End of year OSCEs

Question 1

Cardio history

Answer 1

.

Question 2

Cardio exam

Answer 2

.

Question 3

12-lead ECG

Answer 3

.

Question 4

Data interp. –> ECGs

Answer 4

.

Question 5

Data interp. –> Coronary angiogram anatomy

Answer 5

.

Question 6

Cardiac arrest / Defibrillation

Answer 6

.

Question 7

Simman scenarios –> Cardio
.
- Atrial fibrillation
- Acute CAD
- Acute left ventricular failure
- Pericarditis/Cardiac tamponade
- Complete heart block (3rd degree)

Answer 7

.

Question 8

Peripheral vascular disease history

Answer 8

• intermittent claudication symptoms + how far can you walk etc.
• Critical limb ischaemia –> 6 Ps
• what makes better (haning legs over bed) / worse (walking, when legs are raised…)

Question 9

Peripheral vascular examination

Answer 9

.

Question 10

Data interp. –> Abdominal and Lower limb angiogram anatomy

Answer 10

.

Question 11

Describing ulcers

Answer 11

.

Question 12

Stroke/TIA history

Answer 12

.

Question 13

Stroke examination

Answer 13

.

Question 13

Data interp. –> CT heads

Answer 13

.

Question 14

Simman scenarios –> Stroke/Vascular
.
- Ischaemic stroke
- Haemorrhagic stroke
- Aortic dissection
- Acute limb ischaemia

Answer 14

.

Question 15

Haem history

Answer 15

.

Question 16

Lymph node + Abdo exam

Answer 16

.

Question 17

Venepuncture

Answer 17

.

Question 18

Simman scenarios –> Haem
.
- DVT/PE
- Subdural haemorrhage
- Sickle cell crisis –> neutropenic sepsis
- Anaphylactic shock
- Sepsis –> from leg infection ?

Answer 18

.

Question 19

Derm history

Answer 19

.

Question 20

Derm images

Answer 20

.

Question 21

Resp. history

Answer 21

.

Question 22

Resp. examination

Answer 22

.

Question 23

ABG procedure

Answer 23

.

Question 24

Inhaler technique + Peak flow

Answer 24

.

Question 25

Data interp. --> Chest X-rays

Answer 25

.

Question 26

Data interp. --> ABGs

Answer 26

.

Question 27

Data interp. --> CT scan basics . - Honeycomb - UIP - Ground glass - NSIP

Answer 27

.

Question 27

Simman scenarios --> Resp. history . - Acute exacerbation of asthma (life-threatening) - Pneumonia progressing to sepsis - Anaphylaxis (co-amox?) - Acute exacerbation of COPD --> type 2 resp. failure - Tension pneumothorax

Answer 27

.

Question 27

Prescribing

Question 27

Info giving

Answer 27

.

Question 27

Describing lumps and bumps + differentials

Answer 27

.

Question 28

Basic observations --> BP, temp, pulse, resp rate and O2 sats + Measuring basic observations (temp., pulse, resp. rate, oxygen sats) + NEWS score

Question 29

Data interp. --> MSK X-rays

Answer 29

.

Question 30

MSK history

Answer 30

.

Question 31

Urinalysis + handwashing

Answer 31

.

Question 32

Basic life support

Answer 32

.

Question 33

Scrubbing, gloving, and gowning

Answer 33

.

Question 34

Ankle/foot exam

Answer 34

.

Question 35

Knee exam

Question 36

Hip exam

Question 37

Spine exam

Answer 37

- sciatic nerve stretch test --> remember to dorsiflex foot

Question 38

Shoulder exam

Answer 38

- Remember painful arc

Question 39

Elbow exam

Answer 39

- remember pronation and supination

Question 40

Hand/wrist exam

Answer 40

.

Question 41

Subcut injection

Answer 41

.

Question 42

IM injection

Answer 42

- Allergies - Right person, right drug, right dose, right administration, right time, right to refuse - 90 degrees insert, pull traction on skin - safety net - document

Question 43

Sterile fields

Answer 43

.