22nd Sept'04 Osce Paper

1.BP

2.CPR, child 7yr old.

3.Amenorrhoea, 20yr old girl. Talk to her.

4.82yr old lady admitted in A &E,340c rectal temp. talk to her son who is worried and talk about   further management.

5.Lower limits sensory examine and reflexes.

6.CVS (CHF).

7.Resp system examine PEFR.

8.Catheterisation

9.Abdominal pain, discuss old examiner .

10.32yr old lady non Hodgkin’s lymphoma. Chemurtherapy and radiation need. For pain relief your consultant has advised morphine.      Talk to her.

11.6 month old girl vomitting since night. Talk to her mother.

12.56yr old lady osteporosis talk to her.

13.Insulin dose calculation.

14.20yr lady ingested paracetamol tabs in overdose. Talk to her and so suicide risk assessment.

15.Telephone conversation. 42yr old man pain in abdomen and tenderness in RIF. Talk to consultant.

23rd Sept'04 Osce Paper

1.CPR-Adult

2.B.P

3.Colposcopy

   30 year old woman worried about cervical smear which showed Dyskaryosis. Talk to her and advice regarding Colposcopy.

4. Panic Attack History of skills.

   20 year old woman has panic attacks and take history.

5. Paracetamol Poisoning

   20 year old has taken 15 tablets of paracetamol. Talk to her regarding treatment options. Don’t take mental health history.

6. Knee Exam.

7. Talk to the Daughter of a man with prostrate.Cancer about future prognosis.

8. Fundoscopy

9. Cranial Nerves

10. Suturing

11. Take history from this man who has cough, wheeze, shortness of breath

12. Spacer

13. Complaint of Headache – Take history from this 25 year old man

14. Talk to this mother whose daughter has Diarrhoea.

15. Take history from this man who complaints of shoulder pain and give differential Diagnosis.

 

28th Sept '04 OSCE Paper

1.Epilepsy history taking

2. Pr exam

3. iv

4. Suturing

5.Asthma h/o

6.Anorexia nervosa h/o

7.Diarhoea counselling

8.BP

9.CPR

10.Hip joint exam

11.Eclampsia coun

12.Diabetic ketoacidosis viva

13.Meningococcal septiceamia bad news

14.Hernioraphy pain management

30th Sept'04 Osce Paper

1.BP

2.Child CPR

3.Breaking bad news;Mesothelioma

4.Depression History

5.ABG

6.Bag and mask ventilation

7.Ankle injury management discuss with patient

8.Spacer

9.Idiopathic epilepsy councel mother

10.Abdomen exam

11.Thyroid exam

12.Cough with sputum history

13.Vaginal bleeding history

14.Pelvic examination

List of stations of 18th October 2004 (CPR + 5 Hands-on + 9 history/counselling)

1.  Telephonic conversation, post-op shock

2.   Febrile convulsions

3.   DKA in a child

4.   Mini-mental score

5.   DD of repeated unconciousness

6.   Eczema in an adult (management)

7.   DD of chest pain

8.   DD of haematuria

9.   Morphine in NHL

10. Knee joint examination

11. BP measurement

12. Fundoscopy

13. Suturing

15. CPR (adult)

List of stations of 19th October 2004

1. CPR Paediatrics

2. B.P

3. Calculate the dose of Morphine.

4. Calculate the dose of Diazepam.

5. Do a secondary survey.

6. History of chest pain.

7. History in a patient with wheeze (breathlessness).

8. IV canulation

9. History in an alcoholic patient

10.Breast examination.

11. Examination in case of thyrotoxicosis

12. Anxious mother whose baby is crying.

13. Diagnosis of a girl who has gonorrhoea.

14. Explain to a patient to undergo hernia under LA. Discuss about LA to the patient.

15. Lower limb examination of a diabetic patient.

List of stations of 20th October 2004

1. Venepuncture

2. DKA viva

3. History and DD for fever

4. vomitting, DD in a child of 4 weeks

5. Panic attacks

6. Herniorapphy, local anaesthesia discussion

7. Hemi-colectomy and colostomy pre-op chat

8. Knee joint examination

9. Breast examination

10. Lower leg examinatin on alcoholic

11. Missed miscarriage

12. CPR paediatrics

13. BP

14. Spacer

15. Stress Urinary incontinence in a woman.

Analysis (15 stations): 1 CPR + 3 manniquins + 3 examinations + 8 counsellings.

No new stations:



List of stations of 21st October 2004

1.CPR

2.BP

3.ABG

4.Bimanual examination

5.History of NAI

6.History of joint pain

7.Counselling of insomnia

8.Diabetic foot examination

8.HIV counselling

9.Strangulated hernia telephone conversation

10.Appendectomy councelling

11.Suturing

12.Asthma medications

13.Scaphoid fracture

 

List of stations of 22nd October 2004

1.   History-Headache

2.   Male Catheterisation

3.   History in Schizophreni

4.   Pre-eclampsia h/o

5.   Counselling before Endoscopy for haematemesis

6.   Explain Spacer device

7.   CPR (adult)

8.   BP

9.   Morphine for secondary in spine

10. D/D of woman with abdominal pain

11. Paracetemol poisoning (medical management)

12. DKA (drowsy child)

13. Examination of Arterial system for claudication pain

14. Spine examination

15. RS examination.

List of stations of 25th October 2004

1.CPR Adult

2.BP

3.Doubts life style change

4.History taking drug abuse

5.IV cannulation

6.Otoscopy

7.Breast examination

8.Upper respiratory tract infection.Reassure its not meningitis.

9.Post hernia operation-pus from the wound,reassure him.

10.STD history taking-Gum clinic

11.Spacer

12.Telephonic conversation intestinal obstruction.

13.Comostation,GCS & Neurological examination.

14.History of Abdominal pain.

 

List of stations of 26th October 2004

1.CPR

2.BP

3.TR examination

4.Eye examination

5.Mannikins

6.Venepuncture

7.Telephone conversation with registrar-post operative collapse

8.History taking-Patient has difficulty in breathing

9.Child diagnosed with appendicitis-take consent on mother for operation.

10.Post-natal depression.

