This new book for medical students contains over 60 of the most commonly encountered OSCE stations in medicine and surgery. The OSCEs are arranged according to type of skill; for example history-taking, ethics and communication, physical examination. This is an accessible book for students under pressure who are revising for a clinical OSCE. It provides simple advice, tips about preparation, and will be easily understood. It provides sample OSCE station questions and simulated patient scripts (with answers) for practice at home.
1. 1: Introduction to the OSCE - p. ix 2. 2: History taking - p. 13 3. 2.0 Introduction to history taking in OSCEs - p. 17 4. General hints and tips - p. 17 5. General format - p. 18 6. 2.1 Chest pain - p. 20 7. Candidate information - p. 20 8. Approach to the station - p. 20 9. Patient information - p. 20 10. Clinical knowledge and expertise - p. 21 11. Warning - p. 22 12. Station variations - p. 23 13. 2.2 A breathless young woman - p. 24 14. Candidate information - p. 24 15. Approach to the station - p. 24 16. Patient information - p. 24 17. Clinical knowledge and expertise - p. 25 18. Warning - p. 27 19. Station variations - p. 28 20. 2.3 Persistent diarrhoea - p. 29 21. Candidate information - p. 29 22. Approach to the station - p. 29 23. Patient information - p. 29 24. Clinical knowledge and expertise - p. 30 25. Warning - p. 31 26. Station variations - p. 32 27. 2.4 Abdominal pain - p. 33 28. Candidate information - p. 33 29. Approach to the station - p. 33 30. Patient information - p. 33 31. Clinical knowledge and expertise - p. 34 32. Warning - p. 35 33. Station variations - p. 36 34. 2.5 Collapse - p. 37 35. Candidate information - p. 37 36. Approach to the station - p. 37 37. Patient information - p. 38 38. Clinical knowledge and expertise - p. 39 39. Warnings - p. 39 40. Station variations - p. 40 41. 2.6 Back pain - p. 41 42. Candidate information - p. 41 43. Approach to the station - p. 41 44. Patient information - p. 42 45. Clinical knowledge and expertise - p. 43 46. Warnings - p. 43 47. Station variations - p. 44 48. 2.7 Vaginal bleeding - p. 45 49. Candidate information - p. 45 50. Approach to the station - p. 45 51. Patient information - p. 46 52. Clinical knowledge and expertise - p. 47 53. Warnings - p. 48 54. Station variations - p. 49 55. 2.8 An unwell child - p. 50 56. Candidate information: - p. 50 57. Approach to the Station - p. 50 58. Patient information - p. 50 59. Clinical knowledge and expertise - p. 51 60. Warning - p. 52 61. Station variations - p. 53 62. 2.9 A child with breathing problems - p. 55 63. Candidate information - p. 55 64. Approach to Station - p. 55 65. Patient information - p. 55 66. Clinical knowledge and expertise - p. 56 67. Warning - p. 57 68. Station variations - p. 58 69. 2.10 Persistent low mood - p. 59 70. Candidate information - p. 59 71. Approach to the station - p. 59 72. Patient information - p. 59 73. Clinical knowledge and expertise - p. 60 74. Warning - p. 62 75. Station variations - p. 63 76. 2.11 An injury whilst drunk - p. 64 77. Candidate information - p. 64 78. Approach to the station - p. 64 79. Patient information - p. 64 80. Clinical knowledge and expertise - p. 66 81. Warning - p. 67 82. Station variations - p. 68 83. 3: Physical examination - p. 68 84. 3.0 Introduction to examination skills - p. 71 85. 3.1 Examining the patient with a murmur - p. 72 86. Candidate information - p. 72 87. Approach to the station - p. 72 88. Patient information - p. 72 89. Clinical knowledge and expertise - p. 72 90. Warning - p. 76 91. Station extensions - p. 76 92. 3.2 Peripheral arterial examination - p. 77 93. Candidate information - p. 77 94. Approach to the station - p. 77 95. Patient information - p. 78 96. Clinical knowledge and Expertise - p. 78 97. Warning - p. 78 98. 3.3 Examining the breathless patient - p. 81 99. Candidate information - p. 81 100. Approach to the station - p. 81 101. Patient information - p. 81 102. Clinical knowledge and expertise - p. 81 103. Warning - p. 83 104. 3.4 Examining a lump in the scrotum - p. 86 105. Candidate information - p. 86 106. Approach to the station - p. 86 107. Patient information - p. 86 108. Clinical knowledge and expertise - p. 86 109. Warning - p. 89 110. 