OSCE

Question 1

What structure can help you remember obs / gynae history systems review?

Answer 1

M - Menstration

O - Obstetric History

S - Sexual history

C - Contraception and Cervical smear

Question 2

What questions should you as about Menstruation?

Answer 2

1. 1st day of LMP
2. Menarch and menopause
3. Regularity of cycle
4. Duration and heaviness of period

Question 3

What questions are important in a sexual history?

Answer 3

1. Are you sexually active at the moment?
2. Partner:
   
   • Male or female?
   • Casual or regular?
3. Intercourse:
   
   • Type of sex? Given received or both?
   • Protection?
   • Pain?
4. Infertility

Question 4

What questions are important in a travel history?

Answer 4

1. Where?
   
   • where exactly? region? terrain?
   • multiple sites in same country?
   • stayed in what kind of accomodation?
   • food / drink?
2. How?
   
   • How did you get there?
   • sick people on the plane?
3. Why?
   
   • Buisness or pleasure?
4. Who?
   
   • Any sexual partners over there?
   • contact with sick people?
   • animal bites / ticks?
5. What?
   
   • what were you there to do?
   • what activities did you do?
     
     • fresh water swimming?
     • eating street food? raw fish?
     • acupuncture?
     • tatoos?
   • any illness / treatments?
6. Before you went did you get vaccinated? malaria prophylaxis?

Question 5

what is a good question to un-patronizingly test understanding?

Answer 5

“what are you going to tell the wife/SO when you get home?”

Question 6

What is the acronym to remember paeds history?

Answer 6

BINDS:

B - Birth

I - Immunisations

N - Nutrition

D - Development + Growth

S - Social