11.History and diagnosis of child-Diabetes Mellitus

12.Procedure for right hemicollectomy

13.Knee examination

14.Suturing

 

List of stations of 27th October 2004

1.  CPR

2.  BP

3.  Catheterisation

4.  P/R Carcinoma prostrate

5.  Secondary survey

6.  Consent for appendix

7.  Post hernia repair pain

8.  Fever Differential diagnosis

9.  R.S.Examination

10. Scaphoid fracture

11. Anorexia Nervosa

12. Ectopic Pregnancy

13. Insulin Dosage

14. NAI child abuse

 

List of stations of 28th October 2004

1 .BP

2. CPR-Paediatrics

3. Scrotum examination(Testicular examination)

4. Gum clinic history taking

5. Respiratory system Examination

6. Upper Abdomen examination

7. Multiple sclerosis counselling

8. LVS- explain treatment to the patient

9. Paracetamol poisoning-explain treatment to the patient

10. Cervical smear

11. Panic attack

12. Meningococcemia-explain prognosis to the mother

13. 2 Rest stations

 

List of stations of 29th October 2004

1 . CPR-Adult

2.  BP

3.  Suturing

4.  Counselling on Prostatectomy

5.  Counselling on Febrile convulsions

6.  Counselling on obesity

7.  Cervical smear

8.  Otoscopy

9.  DKA

10. MNSE

11. Post Mastectomy counselling

12. Sensory system examination

13. Counselling on Meningococcal Septicaemia

14.Hyperemesis gravitarium

 

List of stations of 1st November 2004

1. BP

2. Counselling of husband for wife's nephrectomy

3. 9 months amenorrhea take history and counsel on diagnosis

4. Irritable heat counsel the mother

5. Urinary Catheterization

6. Child abuse

7. Dysphadia take history

8. Severe headache take history and come to diagnosis

9. Paracetamol poisoning-Patient is stable counsel before discharge

10.Respiratory examination including BEFR

11.Examination of Diabetic foot.

12.Otoscopy examination

13.Urine for testing

14.Insulin calculation

 

List of stations of 2nd November 2004

1. BP

2. CPR Child

3. Viva station for MI

4. Testicular swelling lump

5. Venepuncture

6. Multiple sclerosis counselling

7. Paracetamol poisoning - risk assessment

8. Man with fever of 5 days - Take history

9. Lower back pain examination

10.History taking pneumonia

11.Upper abdomenol examination

12.History taking young lady loss of weight with diarrhoea of 2 months duration

13.Sterilization of female patient - laproscopy

14.Venous sampling

15.Scrotal swelling examination


List of stations of 3rd November 2004

1.BP

2. CPR Adult

3. Suturing

4. Cervical smear

5. Abnormal liver function (Jaundice) - Take history and tell diagnosis based on the report

6. Post natal depression

7. Irritable hip - clinical diagnosis already done explain management to parents

8. Mother has come with child she is afraid that child may have consumed a foreign body.Advice to refer to A & E

9. Morphine counselling

10.PR Examination

11.Knee examination

12.Lady with hypertension & diabetes.She is getting discharge from the hospital so give advice regarding medication

13.Telephone conversation with consultant about patient collapsed after hemicolectomy


List of stations of 4th November 2004

1.Secondary Survey

2.Patient to undergo Hernia operation-Counsel the patient about local anaesthesia

3.Lady with Rheumatoid Arthritis on drugs(Not sleeping well)-Counsel about Insomnia

4.Neurological examination-Diabetic foot.

5.Prostate Cancer patient-Counsel her daughter regarding pain relief

6.CPR-Child

7.Explain to mother of a kid to use spacer for giving medicine.

8.BP

9.IV Cannulation

10.Otoscopy

11.Breast examination

12.Lady with palpitations-Take history

13.Lady has Gonorrhoea-Counsel her

14.Lady vomiting-Take history

 

List of stations of 5th November 2004

1.Bimanual examination

2.IV Cannulation

3.Paediatric BLH

4.Spacer

5.Elderly abuse counselling

6.Post-natal depression

7.STD Counselling

8.Breaking bad news Mesothelioma

9.Blood Pressure

10.Knee Examination

11.Lower limb examination

12.Post MI Counselling

13.DKA Viva

14.Respiratory System Examination

List of stations of 8th November 2004

1.Fundoscopy examination

2.CPR child

3.BP measurement

4.Local Anaesthesia Councelling

5.Diziness-Take history

6.Asthametic patient for drug councelling

7.Breast examination

8.Heart examination

9.Venepuncture

10.Telephonic conversation for diarrhoea patient

11.Patient has come hoarseness of voice - Take history & diagnosis

12.Secondary survey(Patient who had fracture of femur bone)

13.Patient who was RA with insomnia

14.Suturing

 

List of stations of 9th November 2004

1.BP

2.Paediatrics CPR

3.Abdomen Examination

4.Tennis Elbow Examination

5.Examination of lower limb in DM

6.Cervical Smear Examination

7.IV Cannulation

8.Painless Haematuria- history

9.Risk factor for CVA - Take a history

10.Depression - Take a history

11.Breaking bad news

12.Blood transfusion

13.Prepare op. dermoid cyst

14.Acute MI managent

 

List of stations of 11th November 2004

1.BP

2.Paediatrics CPR

3.Ankle Injury - Discuss management

4.Examination of respiratory system

5.Diabetic foot

6.Urinary catherization

7.Suturing

8.Headache - Take a history

9.Premature menopause - Take a history

10.Ovarian cystectomy

11.Eye examination

 

List of stations of 15th November 2004

1. Cervical smear

2. BP

3. Suturing

4. CPR

5. Life style advice for an obese person

6. Counselling for DM in a child

7. Otoscopy

8. Scrotal pain -history and DD

9. History of fever with chills

10. History of patient with constipation

11. Mini Mental Score

12. GCS and neurological examination

13. Lympho-Reticular system examination

14. Multiple sclerosis counselling

 