3.5 Examining the patient with liver disease - p. 90 111. Candidate information - p. 90 112. Approach to the station - p. 90 113. Patient information - p. 90 114. Clinical knowledge and expertise - p. 90 115. Warning - p. 92 116. 3.6 Assessing a stoma - p. 94 117. Candidate information - p. 94 118. Approach to the station - p. 94 119. Patient information - p. 94 120. Clinical knowledge and expertise - p. 94 121. 3.7 Examining vision - p. 97 122. Candidate information - p. 97 123. Approach to the station - p. 97 124. Patient information - p. 97 125. Clinical knowledge and expertise - p. 98 126. Warning - p. 99 127. 3.8 Lower limb sensory examination - p. 101 128. Candidate information - p. 101 129. Approach to the station - p. 101 130. Patient information - p. 101 131. Clinical knowledge and expertise - p. 102 132. Warning - p. 104 133. 3.9 Limb weakness - p. 106 134. Candidate information - p. 106 135. Patient information - p. 106 136. Clinical knowledge and expertise - p. 106 137. Warning - p. 109 138. 3.10 The patient with a tremor - p. 111 139. Candidate information - p. 111 140. Approach to the station - p. 111 141. Patient information - p. 112 142. Clinical knowledge and expertise - p. 112 143. Warning - p. 114 144. 3.11 Thyroid status and neck examination - p. 115 145. Candidate information - p. 115 146. Approach to the station - p. 115 147. Patient information - p. 116 148. Clinical knowledge and expertise - p. 116 149. Warning - p. 118 150. 3.12 Examination of the hands - p. 121 151. Candidate information - p. 121 152. Approach to the station - p. 121 153. Patient information - p. 121 154. Clinical knowledge and expertise - p. 121 155. Warning - p. 123 156. 3.13 Knee examination - p. 125 157. Candidate information - p. 125 158. Approach to the station - p. 125 159. Patient information - p. 126 160. Clinical knowledge and expertise - p. 126 161. Station variations - p. 128 162. 3.14 Shoulder examination - p. 129 163. Candidate information - p. 129 164. Approach to the station - p. 129 165. Patient information - p. 129 166. Clinical knowledge and expertise - p. 130 167. Station variations - p. 132 168. 3.15 Obstetric examination - p. 133 169. Candidate information - p. 133 170. Approach to the station - p. 133 171. Patient information - p. 133 172. Clinical knowledge and expertise - p. 134 173. Warning - p. 136 174. 3.16 Newborn examination - p. 138 175. Candidate information - p. 138 176. Approach to the station - p. 138 177. Patient information - p. 140 178. Clinical knowledge and expertise - p. 140 179. Warning - p. 142 180. 3.17 Examination of a child with lymphadenopathy - p. 143 181. Candidate information - p. 143 182. Approach to the station - p. 143 183. Patient information - p. 145 184. Clinical knowledge and expertise - p. 145 185. Warning - p. 145 186. 3.18 Testing cognitive function - p. 147 187. Candidate information - p. 147 188. Approach to the station - p. 147 189. Patient information - p. 147 190. Clinical knowledge and expertise - p. 148 191. Warning - p. 149 192. 3.19 Breast lump examination - p. 150 193. Candidate information - p. 150 194. Patient information - p. 151 195. Clinical knowledge and expertise - p. 151 196. Warning - p. 152 197. 4: Practical skills - p. 153 198. 5: Ethics, communication and explanation - p. 196 199. 5.0 Introduction to ethics, communication and explanation - p. 199 200. 5.1 Explaining inhaler technique - p. 200 201. Candidate information - p. 200 202. Approach to the station - p. 200 203. Patient information - p. 201 204. Clinical knowledge and expertise - p. 201 205. Warning - p. 203 206. 5.2 Obtaining consent for gastroscopy - p. 205 207. Candidate information - p. 205 208. Approach to the station - p. 205 209. Patient information - p. 205 210. Clinical knowledge and expertise - p. 206 211. Warning - p. 206 212. 5.3 Driving and epilepsy - p. 208 213. Candidate information - p. 208 214. Approach to the station - p. 208 215. Patient information - p. 208 216. Clinical knowledge and expertise - p. 209 217. Warning - p. 210 218. 