 3.1.1.1 3.1.1.2 3.1.1.3 3.1.1.4 3.1.1.5 3.1.1.6 3.1.1.7

3.1.2

High cholesterol......................................................................................................................................................90 Type I diabetes........................................................................................................................................................ 91 Type II diabetes......................................................................................................................................................92 Hypertension...........................................................................................................................................................93 Smoking cessation..................................................................................................................................................94 Obesity................................................................................................................................................................... 95 CVD risk.................................................................................................................................................................96

Examinations / skills.........................................................................................................................................97

2

3.1.2.1 3.1.2.2 3.1.2.3 3.1.2.4 3.1.2.5 3.1.2.6 3.1.2.7

ENT Exam.....................................................................................................