List of stations of 16th November 2004

1. Cervical smear

2. BP

3. Ankle Injury

4. Paediatrics CPR

5. Spacer

6. PR Eamination

7. Otoscopy

8. Headache

9. Blood trasfusion

10.Telephonic talk with consultant Hemi colectomy patient collapsed in the ward

11.Knee joint pain - Take history

12.Vomiting - Take history

13.Sensory examination of lower limb

14.Panic attack

List of stations of 17th November 2004

1. BP

2. Insulin dose calculation

3. CPR adult

4. Testicular lump - counselling

5. History taking - 2 year old unable to walk

6. Primary survey

7. Upper abdomen examination

8. Arterial blood gases9. URTI, counsel anxious mother

10. VIII cranial nerve examination

11. History taking - Haemoptysis

12. Diplopia - examination

13. Foreign body ingested by child - counsel mother

14. Elderly abuse, management

15. Antidepressant counselling

List of stations of 18th November 2004

1.  Hypothermia-Counselling

2.  History taking of child not walking

3.  Delusional disorder-Schizophrenia

4.  Drug dose calculation

5.  CPR-Child

6.  BP

7.  History of fever

8.  Pain in the abdomen of young female

9.  History of Gout

10. Examination of knee

11. Examination of P.V.D

12. Blood Sampling

13. Bimanual examinations-Manniquins

14.Telephone conversation with a consultant-patient is in shock-Right Hemicolectomy

 

List of stations of 19th November 2004

1.  CPR

2.  BP

3.  Suturing

4.  Insulin dose calculation

5.  A boy with Irritable hip-Reassure the mother

6.  PRG

7.  Middle aged woman came up with pain in upper abdomin -Take history and diagnosis.

8.  Myocardinal Infarction-Viva Station

9.  Patient with complaint of cough and shortness of breath-Take history and diagnosis.

10. A old lady complained of weight gain-Take history and diagnosis.

11. Examination of Respiratory system

12. A 82 year old mother came with shock,coma and internal abdominal bleeding-Reassure the son

13. Cranial nerve examination-2nd nerve to 7th nerve

 

List of stations of 22nd November 2004

1.  Venepuncture

2.  BP

3.  CPR-Paediatrics

4.  Intravenous of drug abuser has presented to A & E Department with breathlessness.History and differential      diagnosis.

5.  Breast Examination

6.  Lower back pain examination

7.   for neurological examination

8.  Venous blood for anaemia.

9.  Child with coeliac disease-Counselling

10. History taking acute abdomen

11. Telephonic conversation about a patient who has undergone hemicolectomy.

12. Hypertension management without medication- Counselling

13. Amidryptlina Counselling

14.Preanesthetic assessment for bowel surgery

List of stations of 24th November 2004

1.  Periphal vascular disease of lower limb

2.  BP

3.  CPR-Paediatrics

4.  Painful eyes - History taking

5. Vomitting - History taking

6.  Breast Examination

7. Knee pain - History taking

8.  Child with needlestick injury - Counsel the mother.

9.  Urinary catheterization

10. Blood collection

11. Child with fibrile convulsion - Counsel the mother

12. Patient with headache - Diagnose-Migrane CT taken no abnormality requesting MRI scan-Counsel the patient.

13.Lady with paracetamol overdosage treated and discharge assess her mental state.

14.Knee examination


15.Rest station

16.Telephone conversation - Post hemicolectomy collapse

List of stations of 25th November 2004

1.  TR Examination

2.  BP

3.  CPR-Paediatrics

4.  Eye Examination

5.  Suturing

6.  Venepuncture

7.  Knee Examination

8.  Telephonic conversation with registar - Post operative collapse

9.  History Taking - Patient has breathlessness

10.Child diagnosed with appendicitis - Take consent from mother for the operation

11.Post natal depression - Pregnant lady

12.History & diagnosis for diabetes mellitus

13.Counsel the procedure for right hemicollectomy


List of stations of 26th November 2004

1.  Adult CPR

2.  BP

3.  CV(Cardiovasculars) in a heart failure patient

4.  Urinary incontinent in a 71yr old female - Take history & discuss D/D with examiner

5.  Diabetic keto acidosis - Viva session

6.  Venepuncture

7.  Psychiatric - 24 yr old postman handed himself to the police saying that he has commited a crime.Police      brings him to you - take history

8.  Hernia Post operated patient having discharge from wound and patient is really agitated. - Talk to the patient

9.  Urinary catheterisation

10. Fundoscopy

11. Scaphoid fracture - examine the patient & discuss management

12. Irritable hip joint in a 8 year old child.Counsel tha mother

13. Cough with haemocytosis - Take history & discuss D/D with examiner

14. Ear-ache - Take history & discuss D/D with examiner

15. 18 months old baby having history of fits - Take a history from mother & discuss management with mother.

 

List of stations of 29th November 2004

1.  History of sudden headache-Take history and talk about management.

2.  CPR-Paediatrics

3.  BP

4.  Cervical smear-cervix

5.  Venepuncture

6.  History of breathlessness-History

7.  HIV test counselling and risk assessment

8.  Antihypertensives-Counselling-Patient has history of hypertension and diabetes.

9.  Rest station

10. Shoulder joint examination

11. Superficial cuts on wrist.Take history and assess risk.

12. Fundoscopy

13. History of constipation

14. Pre-Eclampsia

15. Examination of upper abdomen.Murphy's sign +ve.

16.Counsel the management of Meningococcal Septicaemia.

 

List of stations of 30th November 2004

1.  CPR-Adult

2.  BP

3.  Bimanual examination

4.  Explain Spacer

5.  IV canulation

6.  Anaemia-History taking(Ca colon)

7.  Constipation-History taking

8.  Knee joint examination

9.  Diabetic foot examination

10. Patient with low back ache.Talk about management

11. H/O 10µ of unconsciousness-V.V Syncope

12. CRF -inv report explain patient about importance and management

13. Endoscopy emergency -Explain and comment

14. Vivo - MI with failure

15. Rest

16.Drug abuse-assessment

 

List of stations of 1st December 2004

1. CPR-Adult

2. BP

3. Fundoscopy & Eye Examination (Tell the examiner what you are looking for)

4. Catheterization

5. ABG

6. A young female with headache comes in A & E take history and tell your plan.

7. A young female with DVT few months back, comes for contraceptive advice.

8. A lady comes in A & E with leg swelling-Take history

9. Anxious Mother of child with URTI, reassure

10. A mother with her baby(6 month old),had a fit-take history

11. A young person with multiple sclerosis,address his concerns and tell him about the disease.

12. Counsel lady with ulcer on back

13.Respiratory examination and peak flow meter.

