OSCE Stations. Exposes patient from nipple to knees and lies them flat. Asks to see red book to check growth and vaccination history. Offers to plot current height and weight. General inspection around bed and patient for scars, distension, abdominal movements, stoma sites, hernias, drains and lines.
Inspects hands for clubbing, leukonychia, koilonychia, palmer erythema. Looks for asterixis or flapping tremor. Inspects eyes for jaundice, conjunctival pallor. Inspects mouth for Peutz-Jeghers brown freckles, central cyanosis, macroglossis, glositis, dryness, ulcers.
Offers to inspect jugular venous pulse. Inspects abdomen closely for masses, hernias, scars, peristaltic movements. Asks patient to cough to bring out any hernias. Palpates all regions lightly whilst looking at patient for signs of pain. Also looks for guarding, rebound tenderness and rigidity. Palpates deeply for masses and deep tenderness. Identifies features of masses site, size, shape, edge, consistency, percussion note, bowel sounds. Palpates for liver from right iliac fossa on deep breathing.
If enlarged describes edge up to 2cm is normal. Palpates for spleen from right iliac fossa to left hypochondrium. Percusses for the upper and lower borders of the liver. Percusses for the spleen asking patient to roll over to percuss behind. Percusses for suprapubic dullness in bladder distension. Perscusses for shifting dullness of ascites waiting 30 seconds after patient rolls over. Auscultates for bowel sounds for at least 30 seconds.
Auscultates for renal and aortic bruits. Thanks patient and offers help to redress. Requests full inguinal exam including examination of the external genitalia and urinanalysis.
Summarise appropriately with only key findings. Offer appropriate differential diagnoses. Share this. Related Posts. Subscribe to: Post Comments Atom. Introduces self. Washes hands.Search for: Search. Search Results for "osce-cases-with-mark-schemes". In addition, clinical examinations pose a challenge to students who may be technically and theoretically excellent, but who have poor examination technique. It is quite common for students to lack understanding of how they will be marked, how much emphasis to place upon certain actions or how much detail is expected of them.
The book includes chapters on communication skills, medical ethics, explanation stations, paediatrics and obstetrics and gynaecology subjects which are sometimes neglected elsewhere. All four authors have taken part in medical student teaching and OSCE examinations. They understand what will earn marks in the actual exam. This book prepares the student for what the actual finals exam will be like. You could be asked anything and it's easy to draw a blank.
That's when having a framework can make the difference between failing, passing and excelling. Furthermore, there are also detailed Differential Diagnosis, Investigations and Management Plan to help you present to your examiner. The most effective way to do well in OSCEs and to keep a cool head in the exams is to have practiced these thought processes and actions repeatedly.
Practicing them so much that they become second nature and no longer require thinking. Presented in this book are a range of fifty common scenarios in medicine, divided into acute stations, clinical examinations, data interpretation, practical skills, history taking and communication skills sections.
Working through all the cases in this book will not only make you prepared for OSCE stations in medicine but will also make you more confident handling the common clinical scenarios in your future career. Complete with - -Student vignettes -Actor histories -Mark schemes We bring to you an essential revision kit that will help you - -Prepare with premade scenarios -Practice in small groups in a timed setting -Use our refined mark schemes to improve your performance. The student is led through a clinical scenario and then assessed on examination, history taking, investigation, diagnosis and management.
This often leads to examination candidates not being prepared for the OSCE exam format, performing poorly compared with written paper examinations. The proposed book will cover an approach to passing the OSCE as well as 60 practice questions. Each case will have a sample marking scheme.
With its practical approach strongly linked to underlying theory, the series integrates your knowledge with the realities of managing clinical problems, and provides a basis for developing problem-solving skills.
The core areas of undergraduate study are covered in a logical sequence of learning activities: each case is followed by a detailed answer, along with a number of OSCE-style questions to help you practise for the exam.These SPs follow a certain script to play with you during the encounter.
These scripts are written in details including patient general look, cloths, gestures, emotions, and all negative and positive answer. It also include any unexpected behaviors such as the SP turns agitated, upset, violent, restless, impolite, or leaves the room during the encounter.
As SPs follow strictly these scripts, OSCEs examiners also have a standard printed checklist or blueprint for each station that they have to fill out while observing you.
These checklists are standardized to reduce examiners' bias. On these checklists, there are station specific points and a general performance points to be assessed. There are up to 40 points to be checked in each station. Some OSCEs may also include a checklist to be filled out by the standardized patient. SPs will reveal information when specific related questions are asked.
They wont voluntarily give you information as some times happens in real life patient encounters. For example, if you don't ask about all their medication now and in the pastthey wont show you a printed list of their medication.
For example, turning uncooperative if you are not responding to their concerns or gestures. Are all of the above skills weighed equally in all stations? Although you will be evaluated for all the above listed skills in each OSCE station, they are weighed differently from station to station. You are expected to show all the above skills in 5 to 20 minutes!! You need to be alert throughout the encounter to all of the above listed points and, yes, this is not easy but not impossible.
You have to develop a a way to perform these OSCEs so that all the above points have been taken care of automatically and practice it so that it will be an eternal part of your future practice. Is that possible? Yes it is!. When you arrive home after a long day at your medical school or hospital or in the future, at your practicehow many times did you wondered which way did you take driving back home?!! You didn't figure it out although you were sure it was the right safe way home and you did follow traffic laws and road ethics!!.
How long that will take?? How much efforts you'll need to spend on that??! You don't need to know each and every OSCE examiner checklist! Just memorize the steps and practice them repeatedly! Your performance at the OSCEs should be just like that tired driver on an autopilot perfect mode!!. By following the steps, the OSCE examiner checklist will be covered indirectly!
