OSCE

Question 1

Wound care: What are the 3 questions we ask the patient before dressing a wound?

Answer 1

1. Are you in any pain?
2. Are you on any blood thinners?
3. Have you had your tetanus shot?
4. Do you have any allergies?

Question 2

Wound care: What are the 3 points we tell the patient after dressing a wound?

Answer 2

1. Please do not get the dressing wet. We have some spare dressings for you to take home.
2. If you feel any changes e.g. fever, unwell, signs of infection, please come back here to A+E.
3. Book an appointment with your GP in the next 7 days to assess wound.

Question 3

Give x3 causes of hepatomegaly

Answer 3

Cancer
Cirrhosis (alcoholic)
Cardiac (congestive heart failure)
Infiltration (sarcoidosis, amyloidosis).

Question 4

Where can pyelonephritis pain originate from commonly?

Answer 4

Right upper quadrant.

Question 5

Give x2 differentials of suprapubic pain.

Answer 5

Urinary retention

Cystitis.

Question 6

What is a cause of generalised abdominal pain you keep forgetting!

Answer 6

Diabetic ketoacidosis.