14. Upper abdomen pain - examine

15. Adult with whiplash injury,assess his mental status.


List of stations of 2nd December 2004

1. BP measurement

2. CPR-Child

3. Venous blood collection

4. Suturing

5. Bimanual examination

6. Fundus examination

7. Child head injury-History from mother and discuss regarding management

8. Osteoporosis in 59 year old women.History and discuss treatment.

9. Contraceptive advice for 30 year old lady with previous history of Thromboembolism and warfarin intake.

10. Constipation-83 years medical ward patient -take history from nurse.

11. MI viva station

12. Idhopathic epilepsy-10 year old child counsel mother and clarify her doubts.

13. Knee examination-Injury while skating

14. Ingimal hernia-post O.P. wound discharge-counsel and discuss treatment.

15. Ingrowing tow nail surgery-Pre-O.P. investigation.

List of stations of 3rd December 2004

1. Mini mental score

2. BP Measurement

3. CPR-Adult

4. Cervical smear

5. Arterial Blood Sampling

6. Interpretation of Liver function test.

7. Explain the sequence of Pelvic inflamatory disease.

8. History taking of Infertility.

9. Talk to mother of a crying child,who was just discharged from hospital.

10. Telephonic talk about obstructed hernia.

11. PR examination

12. History taking of fever of a soldier.

13. VIII cranial nerve examination


List of stations of 6thDecember 2004

1. CPR- Child

2. Breaking bad news;Mesothelioma

3. Lower limb examination

4. Coeliac disease-Counselling

5. Mini mental score

6. Asthma - Explain treatment to the patient.

7. Insulin dose calculation

8. Secondary survey

9. Scaphoid fracture

10. History of Pre-eclampsia

11. Loss of weight-Take History

12. Dark stool -History taking

13. Catheterization

14. ABG

List of stations of 7thDecember 2004

1. CPR - Adult

2. BP

3. Abdomen Exam (Only upper abdomen) - He askes to skip GE ones mentioned.Morphy's positive.

4. Fever - History taking (young men) pneumonia

5. Lower Abdomen pain (Young women)

6. Headache (11 year girl) - Take history

7. Ankle injury - Only counsel management.No history

8. Spacer counselling (no medication)

9. Multipla sclerosis - counselling

10. Diplopia exam

11. Venflon

12. Minimental state exam

13. Child abuse - Take history & manage further

14. Antepartum haemorrhage - counselling.Asked about management


List of stations of 8th December 2004

1. CPR - Paediatrics

2. BP

3. Perspeculum

4. Per Rectal

5. Venflon,IV Cannulation

6. Epilepsy

7. Talk to registrar about patient with obstuction of bowel.

8. Soar throat

9. Tennis elbow

10. Palpitation(History taking anxiety induced)

11. Talk to mother about a boy who met with RTA with rupture spleen and shaft femur

12. Discuss Paracetamol poisoning with the patient

13. Minimental state examination

14. Headaches(Migrane history taking)

15.Counsel patient who is prescribed Aspirin,Simrastatin,Enalprin.She is DM II + ve and Hypercholesterolemic.

 

List of stations of 9th December 2004

1. CPR

2. BP

3. Female patient who had ulcer on the back & GP refered her to you by telling her that it could be cancer.You     had to speak to her.

4. ABG

5. Paps smear

6. 7 months old child with fracture of femur & you have to talk to mother and established - child abused

7. Telephone chat with registrar - Lady had intestinal obstruction cause was hernia

8. Man with low backache - Examine spine

9. Examination of the chest - Respiratory System

10. Lady with rheumatoid arthritis who had insomnia

11.Lady who came with dizziness - Take history & discuss D/D with examiner

12. Speak to the mother of the 1 day child with fever.Counsel her.

13. Thyroid examination

14. HIV Test- Risk assessment implications of HIV Test

15.Elderly man for surgery of hernia repair.Postponed becouse of anemia - history & outline for the management.

 

List of stations of 10th December 2004

1. Obesity counselling

2. CPR-Paediatrics

3. B.P

4. Vacutainer

5. Bimanual examination

6. Suturing

7. Thyroid examination

8. Man with low backache - Examine spine

9. Examination of the chest - Respiratory System

10.Pre-operative patient with pain in calf-Take history

11.Pre-operarive patient having Anaemia of 8 gm% of haemoglobin.Find out the cause.

12.Post menopausal female with osteoporosis.Give her advice,counsel her-Take history.

13.Newly diagnosed epilepsy in 8 year old female child-Counsel and advice the mother

14.Paracetamol poisoning in female stable now.Talk to her.Tell her the effects of paracetamol on body.Advise her.

15.Small child with upper respiratory tract infection.Child presents lethargy.Presented in A & E.Take history from mother.


List of stations of 14th December 2004

1. CPR-Child

2. B.P

3. Primary survey

4. Pethidine dose calculation

5. PR examination for Carcinoma prostrate

6. Opthalmoscopy

7. Myocardinal Infarction patient to be discharged.Life style modification-Advise

8. Paracetamol poisoning patient going to be discharged-mental state examination and assess suicidal risk.

9. Patient with history of angina comes with chest pain not relieved by GTN.-Take history,discuss management.

10. Young lady h/o with history of unconsciousness-Take history

11. Mother of child of 6 month with vomiting and fever-counsel her.

12. Suturing patient

13. 22 year old guard with cough from 2 months and weight loss.Take history and D/D.

