OSCE revision

Question 1

List the respiratory comms symptoms (9)

Answer 1

⇒ Cough

⇒ Sputum

⇒ Haemoptysis

⇒ SOB

⇒ Wheeze

⇒ Chest pain

⇒ Symptoms of cold: blocked nose, reduced smell, nasal discharge

⇒ Earache

⇒ Sore throat

Question 2

List the cardiovascular comms symptoms (7)

Answer 2

⇒ Chest pain

⇒ SOB: at rest/ exercise/ lying down/ whilst sleeping

⇒ Palpitations

⇒ Ankle oedema

⇒ Varicose veins

⇒ Claudication

⇒ Syncope/ pre-syncope

Question 3

List the gastrointestinal comms symptoms (12)

Answer 3

⇒ Changes in weight/ appetite

⇒ Mouth/ teeth/ tongue

⇒ Dysphagia

⇒ Dyspepsia/ heartburn

⇒ Nausea/ vomiting

⇒ Haematemesis

⇒ Fat intolerance (oily/ smelly stools)

⇒ Jaundice

⇒ Abdominal pain

⇒ Abdominal distension/ bloating

⇒ Bowel habits: change/ constipation/ diarrhoea/ blood/ mucus/ melaena

⇒ Perianal symptoms: haemorrhoids, pain, itching

Question 4

List the genito-urinary comms symptoms for MALES (6)

Answer 4

⇒ Urine: frequency/ dysuria/ nocturia/ polyuria/ oliguira

⇒ Haematuria

⇒ Incontinency/ urgency

⇒ Prostate: initiation/ stream/ dribbling

⇒ Erectile dysfunction

⇒ Sexually active

Question 5

List the neuro comms symptoms (10)

Answer 5

⇒ Speech disturbance

⇒ Cognitive impairment

⇒ Headache: trauma

⇒ LOS/ pre-syncope/ fits

⇒ Dizziness

⇒ Balance

⇒ Vision: acuity/ diplopia

⇒ Hearing

⇒ Weakness

⇒ Numbness/ tingling/ pins & needles

Question 6

List the psychiatric comms symptoms (8)

Answer 6

⇒ Mood: depressed/ elated/ euthymic

⇒ Suicidal ideations

⇒ Anxiety/ panick

⇒ Memory impairment/ confusion

⇒ Abnormal thought: paranoia/ obsesssions/ odd ideas

⇒ Hallucinations/ delusions

⇒ Insight into illness

⇒ Risk to self/ others

Question 7

What are the 3 MSK comms questions vital to ask?

Answer 7

⇒ Do you have any pain/ stiffness in your muscles, joints or back?

⇒ Can you dress yourself completley without any difficulty?

⇒ Can you go up & down stairs without any difficulty?

Question 8

List the genito-urinary comms symptoms for FEMALES (10)

Answer 8

⇒ Urine: frequency/ dysuria/ nocturia/ polyuria/ oliguira

⇒ Haematuria

⇒ Incontinency/ urgency

⇒ Menstruation: date of last cycle/ regularity/ duration/ degree of bleeding

⇒ Postmenopausal bleeding (if menopausal)

⇒ Contraception/ HRT

⇒ Sexually active

⇒ Date of last cervical smear

⇒ Vaginal discharge

⇒ Obstetric history: parity/ gravidity

Question 9

What would you ask to explore a seizure history? (11)

Answer 9

⇒ Before:
~ aura: nausea/ light headedness/ visual change
~ what were they doing before it happened

⇒ During:
~ eyes open/ close?
~ tongue biting
~ incontinence
~ jerking movements
~ noises (groaning)
~ lenght of duration

⇒ After:
~ did they injure anything (head trauma)
~ how long until they regained consciousness
~ do they remember anything