OSCE History Flashcards
1
Q
COPD history
A
x
2
Q
Cardiovascular lifestyle advice
A
x
3
Q
Hypertension history + management
A
x
4
Q
Hypercholesterolaemia + management
A
x
5
Q
Chest pain history
A
x
6
Q
Palpitations history
A
x
7
Q
Intermittent claudication history
A
x
8
Q
Varicose veins history
A
x
9
Q
Smoking cessation history + motivational interviewing
A
x
10
Q
Cough history
A
x
11
Q
Asthma review
A
x
12
Q
Weight loss history + motivational interviewing
A
x
13
Q
Coeliac disease: patient requesting testing
A
x
14
Q
Diabetic review
A
x
15
Q
Goitre history
A
x
16
Q
Gynaecomastia hx
A
x
17
Q
Tiredness hx
A
Environmental/ iatrogenic URTI DM Hypothyroid Anaemia (eg menorrhagia) Depression Malabsorption Chronic fatigue/ fibromyalgia Malignancy (inc haem)
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
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
20
Q
Abdo pain hx
A
x
21
Q
Neck lump hx
A
x
22
Q
Hernia hx and explanation of mx
A
x
23
Q
Breast lump hx
A
x
24
Q
Weight loss hx
A
x
25
Jaundice hx
x
26
Breathlessness hx
x
27
Haemoptysis hx
x
28
Dysphagia hx
x
29
Haematemesis hx
x
30
Change in bowel habit hx
x
31
PR bleed hx
x
32
Haematuria hx
x
33
Dysuria hx
x
34
Polyuria hx
x
35
Falls hx
x
36
Headache hx
Ask about eye strain!
37
Weakness hx
x
38
Numbness/ paraesthesia hx
x
39
Dizziness hx
x
40
Hearing loss hx
x
41
Low mood hx
x
42
Anxiety hx
x
43
Hallucinations/ delusions hx
x
44
Forgetfulness hx
x
45
Mania hx
x
46
Alcohol hx
x
47
Eating disorder hx
x
48
Self-harm/ suicide risk assessment
x
49
General gynaecology hx template
Remember...
Any chance you could be pregnant?
Constitutional Sx?
Full hx
50
Vaginal bleeding hx
x
51
Antepartum haemorrhage hx
```
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
Vaginal discharge hx
x
53
Subfertility hx
x
54
Urinary incontinence hx
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
Oligomenorrhea hx
```
Rule out:
Pregnancy
PCOS
Thyroid dysfunction
Hypogonadotrophic hypogonadism (exercise, appetite, mood)
Hyperprolactinaemia (inc vision)
Menopause
```
56
Menorrhagia hx
x
57
Antenatal Booking
x
58
General paeds hx template
HPC
Systemic: ILL Bowels Urine General appetite/ drowsy/ rash
Prenatal
Delivery
Postnatal
Feeding history
Developmental history
Immunisation history
ICE
Rest of hx
59
Paeds: vomiting hx
x
| rule out meningitis
60
Paeds: FTT hx
```
Illness?
Cough?
Bowels?
Urine?
Abdo pain?
Fevers?
Nappies/ stools?
```
61
Paeds: convulsions hx
(rule out meningitis)
62
Paeds: developmental delay hx
Gross motor
Fine motor + vision
Hearing, speech & lang
Social
63
Paeds: cough hx
x
64
Back pain hx
```
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
Painful red eye hx
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
Sexual Health Hx (M)
Stress confidentiality
67
Joint Pain Hx
Associated features: stiffness, swelling
```
Extra-articular:
Infections
Rashes
Diarrhoea
Painful or red eyes
Back pain
CTD: mouth ulcers, dry eyes/ mouth, Raynaud's
```
68
Loss of vision hx
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
Knee pain hx
Red flags:
Significant severe swelling, esp rapid onset
Fever
Polyarthropathy
Urethral discharge, eye sx
PMH bleeding disorder or on anticoagulants
70
Shoulder pain hx
Red flags: dislocation, focal neurology
| Don't forget: cardiac pain, gall bladder disease, neck pain
71
Neck pain hx
Red flags: neuro sx (legs + arms), meningitis
72
RA hx
x
73
OA hx + management
x
74
Dupuytren's contracture
x
75
TIA hx
x
76
Head injury hx
x
77
Parkinson's hx
x
78
Acne hx
x
79
Fungal infection hx
x
80
Eczema hx
x
81
Psoriasis hx
x
82
LUTS hx inc explanation of PSA
x
83
Testicular pain hx
x
84
CKD hx inc management
x
85
PMS hx
x
86
COCP hx
x
87
Emergency contraception hx
x
88
ToP Request
x
89
Diagnosing menopause hx + starting HRT
x
90
Explaining antenatal screening
x
91
Explaining breast screening
x
92
Explaining cervical ca screening
x
93
Explaining bowel ca screening
x
94
Paeds: Constipation hx
x
95
Peads: nocturnal eneuresis hx
x
96
Suspecting child maltreatment hx
x
97
Insomnia hx
x
98
Recent non-accidental OD hx
x
99
Antenatal Counselling
```
Folic acid
Vit D (10 mcg)
```
Rubella
Nutrition
Exercise
Meds
Smoking
Alcohol
Drugs
Social hx: work, support at home