14. Knee joint examination

15. Ectopic pregnancy patient wants to go home against medical advise-Counsel her.

 

List of stations of 15th December 2004

1. B.P

2. CPR-child

3. Cervical smear

4. Blood sampling

5. Opthalmoscopy

6. PCT-15 tabs-12 hr earlier.Talk to her about management.Don't take mental history.

7. Mini mental state

8. Nephrectomy counselling to husband-1st stage renal carcinoma.

9. Hemiarthroplasty-of neck of femur counsel her about post operative management and complications.(except     pain).

10. DKA - Viva

11. H/O tingling and numbness in right hand fingers.Discuss D/D with examiner.

12. Lower abdomen pain-Young lady 24 years old h/o of STD and termination.

13. History vomiting since 1 day,baby 6 month old,no urine,24 hrs no diarrhoea.

14. Dysphagia-70 year old with Dysphagia and treated for it.Take history and discuss investigation with             examiner.

15. CVS examination - H/O heart failure.

16.Rest

 

List of stations of 16th December 2004

1. B.P

2. CPR-Paediatrics

3. Febrile convulsions -Counsel the mother regarding the baby's condition.

4. Headache-Take history

5. Diabetic foot examination

6. Swollen knee

7. Examination of lower backache

8. Palpitation-Take history

9. Paracetamol poisoning-Counsel the patient regarding further management

10. Suturing

11. Male Catheterization

12. History of Breast cancer-Counsel about further management

13. Pre-eclamptic patient-Counselling

14. Lower abdomen pain-do D/D with the examiner

15.CVS examination to R/O heart failure.Discuss findings with examiner.

 

List of stations of 17th December 2004

1. 6 year old girl with itchy discharge PV, history for DD

2. NAI in a 9 month old child, head injury

3. Hip examination

4. Intermittent claudication of leg, examination

5. PID, life style advice

6. GCS and neurological examination

7.  Panic Attacks

8.  History in a patient of wheese for 6 months

9.  Post stroke advice

10. Herniorapphy under LA, counsel

11. Otoscopy

12. Cervical smear

13. Drug dose calculation, Midazolam

14. BP

15. CPR (paediatric)

 

Osce Paper for 10th Jan'05

1. CPR (adult)

2. BP

3. Malaena history

4. History of fever

5. Inoperable aortic aneurysm, counsel relative

6. Male catheterisation

7. Spacer

8. Vaginal discharge in a young girl

9. Anti-depressants explanations

10. Counselling for hypo-glycaemic episode in 2 year old

11. Examination of CVS

12. Neurological Examination of a diabetic patient (lower limb)

13. Secondary survey

14. BP measurement


Osce Paper for 11th Jan'05

1.CPR Adult

2.B.P.

3.Bimanual PV

4.IV Vacutainer

5.Suturing

6.Diplopia-History-Old lady

7.Physiological Jaundice talk to mother

8.Diarrhoea-Talk to mother

9.Headache-Take history and give diagnosis to patient.

10.Neurological examination of diabetic patient

11.Shortness of breath-Diagnosis-HIV risk factor

12.Heart failure after 3 months after MI.Take history

13.PR

14.HIV Counselling

Osce Paper for 11th Jan'05 -Paper2

1.X linked recessive among the following.

2.Clinically suspecting William's syndrome,murmur characteristics.

3.Condition where K level is low.

4.Condition where Na level is low.

5.Child Mx 17mm.3 years asymptomatic.Treatment options.

6. 3 year old boy had lower R.T. I last winter also.Also now.LRTI-shows consoldation-    Immunodeficiency,Cystifibrosis

7. Condition where canpliment level is low.

8.Cr level in new borns.Is it high/less than adults.Does it depend on muscle mass.

9.Condition with cangugated-CF,Congugated rubella

10.Child with convulsions-10 days after measles infection.Had fever also.So given 5mg Diazepam.Child still unarousable

11.Antidote for diazepam.

12.Ig for measles.

13.Reassure.

 

Osce Paper for 11th Jan'05 -Paper 3

1.EMQ's with epilepsy types and medications.

2.Tall stature-cause of concern in visual development-lack of smiling,eye poking behavior,blinking

3.EMQ's-child with limp
   -failure to thrive
   -Anaemia scenario
   -vitamin supplementation

4.Erythema Nodosum
    -is a s/c painless nodule
    -resolve with a residual scar
    -complications of insulin dep DM

5.Child who has taken following medications-glue,OCP-in which of the following situations they can be safely sent home.

6.Pertusis immunisation C.I

7.Influenza vaccination C.I


Osce Paper for 12th Jan'05

1.B.P.

2.ABG

3.C.P.R adult

4.Meningitis already diagnosed-Perform a clinical examination.

5.Irritable hip-counsel father

6.Headache with migrane,cluster headache-Now insist on an MRI scan -counsel

7.P/R examiantion

8.Febrile convulsion

9.Primary survey

10.Hemoptysis

11.Suturing assisstant

12.Whiplash-counsel

13.Pain in ear.

Osce Paper for 13th Jan'05

1.B.P.

2.CPR

3.55 year old female with haemoptysis from 2 weeks.Take history & discuss DD to examiner

4.Seizure - of 18 months baby.Mother brought the baby to A & E. You are the SHO. Mother was very anxious while giving histoy

5.56 year old male postman from 6 weeks history of CBP. Take history & discuss DD with examiner.You are ortho SHO

6.Counsel 25 year old Type I IDDM lady who is planning to start a family about the effect on the baby mother was asking question about foutal malformation

7.Patient of 25 year old female took paractemol and record well.Now wants to go home.Counsel

8.Obesity - 60 year old female.Take history & DD with the examiner

9.Telephonic conversation with surgical registrar

10.M.I. Drug counselling

11.Alcoholic lady of 56 year old with complains of peripheral neuropathy.Examine the relevant system

12.Mannikunes - Scrotal examination

13.IV Canulation

14.Cervical smear

15.Knee joint examination

 

Osce Paper for 17th Jan'05

.Venepuncture

.Counsel patient with diabetic retinopathy

.Haematuria - history and management

.BP

.Inconsolable crying child

.CPR

.Suturing

.Clinical exam of RS

.Breast examination

.Post op shock - consultant telephone call

.History for pain in abdomen

.Examination of a patient with meningitis

.Morphine drug dilution

 

Osce Paper for 18th Jan'05

. Miscarriage counselling

. Paed CPR

. Suicide risk assessment

. Neurological exam of the patient in coma

. tennis elbow examination

. Vacutainer blood collection

. Diabetic leg sensory examination

. Young man with fever

. Weight Loss DD

. BP

. Counsel anxious mother of child with URTI

. Catheterisation

. Post MI lifestyle modifications

Osce Paper for 19th Jan'05

.CPR

.B.P

.HIP Examination

.Alcoholic patient do sensory examination and reflexes

.Respiratory system examination do + PFR

.Weight loss(Anorexia Nervosa)-History

.Acute Abdomen pain-Young female-TAke history and D/D

.Child posted for Appendicectomy-Talk to mother

.Cervical Smear

.IV Cannulation

.Paracetamol poisoning

.Management of MI

.Child diagnosed with URI exam is normal-Counsel the mother

.Urinary Incontinence-Take history

.