5.4 Explaining a new diagnosis of type 2 diabetes - p. 212 219. Candidate information - p. 212 220. Approach to the station - p. 212 221. Patient information - p. 212 222. Clinical knowledge and expertise - p. 213 223. Warning - p. 214 224. 5.5 Explaining results of a cervical smear test - p. 215 225. Candidate information - p. 215 226. Approach to the station - p. 215 227. Patient information - p. 216 228. Clinical knowledge and expertise - p. 217 229. Warning - p. 218 230. 5.6 Discussing non-accidental injury (NAI) with a parent - p. 221 231. Candidate information - p. 221 232. Approach to the station - p. 221 233. Parent information - p. 222 234. Clinical knowledge and expertise - p. 222 235. Warning - p. 223 236. 5.7 Assessing a patient’s capacity - p. 225 237. Candidate information - p. 225 238. Approach to the station - p. 225 239. Patient information - p. 225 240. Clinical knowledge and expertise - p. 226 241. Warning - p. 227 242. 5.8 Discussing starting an SSRI - p. 229 243. Candidate information - p. 229 244. Approach to the station - p. 229 245. Patient information - p. 229 246. Clinical knowledge and expertise - p. 230 247. Warning - p. 232 248. 5.9 Breaking bad news - p. 235 249. Candidate information - p. 235 250. Approach to the station - p. 235 251. Patient information - p. 235 252. Clinical knowledge and expertise - p. 236 253. Warning - p. 237 254. 5.10 Discussing a ‘do not resuscitate’ decision - p. 240 255. Candidate information - p. 240 256. Approach to the station - p. 240 257. Patient information - p. 240 258. Clinical knowledge and expertise - p. 241 259. Warning - p. 243 260. 5.11 Speaking to a dissatisfied relative - p. 245 261. Candidate information - p. 245 262. Approach to the station - p. 245 263. Patient information - p. 245 264. Clinical knowledge and expertise - p. 246 265. Warning - p. 247 266. 5.12 A colleague who drinks too much - p. 249 267. Candidate information - p. 249 268. Approach to the station - p. 249 269. Patient information - p. 249 270. Clinical knowledge and expertise - p. 250 271. Warning - p. 250 272. 6: Prescribing and handover - p. 251 273. 7: Recognising and managing acutely unwell patients - p. 284 274. Index - p. 325
This new book for medical students contains over 60 of the most commonly encountered OSCE stations in medicine and surgery. The OSCEs are arranged according to type of skill; for example history-taking, ethics and communication, physical examination. This is an accessible book for students under pressure who are revising for a clinical OSCE. It provides simple advice, tips about preparation, and will be easily understood. It provides sample OSCE station questions and simulated patient scripts (with answers) for practice at home.
1. 1: Introduction to the OSCE - p. ix 2. 2: History taking - p. 13 3. 2.0 Introduction to history taking in OSCEs - p. 17 4. General hints and tips - p. 17 5. General format - p. 18 6. 2.1 Chest pain - p. 20 7. Candidate information - p. 20 8. Approach to the station - p. 20 9. Patient information - p. 20 10. Clinical knowledge and expertise - p. 21 11. Warning - p. 22 12. Station variations - p. 23 13. 2.2 A breathless young woman - p. 24 14. Candidate information - p. 24 15. Approach to the station - p. 24 16. Patient information - p. 24 17. Clinical knowledge and expertise - p. 25 18. Warning - p. 27 19. Station variations - p. 28 20. 2.3 Persistent diarrhoea - p. 29 21. Candidate information - p. 29 22. Approach to the station - p. 29 23. Patient information - p. 29 24. Clinical knowledge and expertise - p. 30 25. Warning - p. 31 26. Station variations - p. 32 27. 2.4 Abdominal pain - p. 33 28. Candidate information - p. 33 29. Approach to the station - p. 33 30. Patient information - p. 33 31. Clinical knowledge and expertise - p. 34 32. Warning - p. 35 33. Station variations - p. 36 34. 2.5 Collapse - p. 37 35. Candidate information - p. 37 36. Approach to the station - p. 37 37. Patient information - p. 38 38. Clinical knowledge and expertise - p. 39 39. Warnings - p. 39 40. Station variations - p. 40 41. 2.6 Back pain - p. 41 42. Candidate information - p. 41 43. Approach to the station - p. 41 44. Patient information - p. 42 45. Clinical knowledge and expertise - p. 43 46. Warnings - p. 43 47. Station variations - p. 44 48. 