It is held in hospital sites across the UK and in a number of other countries. We introduce our guidance documents, anchor statements and mark sheets, available to download below.
Last modified. Post date. Table of contents. Aim Guidance Downloads. Candidates are expected to demonstrate proficiency in: communication history taking and management planning establishing rapport with both parents and children physical examination child development clinical judgement organisation of thoughts and actions recognition of acute illness knowledge of paediatrics and child health professional behaviour ethical practice.
Educational supervisor. Hong Kong. Junior member. LETB and Deanery staff.
MBCHB OSCE Paediatrics
Level 1 trainee. Middle East. Northern Ireland. Republic of Ireland. Saudi Arabia KSA. Sri Lanka. United Arab Emirates.Please refold the suture pack between candidates. Note item Mentions skin preparation. Mentions local anaesthetic. Unfolds suture pack correctly with sterile technique. Puts the needle in the needle holder correctly. Examiner Overall Rating: was the overall approach that expected of a professional?
Please note the examiner prompt item Examiner: Please rate the candidate on each of the following criteria. Applies pressure to venepuncture site Mixes sample gently Disposes of sharp correctly Says would label container Candidate's overall description to examiner of information to give to the patient Examiner overall rating: Overall rating for candidate's competency in taking blood Good Pass Borderline Pass Borderline Fail Fail I.
Examiner: See prompt at question 19 and ask candidate to report the ECG. Introduces self to patient. Confirms patient name and date of birth Explains procedure to patient 1.
Asks patient to remove clothing above the waist 1. Correctly positions patient on couch with legs straight and arms by side 1. Suggests that skin is cleaned with alco swab and dried prior to lead and electrode placement 1.
States that chest may have to be shaved. V4 RLL 1. V5 V6 RUL LUL LLL Asks patient to relax limbs during recording Name 1.Thyroid Clinical Examination - HD - Warwick Medical School
Rate 1. Rhythm 1. Axis 1.
Conclusion - describes overall tracing pattern correctly 1. Fluent report of the ECG trace 1. See prompts below.A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes.
A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations.
A comprehensive collection of medical revision notes that cover a broad range of clinical topics. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn.
Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. A collection of free medical student quizzes to put your medical and surgical knowledge to the test!
Paediatrics is full of respiratory presentations and thus, respiratory examinations. This guide provides an overview of how to perform a paediatric respiratory examination in an OSCE setting.
Be opportunistic in your examination — i. Remember, parents and carers can also be a great asset — helping to explain the next step in the examination and position the child as you need them. Work as a team! Check out our paediatric respiratory examination mark scheme here.
Observe the child in their environment e. Pay attention to features that may indicate the presence of an underlying genetic condition:. Note any audible sounds as you observe the child and consider what underlying pathology they may indicate:. Observe the chest, paying particular attention to the respiratory rate and work of breathing. Assess for signs of increased work of breathing.
Palpate the cardiac apexnoting its position :. Your middle finger should overlie the area you want to percuss between ribs.
Paediatric Abdominal Exam
The striking finger should be removed quickly, otherwise, you may muffle resulting percussion note. Below is a non-exhaustive list of clinical syndromes which can be associated with respiratory system pathology.
The features of the syndrome relevant to the respiratory system are shown in bold. Hypermobility Arachnodactyly Marfanoid habitus tall, long limbs Pneumothorax. Clinical Examination. Anatomy of the Uterus. Prescribing in Primary Care. Interpreting a Coagulation Screen.
A collection of surgery revision notes covering key surgical topics. Hilum of the Lung. Spinal Cord Summary. A man with blood in his urine. A man with testicular pain. Medical Student Finals Questions. ABG Quiz. Thyroid Pathology Quiz. Share Tweet.A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes.
A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations.
A comprehensive collection of medical revision notes that cover a broad range of clinical topics. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. A collection of free medical student quizzes to put your medical and surgical knowledge to the test!
Examining the neurological system is different in young children compared with older children and adults. The components of the complete exam are extensive and usually cannot be performed in a classical fashion. This approach may be carried out on a cooperative school-aged child — but always be mindful of keeping the examination fun.
Observation is key. Make the most of every opportunity to examine the child. See how they play, taking into account handedness and motor deficits. These observations, especially in younger children, will ultimately give you the best insight into their daily functioning and paint a broad picture of their neurological function. Through minimising apprehension, assessment of higher cortical function, muscle tone and tendon reflexes becomes easier.
Observe for age-appropriate milestones see our guide on Developmental Milestones. Testing in infants is often by observation for specific movements and responses, which is ultimately less reliable. In older children, it may be possible to formally assess at least some cranial nerves, however, this very much depends on the exact age of the child, their current state and the environment. We have provided a guide to each of the cranial nerves below, however, it is unlikely you will be able to carry out a complete neurological assessment in one sitting with most children.
The olfactory nerve is responsible for the sense of smell. The optic nerve is responsible for vision and afferent pupillary light reflexes. Often difficult, requiring patience. If in doubt, it is often best to arrange for a specialist to do this examination using equipment designed specifically for children. Move in closer whilst maintaining the red reflex and examine the retina with the ophthalmoscope.
You may need to change the focus wheel to account for the difference in glasses prescription between the child and yourself.
Approach from an angle slightly temporal to the child. Begin by identifying a blood vessel and then follow the branching of this blood vessel towards the optic disc the branches point like arrows towards the optic disc.
Assess the retinal vessels for pathology e. Finally, assess the macula by asking the patient to look directly into the light:.