Osce Paper for 20th Jan'05

. Midazolam dilution

. Counsel scrotal lump

. Abnormal cervical smear, counselling

. BP

. CPR-adult

. Thyroid examination

. Breast examination

 . Counsel mother about Unconciousness in child

. Counsel mother re baby with jaundice

. Scaphoid fracture management

. IV canulation

. Secondary survey

. Counsel patient with depression

 

Osce Paper for 24th Jan'05

1.  BP

2.  CPR (paed)

3.  Venflon insertion

4.  Cervical Smear

5.  Irregular menses, history of

6.  Thyroid examination

7.  Shoulder joint examination

8.  Diplopia examination

9.  Child with vomitting, history

10. Consent for Endoscopy in haematemesis

11. Paracetemol poisoning -risk assessment

12. Post shock-telephone conversation

13. Explain medications for asthma

14. Urethral discharge, history taking

Osce Paper for 26th Jan'05

.B.P

.CPR

.NAI Child abuse

.Mastoectomy-Psychological distress

.PV

.Respiratory sytem

.8th nerve

.Alcoholic man examination

.TIA-risk factors-Take history

.Catheterization

.Primary survey

.Patient with palpitation-D/D

.Constipation-Immobile patient -Talk to nurse

 

Osce Paper for 27th Jan'05

.Insuline dose calculation

 2 year old baby with fever and vomitting.Take history & offer management

 PV ( No smear/speculum )

.Bladder catheterization

.STD Clinic.History & management

 Inguinal repair

.Orteoporosis

.Sensory examination of lower limb

.Cardiovascular examination

.CPR

.BP

.Post paracetomol examination

.Lady with fever & headache.Take a history

Osce Paper for 31st Jan'05

.CPR-child

.BP

.Rheumatoid arthritis-Counsel

.Hernia Operation-Counsel the patient

.Examination of thyroid gland

.Chest pain -Take history

.Bimanual Examination

.Catheterization

.Blood Sampling

.Breast Examination

.Epilepsy

.Child with Diarrhoea.Counsel mother

.DKA-Viva

.2 Rest stations

 

Osce Paper for 1st Feb'05

.CPR

.BP

.Hemicollectomy counselling

.Opthalmoscopy

.Miscarriage-counselling

.Suturing

.Knee examination

.PR Examination

.Counselling of mother whose child is suffering from asthma

.History taking of a kid who has cold from mother

.Venesection

.Opium addiction-Counselling

.Headache-History taking

.

Osce Paper for 2nd Feb'05

.Suturing

.CPR-Adult

.Asthma

.Headache-History & D/D

.PR for prostrate

.Venepuncture

.Fundus examination

.2 Rest stations.No Pilot

.Right Hemicollectomy for Ca

.Missed abortions.9/6 weeks pregnant.Talk about evacuation.

.Knee joint examination

.Opiate addiction-Risk stratification

.Post Op Hemicollectomy.patient collapses after 6 hrs.Talk to consultant on phone.

.BP

.Child with lethargy.No fever-History & D/D.

 

Osce Paper for 3rd Feb'05

.Epilepsy

.Alcoholic-History Taking

.Asthama Spacer

.Lady with Depression-Mental state examination

.Right adominal pain-History & D/D

.Hoarsness of voice-History & D/D to examiner

.Mannikin-PR

.Blood collection

.Secondary Survey-Discuss initial management

.Examination of lower limb of diabetic patient

.Otoscopy-Ear examination

.STD-Explain management

.B.P

Osce Paper for 8th Feb'05

B.P.

CPR-Adult

Bimanual Examination

Suturing

Catheterization

Ankle Sprain-Advise on medication

Bleeding p/h

Pain abdomen-lower abdomen

Alcoholic-History-Counselling

Neurological Examination of Diabetic feet

Meningitis-plune

Febrile -Convulsions

MI and CCF-VIVA

Breast-Examination

2 Rest Stations

 

Osce Paper for 9th Feb'05

CPR-Paediatrics

Insulin

AB

Catheterization

Spine Examination

Secondary Survey #Femur

Alcoholic food Sensory+reflexes

Coeliac disease-Counsel father

Mass in testes no history no examination

MMSE

Mesothelioma

Pre-eclampsia history take

H/O wheeze,breathlessnes

Rt upper quadrant pain H/O cholecylitis


Osce Paper for 10th Feb'05


.Suturing

.CPR

.BP

.Cervical smear

.Child abuse

.Patient complaining of chest pain -Take history.Knee joint examination

.Mini mental state examination

.Risk factors for M.I-Take history

.Patient undergone henia operation 3 weeks back.Now complaining of bleeding and pain in the wound area.

.2 rest stations

Osce Paper for 14th Feb'05

.B.P

.C.P.R

.Otoscopy

.Speculum Examination

.PR Examination

.Spacer

.Lymphoreticular station

.Myocardinal Infarction

.30 year old vomiting-One day duration-Take history

.Panic attack-Take history

.Knee joint swelling-History

.Counselling a patient on ankle sprain

.Multiple Sclerosis

.Blood transfusion

 

Osce Paper for 16th Feb'05

.Blood drawing in anaemic patient.

.Patient with history of burning sensaton while passing urine,white colored urine. Problem from 1 year.Counsel the patient and discuss management.

.History of breathlesness.Discus D/D with examiner.

