OSCE SAMPLES
A lady is there on the phone. Her 18 months old daughter is having diarrhoea. She is also having diarrhoea. Her daughter had another attack of diarrhoea 6 months back.
Take history from the mother and give her relevant advice, as she is very anxious.
A 35 years old alcoholic lady is complaining of loss of sensation over her lower limbs. Perform a neurological examination of her lower limbs for sensory system and reflexes and explaining to the examiner at every stage what you are going to do.
A 60 years old diabetic lady does not follow doctors advice regarding her diet or her medications. She is a non-insulin dependent diabetic since last 15 years. She is now complaining increasing visual difficulty. Perform a fundoscopic examination on her and discuss your diagnosis with the examiner .
Perform a cardiovascular system examination and describe whether the patient is in heart failure or not
Examination of diabetic feet.
Counselling for tubal sterilisation.
Perform a mini mental state score on an elderly demented person.
A 50 years old gentleman is suffering from non-Hodgkin's lymphoma for the last 5 years. He had been taking co-proxamol and co-codamol for his pain relief. But his pain is no longer under control with the above medications. The Consultant has decided to start him on morphine sulphate sustained release preparation 40 mg once daily. Explain the treatment to the patient.
A 25 years old lady is complaining of severe headache over the occipital region since last 4 hours. Take relevant history to arrive at a diagnosis and explain to her regarding the exact nature of the problem.
A 28 years old lady is complaining of pain over the left knee joint following an injury during a skiing holiday and presenting to you 3 days after the injury. You are see her in your surgery. Perform a knee examination on her and give your diagnosis.
Drug Advice - Patient was taking minocycline for acne. Yesterday she has read an article about the drug and its side effects. You have not read the article. She is worried now. Counsel her.
Chest Examination - History of chronic obstructive airway disease. Do a chest examination and give your findings.
Post Natal Depression - A 27 years old lady delivered a baby 4 weeks before. She is now feeling low and her appetite has gone down. You are her normal GP. Take history and explain management.
Discharge instruction Post Myocardial Infarction - Patient with uncomplicated myocardial infarction has been discharged and got his drugs from the pharmacy. Explain about the drugs and nothing else. (The drugs were G T N spray, atenolol and aspirin tablet).
Large volume spacer - A child admitted with acute breathlessness was treated and discharged. Explain to the parents how to fit and use the spacer device and drugs.
HRT advice - A 49 years old lady complains of 10 months of amenorrhoea, mood swings. She is feeling low and tired and having hot flushes and sweating. She is complaining of vaginal dryness and dyspareunia. She is working as a shopkeeper and not mobile. Her mother who is 78 years old is suffering from brittle bones. Talk to her whether HRT is needed or not and explain.
An 18 years old known epileptic lady has come to you. She is going to another town for higher studies. She wants to know about alcohol and recreational drugs and about contraception. Talk to her about her condition and answer her queries.
Basic life support - You are working in a ward. Suddenly you hear a noise of a fall from an adjacent cubicle. On entering the cubicle you find a man (manikin) lying on the floor. You are only present there. You need to assess the condition quickly and need to do what you are supposed to do in such a condition. (perform basic life support) (Resuscitation stations have repeated)
A mother of a 5 years old has come and tells you that her daughter is not doing well and always seem to be lethargic since a cough and cold a week before. Take history from the mother and come to a diagnosis and explain what you are going to do.
A 60 years old has peripheral vascular disease affecting his lower limbs. Examine him and give your diagnosis.
A 17 years old girl has come with weight loss, apathy and depression. Talk to her very politely, take history and give diagnosis.
A 51 years old lady has come with complaint of cough and breathlessness. Examine her respiratory system and give your diagnosis.
An old man is suffering from end stage metastatic prostatic carcinoma. His daughter has come. Explain her regarding the condition and tell her about terminal care.
ECG - anterior M I (T - wave inversion, Q wave) and C X R showing acute L V F.
Patient with whiplash injury. X-rays are normal. He is still in pain.
Patient is feeling low. Talk to the patient.
Examine hip joint of a patient.
18 years old patient recently diagnosed with epilepsy. She is on carbamazepine. Counsel her.
Examine the fundus, talking through the procedure to the examiner.
The mother has brought her child to the surgery. You have examined the child and diagnosed as having respiratory tract infection. She is worried that her child may be suffering from meningitis. Counsel her.
In the surgery - Suddenly you hear a patient collapsing to the floor in reception waiting room. Perform CPR.
This 56 years old woman is suffering from non-Hodgkin's lymphoma. She has had radiotherapy, chemotherapy. She has taken paracetamol, ibuprofen tablets which she says is not relieving her pain now. The consultant has decided that you start on sustained release morphine. Counsel her.
Take history from a 40 years old with c/o chest pain since yesterday, unilateral, left sided.
This 25 years old woman c/o pain, lower abdominal pain. You are suspecting ectopic pregnancy. The pregnancy tests and ultrasound are planned for tomorrow morning. But the patient refuses to attend the hospital. Talk to her.
This patient comes with c/o breathlessness and tightness of chest. Examine the respiratory system and teach him to use peak flow meter.
This 25 years old patient came with c/o pain right hip. Examine his hip.
This man had routine bloods done on a new patient check. FBC shows increased mean corpuscular volume. He is a chronic alcoholic. Take history about alcohol intake.
This patient presents with haematuria. Take history and discuss further management with patient.