OSCE Flashcards

1
Q

Cardiovascular symptoms

A

chest pain
SOB (at rest; on exertion; lying flat; at night)
palpitations
ankle swelling
poor circulation in hands / feet
pain in calves on walking

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2
Q

Respiratory symptoms

A

cough
sputum (colour)
SOB
wheeze
fever
night sweats
recent CXR

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3
Q

Gastrointestinal symptoms

A

change in appetite
change in weight
problems swallowing
indigestion/ acid reflux/ hiatus hernia
peptic ulcer disease, gallstones, pancreatitis, jaundice, hepatitis
change in bowel habit
constipation, diarrhoea
blood/slime/mucus per rectum
incontinence

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4
Q

Neurological symptoms

A

headaches
visual disturbance, hearing, speech difficulties
dizziness, vertigo
faints, fits, blackouts
weakness, numbness
sleep disturbances
unsteadiness, tremors
concentration, memory

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5
Q

Genitourinary symptoms

A

incontinence
frequency, dysuria, nocturia
Hesitancy, dribbling
Change in quantity, colour
Blood in urine
Genital rashes, lumps
Menstrual cycle, possibility of pregnancy

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6
Q

Endocrine symptoms

A

Heat or cold intolerance
Sweating
Fatigue
Tremor
Neck swelling
Weight gain or loss
Polydipsia and polyuria

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7
Q

Skin symptoms

A

Itch, rash
Bruising
Swellings, lumps, ulcers
Pigmentation changes

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8
Q

Haematological symptoms

A

Bruise easily
Bleed excessively
Lumps in axillae, neck, groins
Previous thromboses, pulmonary embolism
Fever, night sweats, weight loss

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9
Q

Musculoskeletal symptoms

A

Joint pain, stiffness, swelling
Dry mouth
Sore eyes
Skin rash
Back or neck pain

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10
Q

Mental health symptoms

A

Anxiety, preoccupations,
Mood, Self-harm & Suicidality,
Unusual beliefs, delusions and hallucinations
Memory problems, cognitive impairments
Learning difficulties

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11
Q

Ideas

A

What do you think might be happening?
Do you have any ideas about it yourself?

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12
Q

Concerns

A

What are you concerned it might be?
What was the worst thing you were thinking it might be?

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13
Q

Expectations

A

What were you hoping we might be able to do for this?
-> discuss whether this is appropriate

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14
Q

Wells’ score

A

Probability of PE following DVT?
???

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15
Q

Diabetes risk score

A

Risk of having previously undiagnosed T2DM
???

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16
Q

FRAX score

A

Percentage risk of developing a fracture in the next 10 years (osteoporosis)
-> DEXA scan; bisphosphonates?

17
Q

ABCD2

A

Risk of having a stroke following a TIA
-> statin???

18
Q

QRISK

A

Percentage risk of developing a heart attack or stroke in the next 10 years
-> statin

19
Q

CHA2DS2-VASc

A

Risk of having a stroke in AF
-> warfarin/NOAC

20
Q

causes of clubbing

A

cardiac = cyanotic CHD (Fallot’s, etc); bacterial endocarditis; atrial myxoedema
respiratory = lung cancer; pyogenic conditions (CF, bronchiectasis, abscess, empyema); TB; asbestosis; fibrosing alveolitis
Other = Crohn’s; cirrhosis; Graves’ disease