.Speculum examination

.B.P

.Mother of a child who has been diagnosed with Menigococcal Septicaemia.Counsel the patient and discuss further management.

.C.P.R

.Rest station

.Patient came to A& E with cut marks on left wrist.Take history.

.Fundoscopy

.Lady with 9 months Amennorhea.Take history and address her concerns.

.Examine the abdomen of person with history of vomiting and abdomen pain after meals.

.Patient complaining of headache.Take history and D/D.

Osce Paper for 18th Feb'05

.B.P

.Catheterisation

.CPR-Adult

.Man with whiplash is depressed.Take history.

.11 month child with diarrhoea.Talk to mother.

.Man with dizziness.Test VIII

.Ovarian cyst.Discuss management with patient.

.Arterial system

.Hot flushes in 34 year old lady.Take history.

.Explain prescription to patient.(Patient has severe Asthma)

.Spacer

.Herniorraphy-Discuss pain relief with patient.

.Pt.collapsed 6 hrs after hemicolectomy with tachycard,tachypnopa,sweating.Phone conversation with consultant.


Osce Paper for 21st FEb'05

.
Breast examination

.Respiratory Examination

.Venous cannulation

.Palpitation-History taking

.Hernia operation performed on a patient 3 weeks ago.He comes with discharge from wound.

.Alcoholic-history taking

.Severe headache-D/D & Counselling

.Urine problem

.Food poisoning

.B.P

.C.P.R Paediatrics

.Dose calculation

Osce Paper for 22ndFeb'05

.C.P.R. adult

.B.P.

VenePuncture

.Bimanual Examination

.History taking-Chest pain

.82 year female with Hypothermia-Focus history and discuss management

.Child abuse-History taking

.Spacer

.Stress Incontinence-History taking

.Unconscious state examination

.Respiratory system examination with PEFR


Osce Paper for 30th Mar'05

CPR Paediatrics

B.P

Haematuria

History of child with fever

History of Unconsciousness-Epilepsy

Respiratory system examination

Wrist examination

History of constipation

Cervical cancer

Osce Paper for 31st March'05

Pyrolic stenosis

Shoulder examination

Counselling for malignant ulcer

Child CPR

Fundoscopy

Cervical smear

Post-Operative pain management -Counselling

Blood collection-Vacutainer

B.P

Counselling for ectopic pregnancy

Diabetic foot examination

Kneedle stick injury to a child in a playground

History taking of somker,plumber

Weight loss in a 24 year old lady-Anorexia

 

Osce paper for 5th april'05
.CPR child

.BP

.Per rectal examination

.Suturing

.Fundoscopy

.Motor examination of lower limb

.Elbow examination

.Fatigue history taking

.Nephrectomy counselling

.Dose calculation morphine

.Pt has taken pcm now going to discharge assess suicidal risk

.Child e vomitting history taking from mother

.Pt e dry cough history taking

.Pt e ectopic preganancy wants to go home counsell

.Primary survey

.Rest station

Osce Paper for 6th April'05

  Dose Calculation (Valium)

. Febrile convelsions (Cs mother & answer her Qs)

.MI (Drugs & Side effects)

. BP Ex

. PR Ex

. Resp System Ex & PEFM reading.

.CPR (Adult)

. Rest

. Neuro Ex of Left Hemiplegia.

.Post Hemicoletomy collaps (Telephone Consultat)

.Accident/Whiplash Inj (take Psy Hx)

.Pre-eclampsia, 36W (Talk to the Pt)

. R Earache (Take Hx )

.Cervical Smear

. Neonatal Jundice (Talk/Cs mother)

.Fundoscopic Examination

Osce Paper for 7th April'05
.CPR child

.BP

.MMR vaccine counsel reg autism

.Terminal care at home in a pt with prostate ca

.Cvs ex 6.hip ex

.Cervical smear

.history taking red eye

.History abd pain

.Ovarian cystectomy pffan incision

.Counselling reg use of peak flow meter

.Post natal depression history

Insulin calc

.Post op collapse in rt hemicolectomy

.8th cranial n ex

 

Osce Paper for 8th April'05
8th nerve examination, man with vertigo

.History taking, lady 60 with wt gain, give diagnosis

.Post mi talk about medications only.

.Sterilization, counsel

.Alcohol history taking

.Child with recent uti now presents with polydypsia and poly urea,lethargy

.Catheterization

.Venflon

.Pefr demonstrate and explain chart

. Fracture scaphoid, examine, look at x ray and mgt. 3 kind of casts were kept, choose one

.CPR child

.BP

.70 yr old man with fever pain while passinhg urine, hesitancy for some time, discuss mgt. with pt.

.Lymphoreticular system examination

.Telephone conversation post hemi colectomy.

.Rest

Osce Paper for 11th April'05

  Dysphagia, take history, discuss the DD with examiner and investigation

. Thyroid gland- Exam

. Baby crying with bruises- child abuse

. CPR

. BP

. Insulin calculations use the syringes and tell examiner how you are going to do it in real life.

.Male catheter

. Rest

. Headache (sudden most probably subarachnoid)

. Pilot Station

. Respiratory system exam and peak flow meter

. Alcohol dependence talk to pt how to manage it

. Pt heard his shoulder exam (pt had a sling he couldn't even move his arm and with shirt on so you think of how to examine him)

. Amenorrhea for six month student-take history

. Irritable hip -talk to the worrying father

Osce Paper for 12thApril'05

.Breast Exam

.Chest exam and PEFM

.Spacer devise - explain to father

.Shoulder Exam with a sling on (pilot)

Diplopia exam

.CPR

.BP

.Hernia wound discharge-counsel

.History from a Paranoid Schizophrenia

.History from RUQ Abdominal pain

.History from a patient with malena

.ABG

.Diabetic retinopathy-Counsel

.History of Headache and discuss Rx with pt.

Osce Paper for 13th April'05

. Blood Pressure

.Breast exam

.Colonic cancer for hemicolectomy pt anxious discuss with pat

.Spacer

.Fracture shaft of numerous of a child age 6 moths with chest x ray telephone conversation with consultant probably pilot station.

. Rest station

. Diplopia h/o and discuss differential diagnosis with examiner

. Scrotum examination.

