OSCE learning

Question 1

Paeds History

Answer 1

Don’t forget:

Sheffield likes:
Safety netting
Asking about social service involvement.

Gestation
Birth mode
Current feeding / drinking

Remember 4 key areas:
Motor, Fine motor/vision, hearing/language, Social

DHx:
Allergies
Vaccines

Don’t forget systems review: Feeding, toileting, fever, rashes.

Question 2

Carpal Tunnel History

Answer 2

Check; Thyroid, pregnancy, diabetes, previous wrist fracture.

Full SOCRATES
-Relieving factors v important
-Exacerbating too
-Character; tingling, weakness.

Question 3

Upper Limb Neuro

Answer 3

Power; ALL MOVEMENTS including shoulder extension and flex, pronation supination, all 5 movements of thumb

Sensation; each dermatome, ask if they feel any different

Coord; Hand to nose, finger to finger, piano-playing, dysdiodokokineis.

Special: 2 point, graph, steriognosis.

Question 4

CEREBELLAR exam mneumonic

Answer 4

VANISHED

VERTIGO
Ataxia (Gait, posture)
Nystagmus
Intention tremor (coordination test)
Slurred speech
Hyper-reflexia, hypotonia
Exaggerated pass-pointing
Dysdiodo

Question 5

Drinking History:

Answer 5

When did you start drinking?

What made you start drinking?

Why continue to drink after repeated hospital admissions?

“Take me through a day of drinking”

Question 6

Eating Disorder

Answer 6

Self harm
laxatives
GI symptoms
Better depression screen
Previous mental health issues
Psychosis
HEADDS if paeds
SCOFF

Question 7

Diabetic Foot Exam

Answer 7

-6 Monofilament Spots on bottom
-Gait + Shoes
-Ankle Jerk
-Cap refill
-Webbing of toes inspection