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Medicine > OSCE History > Flashcards

OSCE History Flashcards

1
Q

COPD history

A

x

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2
Q

Cardiovascular lifestyle advice

A

x

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3
Q

Hypertension history + management

A

x

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4
Q

Hypercholesterolaemia + management

A

x

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5
Q

Chest pain history

A

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6
Q

Palpitations history

A

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7
Q

Intermittent claudication history

A

x

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8
Q

Varicose veins history

A

x

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9
Q

Smoking cessation history + motivational interviewing

A

x

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10
Q

Cough history

A

x

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11
Q

Asthma review

A

x

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12
Q

Weight loss history + motivational interviewing

A

x

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13
Q

Coeliac disease: patient requesting testing

A

x

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14
Q

Diabetic review

A

x

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15
Q

Goitre history

A

x

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16
Q

Gynaecomastia hx

A

x

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17
Q

Tiredness hx

A 
Environmental/ iatrogenic
URTI
DM
Hypothyroid
Anaemia (eg menorrhagia)
Depression
Malabsorption
Chronic fatigue/ fibromyalgia
Malignancy (inc haem)
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18
Q

Fever hx

A 
URTI/ LRTI
D&V
UTI
Meningitis
STI
Tropical

Constitutional
Malignancy (inc haem)

Rheum: inflammatory arthritis, temporal arteritis, vasculitis
DVT

Drug-induced fever

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19
Q

Bruising hx

A

Bleeding hx (when cut, periods/ after birth, massive bleeding in theatre, nosebleeds, blood in urine, blood in stools, in joint/ muscle)

Constitutional 
Lymphadenopathy
Arthralgia/ myalgia
Infections (many recently?)
Meningitis
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20
Q

Abdo pain hx

A

x

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21
Q

Neck lump hx

A

x

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22
Q

Hernia hx and explanation of mx

A

x

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23
Q

Breast lump hx

A

x

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24
Q

Weight loss hx

A

x

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25
Q

Jaundice hx

A

x

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26
Q

Breathlessness hx

A

x

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27
Q

Haemoptysis hx

A

x

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28
Q

Dysphagia hx

A

x

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29
Q

Haematemesis hx

A

x

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30
Q

Change in bowel habit hx

A

x

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31
Q

PR bleed hx

A

x

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32
Q

Haematuria hx

A

x

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33
Q

Dysuria hx

A

x

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34
Q

Polyuria hx

A

x

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35
Q

Falls hx

A

x

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36
Q

Headache hx

A

Ask about eye strain!

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37
Q

Weakness hx

A

x

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38
Q

Numbness/ paraesthesia hx

A

x

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39
Q

Dizziness hx

A

x

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40
Q

Hearing loss hx

A

x

41
Q

Low mood hx

A

x

42
Q

Anxiety hx

A

x

43
Q

Hallucinations/ delusions hx

A

x

44
Q

Forgetfulness hx

A

x

45
Q

Mania hx

A

x

46
Q

Alcohol hx

A

x

47
Q

Eating disorder hx

A

x

48
Q

Self-harm/ suicide risk assessment

A

x

49
Q

General gynaecology hx template

A

Remember…

Any chance you could be pregnant?
Constitutional Sx?
Full hx

50
Q

Vaginal bleeding hx

A

x

51
Q

Antepartum haemorrhage hx

A 
Hx current preg: 
EDD/ LMP
felt baby move?
how has preg been so far/ seen dr for anything?
are you under any specialists?
what tests have you had so far?

Antenatal hx

52
Q

Vaginal discharge hx

A

x

53
Q

Subfertility hx

A

x

54
Q

Urinary incontinence hx

A

Details/ nocturia/ stress/ urge/ pads

Women: prolapse, parity/ delivery, menopause
Men: LUTS (start, middle, end)

Other sx: dysuria, haeaturia, abdo pain fever, constipation, neurological (muscle weakness/ disability), constitutional

Rest of hx
SHx: caffeine, fizzy drinks, fluid intake etc.