. Management of mi with examination

.Ankle injury management discuss with patient

.Alcoholic foot exam

.Rheumatoid patients unable to sleep take h o and management.

.Urethral discharge take sexual ho discuss management with the patient

.Hypothermia take relevant h/0 for future management.

.Cannulation

.Cardio-Pulmonary Resuscitation children

Osce Paper for 14th April'05

. BP

. Peadiatric CPR

. IV cannulation

. Suturing

. Bimanual vaginal examination

. OPthalmoscope

. sexual history...pt thinks she has STD from her husband. consel and advise her

. Delibrate Self Harm: assess risk

. severe headache: ??SAH

. Diarrhoea: Take history and discuss differential diagnosis with examiner

. Telephone conversatin with consultant: mother brought in a child.xray showed fractured hmerus, CXR...old Fracture sites on clavicle,Abdominal xray also done.

. blood transfusion: pt severly anaemic, to be given 4units of blood.counsel pt ad allay her fears

. Physiological jaundice: mother anxious, 4day old baby developed jaundice 2 days after birth. normal vaginal delivery, fullterm. counsel mother

. Hip examination: Pt had osteoarthritis of Rt hip

. Testicular lump. do not examine pt, do not take history. counsel pt on possible diagnosis and management plan

. rest station

Osce Paper for 18th April'05

. BP

.MMSE

.Meningitis examination

.Telephone conversation consultant - patient in A&E bowel obstruction. Bloods and X-ray given

.Diabetes. Retinopathy - explain to patient and management.

.Liver dis. history + blood tests

.Diarrhea child - history and explain management.

.Rest

.CPR adult

.ABG

.Cervical smear

.Management URTI - explain to father

.Mother of crying baby - not happy and tired, talk to her

.STD-counseling male

.PID - on treatment talk about implications

.Tennis elbow - exam. And explain dg + management

Osce Paper for 20th April'05
.BP

.CPR

.Cannulation

.History cough

.Menorrhagia history

.Anorexia history

.Thyroid examination

.Abdominal examination

.PV examination

.Cancer breaking bad news

.Counselling idiopathic epilepsy

.Procedure bag and mask
counselling gout

.Phone conversation post op collapse

.Spacer demonstration

.Rest

Osce Paper for 21st April'05

.Blood Pressure

.Cardio-Pulmonary Resusitation

.Rheumatoid arthritis with insomnia

.Leg neurological exam diabetic

.Gonorrhea explain diagnosis scaphoid fracture

.Spacer

.Secondary survey with f femur

.Vomiting in 35 old lady history

.Child with overdose of paracetamol with no complications explain to father why no need for further management

.Dyspnea history

.Talk to patient had breast surgery need reconstruction reassure her

.Pt for local Anaesthesia for hernia reassure him

.ABG

.Rest

Osce Paper for 21st April'05

.Blood Pressure

.Cardio-Pulmonary Resusitation

.Rheumatoid arthritis with insomnia

.Leg neurological exam diabetic

.Gonorrhea explain diagnosis scaphoid fracture

.Spacer

.Secondary survey with f femur

.Vomiting in 35 old lady history

.Child with overdose of paracetamol with no complications explain to father why no need for further management

.Dyspnea history

.Talk to patient had breast surgery need reconstruction reassure her

.Pt for local Anaesthesia for hernia reassure him

.ABG

.Rest

Osce Paper for 17th May 05

.Suturing

.CPR-child

.History of fever

.History of lower abdominal pain

.Hypertension counselling

.Breast examination

.Examinatin of Unconcious patient

.Diabetic foot

.Morphine dose calculation

.Sideffects of steroids.

Osce Paper for 3rd Oct' 05

.Fundoscopy

.Abnormal cervical smear.

.RA-Explain long term management.

.Abdominal pain-history.

.hemoptysis-history.

.Episode of Unconscious -history.

.Diabetic foot

.Menigitis in child-phone conversation.

.Sideffects of steroids.

 

Osce Paper for 4th Oct' 05

.Paedia CPR.

.6 yrs/f vaginal discharge & itch.Take history nad discuss DDs.

.Anxious mother, abdominal in child.

. IV Cannulation.

GP refered a suspected Ca skin, counselling & management.

.Abdominal pain, 25yrs/f, history and DDs.

Infertility, 35 yrs./f, history & DDs.

.Maningitis examination.

.DKA management.

.Ear examination.

.Epilepsy counselling.

.Respiratory examination with PEFR.

Smoking, counsell patient of IHD.

.Palpitation, history & DDs.

 

Osce Paper for 5th Oct' 05

. BP

.Drug dose-Pethidine 15 mcg/kg/hr wt=12kg, 1ml=0.5 mcg.

.Anorexia nervosa.

.Thyroid exam

.Febrile convulsion-Counsel mother child had a mild URTI, now sleeping.

.Paediactric CPR.

.Diarrhoea , 36 yr. male, take history.

.Fundoscopy.

. Endoscopy(Gastroscopy)-Haematemesis & maaena, take consent.

.Posted for Inpatient open hernia counsel for pain relief.

.Obesity in child- counsel mother.

.Irregular bleeding PV 47 yr old take history and discuss DD with examiner.

.Telephonic conversation Hemicolectomy post op collapse.

.Counsel regarding STD.

.Testis-exam.

 

Osce Paper for 5th Sep' 05

.Suturing.

ATLS.

.Minimal State Examination.

.CPR.

.Breaking bad news.

. palpitation - History only

.Counselling to patient with PID.

.Consent for surgery.

Fundoscopy.

Osce Paper for 6th Sep' 05

. Diabetic (Type I)

.Check visual field

. Heart failure – cvs exam.

.Hip joint exam – patient with Osteoartritis

.Needle stick injury – counsel mother of boy management

.Breaking the bad news (Mesothelioma) to wife

.Unconscious patient,g.c.s. neuro exam

. Headache

. Low abdominal pain, lady,history ,management to patient.

.Thyroid erxam.

.Coeliac disease

.Yong lady with STD,gonorrea,other test negtive

.Venapuncture

.Hip exam. ,manegment of osteoartritis

 

 

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