2.7 Vaginal bleeding - p. 45 49. Candidate information - p. 45 50. Approach to the station - p. 45 51. Patient information - p. 46 52. Clinical knowledge and expertise - p. 47 53. Warnings - p. 48 54. Station variations - p. 49 55. 2.8 An unwell child - p. 50 56. Candidate information: - p. 50 57. Approach to the Station - p. 50 58. Patient information - p. 50 59. Clinical knowledge and expertise - p. 51 60. Warning - p. 52 61. Station variations - p. 53 62. 2.9 A child with breathing problems - p. 55 63. Candidate information - p. 55 64. Approach to Station - p. 55 65. Patient information - p. 55 66. Clinical knowledge and expertise - p. 56 67. Warning - p. 57 68. Station variations - p. 58 69. 2.10 Persistent low mood - p. 59 70. Candidate information - p. 59 71. Approach to the station - p. 59 72. Patient information - p. 59 73. Clinical knowledge and expertise - p. 60 74. Warning - p. 62 75. Station variations - p. 63 76. 2.11 An injury whilst drunk - p. 64 77. Candidate information - p. 64 78. Approach to the station - p. 64 79. Patient information - p. 64 80. Clinical knowledge and expertise - p. 66 81. Warning - p. 67 82. Station variations - p. 68 83. 3: Physical examination - p. 68 84. 3.0 Introduction to examination skills - p. 71 85. 3.1 Examining the patient with a murmur - p. 72 86. Candidate information - p. 72 87. Approach to the station - p. 72 88. Patient information - p. 72 89. Clinical knowledge and expertise - p. 72 90. Warning - p. 76 91. Station extensions - p. 76 92. 3.2 Peripheral arterial examination - p. 77 93. Candidate information - p. 77 94. Approach to the station - p. 77 95. Patient information - p. 78 96. Clinical knowledge and Expertise - p. 78 97. Warning - p. 78 98. 3.3 Examining the breathless patient - p. 81 99. Candidate information - p. 81 100. Approach to the station - p. 81 101. Patient information - p. 81 102. Clinical knowledge and expertise - p. 81 103. Warning - p. 83 104. 3.4 Examining a lump in the scrotum - p. 86 105. Candidate information - p. 86 106. Approach to the station - p. 86 107. Patient information - p. 86 108. Clinical knowledge and expertise - p. 86 109. Warning - p. 89 110. 3.5 Examining the patient with liver disease - p. 90 111. Candidate information - p. 90 112. Approach to the station - p. 90 113. Patient information - p. 90 114. Clinical knowledge and expertise - p. 90 115. Warning - p. 92 116. 3.6 Assessing a stoma - p. 94 117. Candidate information - p. 94 118. Approach to the station - p. 94 119. Patient information - p. 94 120. Clinical knowledge and expertise - p. 94 121. 3.7 Examining vision - p. 97 122. Candidate information - p. 97 123. Approach to the station - p. 97 124. Patient information - p. 97 125. Clinical knowledge and expertise - p. 98 126. Warning - p. 99 127. 3.8 Lower limb sensory examination - p. 101 128. Candidate information - p. 101 129. Approach to the station - p. 101 130. Patient information - p. 101 131. Clinical knowledge and expertise - p. 102 132. Warning - p. 104 133. 3.9 Limb weakness - p. 106 134. Candidate information - p. 106 135. Patient information - p. 106 136. Clinical knowledge and expertise - p. 106 137. Warning - p. 109 138. 3.10 The patient with a tremor - p. 111 139. Candidate information - p. 111 140. Approach to the station - p. 111 141. Patient information - p. 112 142. Clinical knowledge and expertise - p. 112 143. Warning - p. 114 144. 3.11 Thyroid status and neck examination - p. 115 145. Candidate information - p. 115 146. Approach to the station - p. 115 147. Patient information - p. 116 148. Clinical knowledge and expertise - p. 116 149. Warning - p. 118 150. 3.12 Examination of the hands - p. 121 151. Candidate information - p. 121 152. Approach to the station - p. 121 153. Patient information - p. 121 154. Clinical knowledge and expertise - p. 121 155. Warning - p. 123 156. 3.13 Knee examination - p. 125 157. Candidate information - p. 125 158. Approach to the station - p. 125 159. Patient information - p. 126 160. Clinical knowledge and expertise - p. 126 161. Station variations - p. 128 162. 3.14 Shoulder examination - p. 129 163. Candidate information - p. 129 164. Approach to the station - p. 129 165. Patient information - p. 129 166. Clinical knowledge and expertise - p. 130 167. Station variations - p. 132 168. 