End of year OSCEs

Question 1

Cardio history

Answer 1

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Question 2

Cardio exam

Answer 2

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Question 3

12-lead ECG

Answer 3

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Question 4

Data interp. –> ECGs

Answer 4

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Question 5

Data interp. –> Coronary angiogram anatomy

Answer 5

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Question 6

Cardiac arrest / Defibrillation

Answer 6

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Question 7

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

Answer 7

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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

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Question 10

Data interp. –> Abdominal and Lower limb angiogram anatomy

Answer 10

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Question 11

Describing ulcers

Answer 11

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Question 12

Stroke/TIA history

Answer 12

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Question 13

Stroke examination

Answer 13

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Question 13

Data interp. –> CT heads

Answer 13

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Question 14

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

Answer 14

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Question 15

Haem history

Answer 15

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Question 16

Lymph node + Abdo exam

Answer 16

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Question 17

Venepuncture

Answer 17

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Question 18

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

Answer 18

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Question 19

Derm history

Answer 19

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Question 20

Derm images

Answer 20

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Question 21

Resp. history

Answer 21

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Question 22

Resp. examination

Answer 22

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Question 23

ABG procedure

Answer 23

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Question 24

Inhaler technique + Peak flow

Answer 24

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Question 25

Data interp. –> Chest X-rays

Answer 25

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Question 26

Data interp. –> ABGs

Answer 26

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Question 27

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

Answer 27

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Question 27

Simman scenarios –> Resp. history
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- 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

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Question 27

Prescribing

Question 27

Info giving

Answer 27

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Question 27

Describing lumps and bumps + differentials

Answer 27

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Question 28

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

Question 29

Data interp. –> MSK X-rays

Answer 29

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Question 30

MSK history

Answer 30

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Question 31

Urinalysis + handwashing

Answer 31

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Question 32

Basic life support

Answer 32

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Question 33

Scrubbing, gloving, and gowning

Answer 33

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Question 34

Ankle/foot exam

Answer 34

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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

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Question 41

Subcut injection

Answer 41

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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

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