55
Q

Oligomenorrhea hx

A 
Rule out:
Pregnancy
PCOS
Thyroid dysfunction
Hypogonadotrophic hypogonadism (exercise, appetite, mood)
Hyperprolactinaemia (inc vision)
Menopause
56
Q

Menorrhagia hx

A

x

57
Q

Antenatal Booking

A

x

58
Q

General paeds hx template

A

HPC
Systemic: ILL Bowels Urine General appetite/ drowsy/ rash

Prenatal
Delivery
Postnatal

Feeding history
Developmental history
Immunisation history

ICE

Rest of hx

59
Q

Paeds: vomiting hx

A

x

rule out meningitis

60
Q

Paeds: FTT hx

A 
Illness?
Cough?
Bowels?
Urine?
Abdo pain?
Fevers?
Nappies/ stools?
61
Q

Paeds: convulsions hx

A

(rule out meningitis)

62
Q

Paeds: developmental delay hx

A

Gross motor
Fine motor + vision
Hearing, speech & lang
Social

63
Q

Paeds: cough hx

A

x

64
Q

Back pain hx

A 
Mechanical lower back pain
Prolapsed IV disc
Malignancy
Osteoporotic crush fracture
Ank Spond
TB
Spinal stenosis
Cauda Equina syndrome

Non-spinal causes: dissecting aneurysm (between shoulder blades), pancreatitis, endometriosis, renal calculi, fibromyalgia

Don’t forget YELLOW FLAGS

65
Q

Painful red eye hx

A

Pain hx

Associated features: vision, discharge, pruritus, xerophthalmia, haloes

Systemic enquiry

Ddx
Conjunctivitis
Infectious keratitis (usually contact lens or immunosuppressed) - needs ophthal ref
Acute angle-closure glaucoma: commonly in evening (mid-dilated pupil) - don’t dilate for examination
Acute anterior uveitis: photophobia and deeper pain - HLA-B27 associated
Episcleritis: often recurrent, dull ache, redness
Scleritis: tearing pain +++, often recurrent and affects both eyes (not usually simultaneously), strongly associated with rheum stuff
Subconjunctival haemorrhage

66
Q

Sexual Health Hx (M)

A

Stress confidentiality

67
Q

Joint Pain Hx

A

Associated features: stiffness, swelling

Extra-articular:
Infections
Rashes
Diarrhoea
Painful or red eyes
Back pain
CTD: mouth ulcers, dry eyes/ mouth, Raynaud's
68
Q

Loss of vision hx

A

Clarify: blurry? parts missing? double?
Central vision
Colour vision

Associated features:
Pain: eyes, moving head, headaches
Redness
Flashes and floaters
Neuro: zig-zag lines, weakness, pins & needles trouble with speech
Hypertension: morning headaches on waking
Temporal arteritis: pain chewing/ combing hair

Need to inform DVLA

69
Q

Knee pain hx

A

Red flags:
Significant severe swelling, esp rapid onset
Fever
Polyarthropathy
Urethral discharge, eye sx
PMH bleeding disorder or on anticoagulants

70
Q

Shoulder pain hx

A

Red flags: dislocation, focal neurology

Don’t forget: cardiac pain, gall bladder disease, neck pain

71
Q

Neck pain hx

A

Red flags: neuro sx (legs + arms), meningitis

72
Q

RA hx

A

x

73
Q

OA hx + management

A

x

74
Q

Dupuytren’s contracture

A

x

75
Q

TIA hx

A

x

76
Q

Head injury hx

A

x

77
Q

Parkinson’s hx

A

x

78
Q

Acne hx

A

x

79
Q

Fungal infection hx

A

x

80
Q

Eczema hx

A

x

81
Q

Psoriasis hx

A

x

82
Q

LUTS hx inc explanation of PSA

A

x

83
Q

Testicular pain hx

A

x

84
Q

CKD hx inc management

A

x

85
Q

PMS hx

A

x

86
Q

COCP hx

A

x

87
Q

Emergency contraception hx

A

x

88
Q

ToP Request

A

x

89
Q

Diagnosing menopause hx + starting HRT

A

x

90
Q

Explaining antenatal screening

A

x

91
Q

Explaining breast screening

A

x

92
Q

Explaining cervical ca screening

A

x

93
Q

Explaining bowel ca screening

A

x

94
Q

Paeds: Constipation hx

A

x

95
Q

Peads: nocturnal eneuresis hx

A

x

96
Q

Suspecting child maltreatment hx

A

x

97
Q

Insomnia hx

A

x

98
Q

Recent non-accidental OD hx

A

x

99
Q

Antenatal Counselling

A 
Folic acid
Vit D (10 mcg)

Rubella

Nutrition
Exercise

Meds
Smoking
Alcohol
Drugs

Social hx: work, support at home

Medicine (30 decks)

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