3.15 Obstetric examination - p. 133 169. Candidate information - p. 133 170. Approach to the station - p. 133 171. Patient information - p. 133 172. Clinical knowledge and expertise - p. 134 173. Warning - p. 136 174. 3.16 Newborn examination - p. 138 175. Candidate information - p. 138 176. Approach to the station - p. 138 177. Patient information - p. 140 178. Clinical knowledge and expertise - p. 140 179. Warning - p. 142 180. 3.17 Examination of a child with lymphadenopathy - p. 143 181. Candidate information - p. 143 182. Approach to the station - p. 143 183. Patient information - p. 145 184. Clinical knowledge and expertise - p. 145 185. Warning - p. 145 186. 3.18 Testing cognitive function - p. 147 187. Candidate information - p. 147 188. Approach to the station - p. 147 189. Patient information - p. 147 190. Clinical knowledge and expertise - p. 148 191. Warning - p. 149 192. 3.19 Breast lump examination - p. 150 193. Candidate information - p. 150 194. Patient information - p. 151 195. Clinical knowledge and expertise - p. 151 196. Warning - p. 152 197. 4: Practical skills - p. 153 198. 5: Ethics, communication and explanation - p. 196 199. 5.0 Introduction to ethics, communication and explanation - p. 199 200. 5.1 Explaining inhaler technique - p. 200 201. Candidate information - p. 200 202. Approach to the station - p. 200 203. Patient information - p. 201 204. Clinical knowledge and expertise - p. 201 205. Warning - p. 203 206. 5.2 Obtaining consent for gastroscopy - p. 205 207. Candidate information - p. 205 208. Approach to the station - p. 205 209. Patient information - p. 205 210. Clinical knowledge and expertise - p. 206 211. Warning - p. 206 212. 5.3 Driving and epilepsy - p. 208 213. Candidate information - p. 208 214. Approach to the station - p. 208 215. Patient information - p. 208 216. Clinical knowledge and expertise - p. 209 217. Warning - p. 210 218. 5.4 Explaining a new diagnosis of type 2 diabetes - p. 212 219. Candidate information - p. 212 220. Approach to the station - p. 212 221. Patient information - p. 212 222. Clinical knowledge and expertise - p. 213 223. Warning - p. 214 224. 5.5 Explaining results of a cervical smear test - p. 215 225. Candidate information - p. 215 226. Approach to the station - p. 215 227. Patient information - p. 216 228. Clinical knowledge and expertise - p. 217 229. Warning - p. 218 230. 5.6 Discussing non-accidental injury (NAI) with a parent - p. 221 231. Candidate information - p. 221 232. Approach to the station - p. 221 233. Parent information - p. 222 234. Clinical knowledge and expertise - p. 222 235. Warning - p. 223 236. 5.7 Assessing a patient’s capacity - p. 225 237. Candidate information - p. 225 238. Approach to the station - p. 225 239. Patient information - p. 225 240. Clinical knowledge and expertise - p. 226 241. Warning - p. 227 242. 5.8 Discussing starting an SSRI - p. 229 243. Candidate information - p. 229 244. Approach to the station - p. 229 245. Patient information - p. 229 246. Clinical knowledge and expertise - p. 230 247. Warning - p. 232 248. 5.9 Breaking bad news - p. 235 249. Candidate information - p. 235 250. Approach to the station - p. 235 251. Patient information - p. 235 252. Clinical knowledge and expertise - p. 236 253. Warning - p. 237 254. 5.10 Discussing a ‘do not resuscitate’ decision - p. 240 255. Candidate information - p. 240 256. Approach to the station - p. 240 257. Patient information - p. 240 258. Clinical knowledge and expertise - p. 241 259. Warning - p. 243 260. 5.11 Speaking to a dissatisfied relative - p. 245 261. Candidate information - p. 245 262. Approach to the station - p. 245 263. Patient information - p. 245 264. Clinical knowledge and expertise - p. 246 265. Warning - p. 247 266. 5.12 A colleague who drinks too much - p. 249 267. Candidate information - p. 249 268. Approach to the station - p. 249 269. Patient information - p. 249 270. Clinical knowledge and expertise - p. 250 271. Warning - p. 250 272. 6: Prescribing and handover - p. 251 273. 7: Recognising and managing acutely unwell patients - p. 284 274. Index - p. 325
