OSCE - Generic

Question 1

Uniform policy adherence

Answer 1

• Bare below the elbows
• No watches/fake nails

Question 2

End of bed assessment

Answer 2

• Safety
• Age/gender
• Pt general appearance
• Level of consciousness
• Obvious pain/position
• Environment
• Obese/wasted
• Time critical

Question 3

Initial approach

Answer 3

• Greets Pt
• Obtains consent
• Chaperone considered

Question 4

Communication

Answer 4

• Explains clearly
• Builds rapport
• Shows empathy
• Avoids jargon
• Responds to concerns/expectations

Question 5

Taking a history

Answer 5

• Presenting complaint
• Hx of presenting complaint
• Previous medical Hx
• Drug Hx
• Allergies
• Family/social Hx
• Review of systems

Question 6

Pain assessment

Answer 6

SOCRATES

• Site
• Onset
• Character
  
  • Burning > Peptic ulcer/G.O.R.D
  • Cramping > Biliary colic/I.B.S/Diarrhoea/Flatulence
  • Severe cramping > Appendicitis/Chrohn’s Disease/Diverticulitis
  • Stabbing pain > Pancreatitis/Cholecystitis
• Radiation
• Alleviating factors
• Timing
• Exasperating factors
• Score (0-10)
• Good explanation of scoring to Pt