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The Unofficial Guide to Passing OSCEs

The Unofficial Guide to Passing OSCEs

Zeshan Qureshi

(2012)

Abstract

OSCE examinations are used worldwide as a critical part of medical student assessment, yet there is often little preparation for them provided by medical schools. The Unofficial Guide to Passing OSCEs is intended to fill this gap. It includes over 100 scenarios, covering medical history taking, clinical examination, practical skills, communication skills, plus specialties, meaning that everything is covered in one place. To bring the cases to life, over 300 full color clinical photos are included, including patients with features of important diseases. It also includes clear outlines of how to relay the assessment of a patient to an examiner or to other doctors on a ward round, and model answers to common questions put to students/junior doctors in OSCEs. This book has relevance beyond examinations, for post graduate further education and as a day-to-day reference for professionals.
"The chapters are clearly written, in simple language that should appeal to students and reflect the fact that the authors themselves have recently been OSCE candidates. They are all part of what I believe is a genuine re-invigoration of the art of teaching amongst junior medical staff." -- Simon Maxwell, Professor of Student Learning "This book is amazing and I don't think I would have passed my exams without it" -- Cath Roels, Medical Student

Table of Contents

Section Title Page Action Price
Cover Cover
Title i
Copyright ii
Introduction 1
Foreword 2
Contributors 3
Further Readings 7
Contents 8
1. History Taking 11
1.1 Cardiovascular History: Chest Pain 12
1.2 Respiratory History: Productive Cough 15
1.3 Gastrointestinal History: Abdominal Pain 18
1.4 Gastrointestinal History: Diarrhoea 21
1.5 Neurological History: Headache 23
1.6 Vascular History: Intermittent Claudication 27
1.7 Orthopaedic History: Back Pain 28
1.8 Haematology History 30
1.9 Breast History 32
1.10 Genitourinary Medicine: Sexual History 33
1.11 Genitourinary Medicine: Vaginal Discharge 35
2. Clinical Examination 37
2.1 Cardiovascular Examination 38
2.2 Respiratory Examination 43
2.3 Cranial Nerves Examination 38
2.4 Upper Limb Neurological Examination 51
2.5 Lower Limb Neurological Examination 54
2.6 Cerebellar Examination 57
2.7 Parkinson’s Examination 58
2.8 Gastrointestinal Examination 60
2.9 Hernia Examination 63
2.10 Testicular Examination 66
2.11 Stoma Examination 68
2.12 Rectal Examination 69
2.13 Peripheral Arterial Examination 70
2.14 Varicose Veins Examination 73
2.15 Ulcer Examination 74
2.16 Neck Lumps Examination 76
2.17 Breast Examination 78
2.18 Dermatology Examination 79
2.19 Cushing’s Syndrome Examination 81
2.20 Acromegaly Examination 82
2.21 Thyroid Examination 84
2.22 Haematology Examination 86
2.23 Eye Examination 88
2.24 Ear Examination 90
2.25 Newborn Baby Examination 92
3. Orthopaedic Examinations 95
3.1 Thoraco-Lumbar Spine Examination 96
3.2 Cervical Spine Examination 100
3.3 Hand Examination 102
3.4 Shoulder Examination 108
3.5 Hip Examination 111
3.6 Knee Examination 113
3.7 Gait, Arms, Legs and Spine (GALS) Screening 117
4. Communication Skills 121
4.1 Consent for Endoscopy 121
4.2 Consent for HIV Testing 123
4.3 Autopsy Consent 124
4.4 Consent for Hernia Repair 125
4.5 Blood Transfusion 127
4.6 Warfarin Counselling 129
4.7 Opiate Counselling 131
4.8 Lifestyle Advice Post Myocardial Infarction 133
4.9 Dealing with an Agitated Patient 134
4.10 Breaking Bad News 135
5. Practical Skills 137
5.1 Intermediate Life Support 138
5.2 Phlebotomy 140
5.3 Intravenous Cannulation/Setting Up a Giving Set 142
5.4 Male Urethral Catheterisation 145
5.5 Urinalysis 147
5.6 ECG Interpretation 149
5.7 Fundoscopy 157
5.8 Death Certification 160
5.9 Instruments 162
5.10 Suturing 163
6. Radiology 167
6.1 Chest X-ray 168
6.2 Abdominal X-ray 173
6.3 Orthopaedic X-ray 178
7. Obstetrics and Gynaecology 187
7.1 Placenta Praevia 188
7.2 Breech Presentation 189
7.3 Consent for Caesarean Section 190
7.4 Antepartum Haemorrhage 191
7.5 Obstetric Examination 192
7.6 Anxious Pregnant Woman 193
7.7 Combined Oral Contraceptive Pill 196
7.8 Emergency Contraception 198
7.9 Cervical Smear Counselling 199
8. Psychiatry 201
8.1 Alcohol History 202
8.2 Depression History 204
8.3 Mania History 206
8.4 Post-Natal Depression History 207
8.5 Suicide Risk Assessment 208
8.6 Schizophrenia History 210
8.7 Mental State Examination 212
8.8 Cognitive Examination 214
9. Paediatrics 217
9.1 A Crying Baby 221
9.2 Febrile Convulsions 223
9.3 Wheeze 224
9.4 Diabetes Mellitus (Type 1) 226
9.5 Non Accidental Injury 227
9.6 MMR Vaccination 231
9.7 Cystic Fibrosis 232
9.8 Down Syndrome 233
9.9 Asthma - Peak Flow 234
9.10 Asthma - Inhaler Technique 234
10. Prescribing 237
10.1 Acute Left Ventricular Failure 238
10.2 Acute Myocardial Infarction 242
10.3 Acute Exacerbation of COPD 245
10.4 Acute Exacerbation of Asthma 248
10.5 Hyperkalemia 251
10.6 Bowel Obstruction 256
10.7 Abdominal Sepsis 260
10.8 Acute Upper GI Bleed 263
10.9 Diabetic Ketoacidosis 266
10.10 Discharge Prescribing 270
10.11 Analgesia 272
11. Critical Appraisal 275
11.1 Writing an Abstract 276
11.2 The Manuscript 276
11.3 Application of Results to the Patient 281
12. Hospital Letters 283
12.1 Transfer Letter 284
12.2 Referral Letter 286
12.3 Discharge Letter 287